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Test Code FUNBW Fungitell, bronch wash

Additional Codes

Epic# -

LAB000 (enter test name into comments)

 

Cerner name(s):

  • Miscellaneous Sendout


Specimen Required


Collect 1-3 mL Bronchial Wash in a sterile screw top tube, ship frozen.


Secondary ID

57872

Method Name

Limulus Amebocyte Lysate (LAL) Pathway

Reporting Name

Fungitell, bronch wash

Specimen Type

Bronchial Washing

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Bronchial Washing Frozen (preferred) 30 days
  Refrigerated  7 days
  Ambient  4 days

Reject Due To

Hemolysis Mild reject; Gross reject
Lipemia Mild reject; Gross reject
Icterus Mild reject; Gross reject
Other Non screw top tube

Clinical Information

The Fungitell Beta – D Glucan assay detects (1,3) – Beta-D-glucan from the following pathogens: Candida spp., Acremonium, Aspergillus spp., Coccidioides immitis, Fusarium spp., Histoplasma capsulatum, Trichosporon spp., Sporothrix schenckii, Saccharomyces cerevisiae, and Pneumocystis jiroveci.

 

The Fungitell Beta-D Glucan assay does not detect certain fungal species such as the genus Cryptococcus, which produces very low levels of (1,3) – Beta-D-glucan, nor the Zygomycetes, such as Absidia, Mucor, and Rhizopus, which are not known to produce (1,3) – Beta-D-glucan. Studies indicate Blastomyces dermatitidis is usually not detected due to little (1,3) – Beta-D-glucan produced in the yeast phase.

Reference Values

A reference range for specimens other than serum has not been established.

Interpretation

The performance characteristics of the Fungitell assay in bronchial wash have been determined by Viracor-IBT Laboratories; there are no established criteria for the interpretation of Fungitell results from bronchial wash fluid. Research studies have evaluated the use of the Fungitell assay in BAL in both immunocompromised patients (Mycopathologia (2013) 175:33-41) and acute eosinophilic pneumonia (Chest (2013) 123:1302-1307).

Day(s) Performed

Monday through Saturday

Report Available

1 to 6 days

Performing Laboratory

Eurofins Viracor

CPT Code Information

87449

LOINC Code Information

Test ID Test Order Name Order LOINC Value
FUNBW Fungitell, bronch wash Not Provided

 

Result ID Test Result Name Result LOINC Value
FUNBW Fungitell, bronch wash Not Provided