Influenza A/B PCR

Alphabetical Test listing

Influenza A/B PCR-8810

September 28, 2021

Due to supply disruptions, the standard turnaround time (TAT) for Influenza A/B PCR testing (LAB8810) is currently extended. 


For the next few weeks, until the supply disruption issue is resolved, turnaround times for Influenza testing is expected to be between 24 and 48 hours.

 

  
Influenza A/B PCR
  
8810
  
LAB8810
  
INP
  
Flu test
  
Nasopharyngeal (NP) swab
  
  

Nasopharyngeal (NP) swab collection:

Use the mini-tip NP swab included in the Influenza PCR collection kit.

  1. Tip the patient’s head back.
  2. Gently insert the NP swab into the nostril parallel to the palate (not upwards) until resistance is encountered or the distance is equivalent to that from the ear to the nostril of the patient, indicating contact with the nasopharynx.   
    1. If any resistance is met in the passageways, do not force the swab; back off and try reinserting it at a different angle, closer to the floor of the nasal canal, or try the other nostril.
  3. Gently rub and roll the swab for 10-15 seconds while the swab is in contact with the nasopharyngeal wall.
  4. The CDC recommends leaving the swab in place for several seconds to absorb secretions.
  5. Slowly remove the swab and place in the transport medium.
  6. Break the swab shaft so that it fits into the medium container and recap tightly.
  7. Label the specimen appropriately. Document the source “NP” on the label.

New England Journal of Medicine video on NP swab collection: Nasopharyngeal Swab Collection Video

 

  

Influenza PCR collection kit

  

Phosphate Buffered Saline (PBS)

COVID-19/Coronavirus sample collection kit

  

Refrigerated - 72 hours

  
  • Improper label (unlabeled or mislabeled)
  • Swabs other than nasopharyngeal (NP) or nasal
  • Time delay between time of collection and receipt of specimen
  • Improper transport container
  • Improper transport temperature
  • Interfering substances
  • Inappropriate specimen type
  • Leaking container
  
AHL - Microbiology: M
  
Daily
  
Routine - 1 day
Stat - 2.0 hrs after receipt at AHL
  

Real-Time Polymerase Chain Reaction (RT-PCR)

  

Negative

  

When to order the Influenza A/B/H1N1 PCR:

  • Inpatients
  • ED patients being admitted
  • Seriously ill patients
  • Off season (June 1st – September 30th) when the Influenza Antigen test is unavailable for non-seriously ill outpatients.

If clinically indicated, consider the Influenza A/B PCR after screening with the Influenza Antigen if:

  • The Influenza Antigen is positive when the influenza prevalence is low (rule out false positive antigen test)
  • The Influenza Antigen is negative when the influenza prevalence is high (rule out false negative antigen test)

 

  
87502
  
10/17/2011
  
11/15/2021
  
04/08/2020