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

CPT 87491; 87591
Synonyms
  • Pre-exposure prophylaxis screening for Ct/GC, Pharyngeal Source

Test Details

Methodology

Nucleic acid amplification (NAA)

Result 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

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 prophylaxis for HIV (PrEP).

Special Instructions

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

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

Specimen Requirements

Specimen

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

Volume

1 swab (pharyngeal)

Minimum Volume

1 swab (pharyngeal)

Container

Aptima® swab specimen transport tube

Collection Instructions

Use the blue-shafted swab, labeled "unisex collection swab for endocervical and male urethral specimens," to rub the posterior pharynx and tonsillar areas. 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 pharyngeal; 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

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
188710 PrEP: Ct/GC NAA, Pharyngeal 90357-5 188610 C. trachomatis, NAA, Pharyn 57288-3
188710 PrEP: Ct/GC NAA, Pharyngeal 90357-5 188634 N. gonorrhoeae, NAA, Pharyn 57289-1
188710 PrEP: Ct/GC NAA, Pharyngeal 90357-5 019054 PDF 11502-2
Order Code188710
Order Code NamePrEP: Ct/GC NAA, Pharyngeal
Order Loinc90357-5
Result Code188610
Result Code NameC. trachomatis, NAA, Pharyn
UofM
Result LOINC57288-3
Order Code188710
Order Code NamePrEP: Ct/GC NAA, Pharyngeal
Order Loinc90357-5
Result Code188634
Result Code NameN. gonorrhoeae, NAA, Pharyn
UofM
Result LOINC57289-1
Order Code188710
Order Code NamePrEP: Ct/GC NAA, Pharyngeal
Order Loinc90357-5
Result Code019054
Result Code NamePDF
UofM
Result LOINC11502-2