ARUP's Laboratory Test Directory

Streptococcus pneumoniae Antibodies, IgG (14 serotypes) : 0050725

Mnemonic: PNEUMO AB

Methodology: Quantitative Multi-Analyte Fluorescent Detection
Performed: Mon, Thu, Sat
Reported: 1-4 days
Specimen Required: Collect: Serum separator tube. "Post" specimen should be drawn 30 days after immunization.

Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.25 mL) "Pre" and "post" pneumococcal vaccine specimens can be submitted separately or together for testing; if shipped separately, "post" specimen must be received within 60 days of "pre" specimen. Mark specimens clearly as "Pre-Vaccine" or "Post-vaccine".

Storage/Transport Temperature: Refrigerated.

Unacceptable Conditions: Plasma or other body fluids. Contaminated, hemolyzed, or severely lipemic specimens.

Stability (collection to initiation of testing): After separation from cells: Ambient: 48 hours; 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" specimens to assess immune responsiveness to vaccination.  This test is not designed to determine protection to Streptococcus pneumoniae based on a single specimen. 
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
Cross References: Immune Response (Streptococcus pneumoniae Antibodies, IgG (14 serotypes)) , Pneumococcal Antibodies (Streptococcus pneumoniae Antibodies, IgG (14 serotypes)) , Streptococcus pneumoniae Immune Response (Streptococcus pneumoniae Antibodies, IgG (14 serotypes)) , Streptococcus pneumoniae Vaccine Response (Streptococcus pneumoniae Antibodies, IgG (14 serotypes)) , Vaccine Response (Streptococcus pneumoniae Antibodies, IgG (14 serotypes))
 
 

 

 

 
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