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Table of Contents

7164: Acyclovir Sensitivity Testing, ID50

Synonym:    HSV Susceptibility to Acyclovir, ID50

Methodology:    Plaque Reduction Assay

Schedule:    On request

Reported:    1 - 2 weeks

Laboratory:    Virology

Additional Information:    YNHH Virology Guide PDF

 

SPECIMEN REQUIREMENTS     

Collection Requirements:    HSV isolate in cell culture is required before susceptibility testing can be done.

Reference Range Comment:   


    Sensitive to acyclovir: IC50 <= 2 µg/mL
    
    Resistant to acyclovir: IC50 > 2 µg/mL

 

Reflexive Testing Criteria:    ID50 performed on HSV isolates that are indeterminate by rapid acyclovir assay.

Clinical Indication Criteria:    Patient must have failed intravenous therapy.

Additional Notes:    Lack of response may be seen with oral acyclovir therapy due to poor absorption of drug, suboptimal dosing or poor compliance. Therefore, a course of intravenous therapy is recommended before drug resistance is assumed.

CPT Codes:    87186, 87252

Manual Release Date:    10/16/2009

Format Date:    11/02/2009

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