ARUP's Laboratory Test Directory

Streptococcus pneumoniae Antibodies, IgG (14 serotypes) : 0050725

Mnemonic: PNEUMO AB

Methodology: Multi-Analyte Fluorescent Detection
Performed: Mon, Thu, Sat
Reported: 1-4 days
Specimen Required: Collect:  One 4 mL serum separator tube.

Transport:  1.5 mL serum at 2-8°C. (Min: 0.7 mL) Submit specimen in an ARUP Standard Transport Tube.

Pediatric Collection/Transport:  0.15 mL serum at 2-8°C.

Remarks:  Separate serum from cells ASAP. "Pre" and "post" pneumococcal vaccine specimens can be submitted separately or together for testing. "Post" specimen should be drawn 30 days after immunization and, if shipped separately, must be received within 60 days of "pre" specimen. PLEASE CLEARLY MARK SPECIMENS "PRE-VACCINE" OR "POST-VACCINE" SO THAT SPECIMENS WILL BE SAVED AND TESTED SIMULTANEOUSLY.

Unacceptable Conditions:  Plasma or other body fluids.  Severely lipemic, contaminated, or hemolyzed specimens.

Stability:  After separation from cells: Ambient: 2 days; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
Reference Interval:
Includes Serotypes 1, 3, 4*, 5, 6B*, 7F, 8, 9N, 9V*, 12F, 14*, 18C*, 19F*, 23F*

All serotypes tested are present in the 23-valent pure polysaccharide pneumococcal vaccine.  The serotypes marked with an asterisk are contained in the conjugated pneumococcal vaccine.

This assay is designed to use both "pre" and "post" samples to assess immune responsiveness to vaccination.  This test is not designed to determine protection to Streptococcus pneumoniae based on a single sample. 
Interpretive Data: Long-term protection is generally thought to be associated with a one month post-vaccine response of at least 1 µg/mL in children and adults.  Responder status is determined, once reaching the minimum level of 1 µg/mL, according to the ratio of postvaccination to prevaccination concentration of pneumococcal IgG antibody as follows:

A ratio of less than twofold is considered a nonresponder.
A ratio of two- to fourfold is a weak responder.
A ratio of fourfold or greater is a good responder.
CPT Code(s): 86317 x14
 
 

 

 

 
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