PrEP Use Only: Chlamydia/Gonococcus, Rectal Swab, NAA

TEST: 188725
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CPT: 87491; 87591
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Synonyms

  • Pre-exposure prophylaxis screening for Ct/GC, Rectal Source

Special Instructions

Submit one specimen per test requested. Specify the exact specimen source/origin (e.g., rectal). Indicate a specific test number on the test request form.

Expected Turnaround Time

2 - 3 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Documents

Specimen Requirements

Specimen

Rectal specimen collected with Aptima® Unisex collection swab and submitted in the Aptima® swab specimen transport tube

Volume

1 swab (rectal)

Minimum Volume

1 swab (rectal)

Container

Aptima® swab specimen transport tube

Collection

Insert the blue-shafted swab, labeled "unisex collection swab for endocervical and male urethral specimens," 2 inches to 4 inches into the rectum and rotate to sample the mucosal surfaces. Do not use the white-shafted swab; discard this swab. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. Carefully break the swab shaft at the scoreline; use care to avoid splashing of the contents. Recap the swab specimen transport tube tightly.

Storage Instructions

Maintain specimen at room temperature or refrigerate (2°C to 30°C).

Causes for Rejection

Inappropriate transport conditions; bacterial swabs; swabs from sites other than rectal; unlabeled specimens or those with a discrepancy between the specimen label and the test request form; Aptima swab transport tube with no swab, two swabs or swab not supplied by Hologic; Aptima swabs greater than 60 days from collection; any transport device other than an Aptima swab transport

Test Details

Use

This test is used for the detection of Chlamydia trachomatis and Neisseria gonorrhoeae in patients who are eligible for or who are receiving pre-exposure prophylaxix for HIV (PrEP).

Methodology

Nucleic acid amplification (NAA)

References

Kent CK, Chaw JK, Wong W, et al. Prevalence of rectal, urethral, and pharyngeal Chlamydia and gonorrhea detected in 2 clinical settings among men who have sex with men: San Francisco, Calif, 2003. Clin Infect Dis. 2005 Jul 1;41(1):67-74.15937765

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
188725 PrEP: Ct/GC NAA, Rectal 188608 C. trachomatis, NAA, Rectal 80363-5
188725 PrEP: Ct/GC NAA, Rectal 188632 N. gonorrhoeae, NAA, Rectal 80366-8
188725 PrEP: Ct/GC NAA, Rectal 019054 PDF N/A

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