Influenza antigen

Alphabetical Test listing

Influenza antigen-6696

4/13/2020

Effective immediately, all influenza testing is suspended due to low prevalence of flu in the community.

This will help conserve limited collection supplies for COVID-19 testing.

  
Influenza antigen
  
6696
  
87804.0
  
INF
  
Flu
Rapid influenza
  
  • A negative test does not rule out infection.
  • Available Oct 1 - May 31
    • Do not order in the off season, as false positive results are more likely when influenza prevelance is low
    • As an alternative in the off-season, Influenza A/B PCR (8810) may be ordered

 

  
Nasopharyngeal (NP) swab
  

 

     Nasopharyngeal (NP) swab collection

  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

 

  

Liquid transport media (Eswab mini tip, M4RT, UTM, M4, M5, Stuarts or Aimes)

 

  
Nasopharyngeal (NP) washing
  
  

1. With patient in supine position, tilt head back at 70o angle.
2. Attach sterile syringe to catheter. Insert catheter into nostril and instill 2 to 3 mL normal bacteriostatic saline into one nostril and pharynx.
3. Aspirate fluid out of nostril with syringe.
4. Gently suction with syringe while withdrawing catheter.
5. Place washings into a screw capped container for transport.

Optimal 1-3 mL normal saline (excessive volumes decrease test sensitivity)

  

Screw cap plastic container (sterile)

  

Refrigerated - 72 hrs

  
  • Improper label (unlabeled or mislabeled)
  • Time delay between time of collection and receipt of specimen
  • Improper transport container
    • Specimens collected using eSwab standard tip collection kits
  • Improper transport temperature
  • Inappropriate specimen type
    • Nasal swabs 
  • Leaking container
  
AHL - Microbiology: M
  
Daily
  
1 day; Stat - 1 hour
  

Immunoassay

  

When to order the Influenza Antigen:

  • Test in only available during influenza season, October 1st – May 31st, due to the increased false positive results of the antigen test when disease prevalence is low.

 

  • Non-seriously ill outpatient

 

  • Influenza prevalence is high

 

Reliability and interpretation of the Influenza Antigen:

  • As compared to RT-PCR, the influenza antigen test has a positive percent agreement of 81-86% and a negative percent agreement of 97-99%.

 

  • When influenza prevalence in the community is low, false positive (and true negative) results are more likely to occur

 

  • When influenza prevalence is high, false negative (and true positive) results are more likely to occur

 

 

 

  
87804 x 2
  
11/30/2001
  
11/24/2020
  
03/05/2020