YNHH Laboratory Manual - Virology Laboratory Telephoned Results
 

YNHH Laboratory Manual

 [ Table of Contents ]
Virology Laboratory Telephoned Results

In the Table below, the routine policy for telephoning results for YNHH patients are given. Samples received from other hospitals are reported to the laboratory at that hospital. All results are entered into the YNHH computer as soon as they are completed. Additional results may be called in special cases:

1) as requested by the physician

2) if Laboratory personnel need to obtain clinical information

3) if Laboratory personnel determine immediate notification may be important

Test/ analyte Call to physician, PA or nurse
Arbovirus IgM antibody Positives
BKV polyomavirus PCR Positive plasmas >104 copies/mL**
CMV pp65 antigenemia Positives if >5 cells and either a new episode or a rising titer
Culture, PCR, or DFA Positive CSF, amniotic fluid, blood*** Positive biopsy, BAL, bronchial wash
Hepatitis A (HAV) IgM Positives
Hepatitis B surface antigen (HBsAg) Positive source patients in identified occupational exposure called to OHS Physician or PA
Hepatitis C virus (HCV) EIA antibody Positive source patients in identified occupational exposure called to OHS Physician or PA
Hepatitis D virus (HDV) Positives
Hepatitis E virus (HEV) Positives
Herpes simplex virus (HSV) DFA Positive in Labor and Delivery
HIV rapid Oraquick All results (positive and negative)
HIV EIA (and follow-up western blot) Positives in pregnancy
Lymphocytic choriomeningitis virus (LCMV) Positives
Measles IgM, antibody Positives to physician and Infection Control if indicated
Rubella IgM antibody Positives to physician and Infection Control if indicated
Varicella-zoster virus (VZV) DFA Positives in Labor and Delivery; Neonates
West Nile virus (WNV) IgM Positives

* Transplant coordinators, Nurses or Physician Associates or others may be designated to receive results in transplant, oncology, or other programs. If Transplant Clinic is closed, fax result to Transplant office. If Fri .Sun after hours, fax to office and page Organ Transplant on-call.

** If urine is ordered instead of plasma, positives with Ct <20 (>107 copies/mL) will be called.

*** Exceptions: Routine HIV, HBV, HCV viral load results are not called. CMV PCR in blood is called only if new episode or rising titer.

Updated: July-2008

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