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West Nile Virus (WNV)

Clinical Specimen Submission Guidance

Submit all specimens to 50 Orms St, Providence RI 02904. Open Monday to Friday 8:30 AM to 4:30 PM

Lab

STI & Arbovirus Laboratory 401-222-5591

Analyte Name

Arborvirus

Disease

Arborviral Encephalitis

Test Description

An enzyme-linked immunosorbent capture assay to detect IgM antibodies to West Nile Virus.

All other requests for arbovirus testing are sent to CDC.

Special Instructions

Consult with the RIDOH Center for Acute Infectious Disease Epidemiology (401) 222-2577 for approval prior to transporting specimens.

Specimen

Serum: minimum 5 mL collected in red top tube

Cerebrospinal fluid (CSF): minimum 2 mL collected aseptically.

Acute serum and CSF should be collected within the first 14 days following onset of symptoms.

Refrigerate at 2° - 8° C

Virus isolation and/or nucleic amplification testing, acceptable specimens are fresh frozen tissue, serum, or cerebrospinal fluid. Tissue specimens should be approximately 1 x 3 cm, frozen as soon as possible at -70° C

CLIA regulations require two patient identifiers on the specimen container and the test requisition.

Form Required

Rhode Island State Health Laboratories (RISHL) test requisition form

https://health.ri.gov/forms/LabRequisitionForm.pdf

Test Request

Write in "WNV" under Comments/Other test requests

Transport

Transport specimens within 48 hours of collection.

Specimens must be transported on wet ice or equivalent cooling material and packaged in accordance with current federal shipping regulations.

Containers specifically labeled for transport of specimens to the RISHL STI & Arbovirus Laboratory are available in all Serology Laboratories and Laboratory Sendout Departments.

Integrity

Non-hemolyzed

Normal Value

Negative

Reporting Requirement

Providers must report patient information on Arborviral Encephalitis immediately using the RIDOH reportable disease form.

Turnaround Time

WNV: 5 business days

Confirmation testing performed at CDC