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Test Code GCDP Neisseria gonorrhoeae

EHR Test Codes

  Test Code Test Name
Atlas GCDP GC NAAT
Cerner   Neisseria gonorrhoeae

 

Specimen Requirements

Submit only 1 of the following: Swab, Urine, or Thinprep

 

SWAB

 

Preparation of Patient: 

 Click for Collection Instructions

 

Container Type: 

Cobas PCR Media Dual Swab Kit

 

Specimen Type:  

Cervical/Endocervical (B swab - A swab for cleaning)

Urethral (Males Only) (A swab)

Oropharyngeal (throat) (A swab)

Rectal (A swab)

Vaginal (A swab)

 

Specimen Handling/Transport:

Insert swab into collection tube breaking swab shaft at the dark line.  Discard the top portion of the swab.  Cap tube tightly.

Label collection tube with patient’s legal name (last, first), patient’s date of birth, specimen source, and collection date/time.

Transport specimen ambient room temperature or refrigerated 2 - 30°C

 

Specimen Stability/Storage:

7 days refrigerated 2 - 8°C

 

URINE

 

Preparation of Patient: 

 Patient should not have urinated for at least 1 hour prior to collection.  Collect first 10 – 50 mL (not midstream) of voided urine into a sterile specimen cup. 

 

Container Type:

Sterile Specimen Cup

 

Or

 

Cobas PCR Media Urine Kit

Specimen Type:

Urine (first portion not mid-stream)

 

Specimen Handling/Transport:

Sterile specimen cup transport refrigerated 2 - 8°C within 24 hours.

Using the pipette in the kit, aliquot urine into Cobas PCR Media urine vial between the black lines.  Be careful to not under or over fill tube. Cap tightly.

Label collection tube with patient’s legal name (last, first), patient’s date of birth, specimen source, and collection date/time.

Transport specimen ambient room temperature or refrigerated 2 - 30°C

 

Specimen Stability/Storage:

24 hours refrigerated 2 - 8°C sterile specimen cup

7 days refrigerated 2 - 8°C Cobas PCR urine vial

 

THINPREP

 

Preparation of Patient: 

Click for Collection Instructions

 

Container Type: 

ThinPrep® PreservCyt® Solution

 

Or

 

Aliquot Transfer Tube

 

Specimen Type:

Cervical

Endocervical

Vaginal

 

Specimen Handling/Transport:

Thinprep vial transport ambient room temperature.

Using a sterile pipette, aliquot 2 mL minimum 1 mL into aliquot transfer tube.  Cap tightly.

Label collection tube with patient’s legal name (last, first), patient’s date of birth, specimen source, and collection date/time.

Transport specimen ambient room temperature or refrigerated 2 - 30°C.

 

Specimen Stability/Storage:

2 months ambient room temperature thinprep vial

7 days refrigerated 2 - 8°C aliquot transport vial

Performing Laboratory

Munson Medical Center Laboratories

Microbiology Department

Test Priority, Frequency, & Turnaround Time

Priority:

Non-Emergent

 

Frequency:

Monday through Friday

 

Turnaround Time:

0 - 3 days

Methodology

Nucleic Acid Amplification

Reporting

Reference Range:

Negative for Chlamydia / Neisseria gonorrhoeae

 

Critical Decision:

None

Clinical Significance

Neisseria gonorrhoeae (NG) is the etiologic agent of gonorrhea and are cytochrome oxidase-positive, non motile, non-spore forming gram-negative diplococci. In the United States, an estimated 820,000 new N. gonorrhoeae infections occur each year. Gonorrhea is the second most commonly reported communicable disease. In men, acute urethritis presents itself after a 1-10-day incubation period with urethral discharge and dysuria. Only a small proportion of men remain asymptomatic without signs of urethritis. Acute epididymitis is the most common complication, especially in young men. In women, the primary site of infection is the endocervix. There is a high prevalence of coalescence of symptoms with CT, Trichomonas vaginalis, and vaginosis; many women remain asymptomatic and therefore do not seek medical care. In symptomatic women increased discharge, dysuria, and intermenstrual bleeding may be observed.

CPT Code(s)

87591

 

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