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Printable Test Catalog - OU Medicine

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the freshest lesion or vesicle (dew drop fluid).<br />

3. Unroof the vesicle with a needle or #15 Bard-Parker scalpel<br />

and swab the base of the lesion. Cut or break the swab off in to<br />

the viral transport medium.<br />

4. After collecting the specimen for culture use a #15<br />

Bard-Parker scalpel to scrape the base of the lesion with the<br />

scalpel. It is essential to obtain basal and parabasal cells<br />

from the base of the lesion.<br />

5. In the center of 2 glass slides, smear the specimen in a<br />

circular motion out to the size of a dime. Air dry slides, place<br />

in holder, label, seal, and transport to the lab immediately.<br />

If FA is positive, the culture is not performed.<br />

TUBE OR CONTAINER: Viral transport media<br />

SPECIAL HANDLING: Indicate source on requisition<br />

TEST AVAILABILITY: Monday-Saturday<br />

TURNAR<strong>OU</strong>ND TIME: 1-2 days<br />

METHODOLOGY: Direct fluorescent antibody (DFA)<br />

CLINICAL INFORMATION: Culture is the preferred method for<br />

recovery of Herpes virus. Use this order for a viral, skin<br />

lesion or vesicle.<br />

[VHSVFAI] HSV FA + CULTURE (SKIN LESION)<br />

SPECIMEN REQUIRED: Refrigerated specimen<br />

COLLECTION INSTRUCTIONS:<br />

1. Pick freshest vesicle, aspirate fluid with tuberculin<br />

syringe and place in viral transport medium<br />

2. Collect culture first<br />

3. Unroof vesicle with #15 Bard-Parker scalpel<br />

4. Scrape the base of the vesicle (obtain basal and parabasal<br />

cells)<br />

5. In the center of 2 glass slides smear the specimen in a<br />

circular motion out to the size of a dime<br />

TUBE OR CONTAINER: Viral transport media, 2 glass slides<br />

SPECIAL HANDLING: Transport to the lab immediately<br />

ORDERING MODULE: MIC<br />

TEST INCLUDES: HSV FA and viral culture; if FA is positive,<br />

culture is not performed<br />

TEST AVAILABILITY: Monday-Saturday<br />

TURNAR<strong>OU</strong>ND TIME: 1-10 days<br />

REFERENCE RANGE: Negative<br />

METHODOLOGY: Cytopathic effect (CPE) and Direct fluorescent<br />

antibody (DFA)<br />

CLINICAL USE: Isolate and identify Herpes simplex virus<br />

CPT: 87299; 87252<br />

[VHSVSV] HSV 1&2 POOL SHELL VIAL ISO<br />

[VHSVSVI] HSV SHELL VIAL + HSV CULTURE<br />

SPECIMEN REQUIRED: Refrigerated specimen from any source<br />

including vesicles or lesions

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