Browsing Tag

Pediatrics

Advanced Technology Laboratory, General Information, Main lab

Update: COVID-19 Swab Supplies

If you are collecting COVID-19 swabs in your office or clinic, please order and collect using the saline swab kits (“liquid media” or “wet collection”) instead of the tube with no liquid media (“dry collection”).

• Liquid media swab kits will provide a faster turn-around time.

• Dry collection kits supplies are low.

Please refer to the COVID-19 PCR test in the Lab Catalog for the most up-to-date information on COVID-19 collection.

COVID-19 PCR Swab – LAB1230607

Continue Reading

Compliance & Safety, Education & Training, General Information

Self-Swab for STI Testing

Self-collected vaginal swabs may be used for STI testing as opposed to provider-collected swabs. Self-collected swabs are supported by current clinical guidelines as recent studies have shown their equivalence, if not superiority, in quality and their association with increased patient satisfaction.

NOTE: Self-collection must still take place in a healthcare setting and is not approved for at-home collection.

Continue Reading

Advanced Technology Laboratory, Main lab, Referral/Sendouts

RESOLVED-Update: STD Testing Supply Shortage

As of 5/18/2021 – Production of collection kits is no longer limited. Please resume normal ordering practices. 

There is a national shortage of testing and collection material for Chlamydia Trachomatis (CT) and Gonococcal (GC) infections. Spectrum Health is currently experiencing difficulties obtaining collection kits to perform the testing for all methods.
Continue Reading

General Information, Immunochemistry, Test Spotlight

New Insect Allergen Component Testing

Effective December 9, 2020, the following insect allergen components will be available:

Allergen Honey Bee Component Panel – EPIC #LAB1230747, Interface #1230747, CPT 86008

Allergen Common Wasp (Yellow Jacket) Component Panel – EPIC #LAB1230752, Interface #1230752, CPT 86008

Allergen Paper Wasp Component rPol d 5 – EPIC #LAB1230754, Interface #1230754, CPT 86008

Cross-reactive Carbohydrate Determinant (CCD) – EPIC #LAB1230755, Interface #1230755, CPT 86008 Continue Reading

General Information, Immunochemistry, Main lab, Referral/Sendouts

Resolved: Change in testing for Lyme Total Antibody

As of February 11, 2021, this has been resolved. Testing has resumed at Spectrum Health Regional Laboratory Immunochemistry Department.

Starting November 1, 2020, the Lyme Total Antibody test will temporarily not be performed in-house and will be sent out to the Mayo Clinic Laboratories using the Lyme Disease Serology, Serum.  This is due to the backorder of reagents from the vendor until approximately January 2021.

Lyme Disease Serology, Serum is available to order in Epic. Lyme Total Antibody will still be available to order, however, when the specimen arrives to the laboratory the order will be switched to the Lyme Disease Serology, Serum.

Similarly, to the current in-house test, the Mayo assay is also a Lyme total antibody assay, detecting both IgG and IgM antibodies, with the same specimen type as the in-house test.  However, test turn-around-times may be increased.

Lastly, this change will have no effect on the reflexing of positive samples to the confirmatory Lyme Disease Antibody, Immunoblot, Serum. Continue Reading

General Information, Microbiology, Referral/Sendouts, Test Utilization

Obsoletion of Mayo Send-Out Test Influenza Virus A/B Antibodies, IgG and IgM

As of October 29, 2020, the following send-out tests will be will become obsoleted due to lack of clinical utility:

SFLA Influenza Virus A Antibodies, IgG and IgM (Separate Determinations), Serum [LAB802]

SFLB Influenza Virus B Antibodies, IgG and IgM (Separate Determinations), Serum [LAB803]

For diagnosis of acute Influenza infection the following molecular tests are recommended:

Influenza A/B PCR [LAB3255]

Influenza A/B Rapid [LAB9240]**

Influenza A/B Rapid, Influenza A/B PCR if Negative [LAB2111530]**

**Available only at regionals and during times of high flu incidence Continue Reading

Hemostasis/Coagulation

New Test: Thrombin Time

Effective March 4th, 2020, Thrombin Time will change from a sendout reference test performed by Mayo Clinic Laboratories to an in-house test performed by Spectrum Health Regional Laboratory. This test will be performed in the Coagulation Laboratory and will include a new reference range (please see link in Test Information below).

Thrombin Time is suitable for monitoring fibrinolysis therapy, screening for disorders of fibrin formation and in cases of suspected fibrinogen deficiency states. It is also useful for the differentiation between a heparin induced prolongation of the thrombin time and fibrin formation disorders.

For questions around this test, please contact the Coagulation Department at 616-267-2740.

TEST INFORMATION

Thrombin Time – Epic Code: #LAB11230581, Interface Code: #11230581, CPT: #85670