Lab Tests

Umbrella Health Care System - Labtests

Umbrella Health Care Systems medical labs are state of the art lab services , we use several reference labs to bring you best price and precise lab work, you can feel free to order any La...

All lab tests include $6 Physician's fee.
$6 fee is collected on behalf of affiliated physicians oversight for lab testing, lab results may require physicians follow-up services, UmbrellaMD will collect this fee for each order and it‚s non-refundable.

CASHEW NUT (F202) IGE

$ 21.00

Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature

CASHEW NUT (F202) IGE W/REFL COMPONENT

$ 21.00

"Preferred Specimen(s) 0.5 mL serum Minimum Volume 0.3 mL Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days Includes If Cashew Nut (f202) IgE is ≥0.10 kU/L, Cashew Nut Component Ana o3 (f443) will be performed at an additional charge (CPT code(s): 86008). Methodology Immunoassay (IA) Assay Category Reference Range(s) See Laboratory Report Alternative Name(s) ImmunoCAP®

CAT DANDER (E1) IGE

$ 21.00

Clinical Significance Cat Dander (e1) IgE - This allergen-specific IgE antibody test quantifies an individual’s IgE response to cat dander. It is an in vitro quantitative assay that is intended to be used in conjunction with other clinical information to aid in the diagnosis of allergic diseases [1]. While allergen-specific serum IgE testing is considered comparable to skin testing in many instances, both the American Academy of Allergy, Asthma, and Immunology and the American College of Allergy, Asthma, and Immunology recognize that allergen-specific serum IgE testing may be preferred in some clinical situations. These include 1) the presence of widespread skin disease, 2) the recent use of antihistamines or other medications that can affect the results of allergy skin tests, 3) uncooperative patients, and 4) medical history suggesting that allergen skin testing would pose a significant risk for a serious allergic reaction [1]. A definitive clinical diagnosis of allergy should not be based on the results of any single diagnostic method, but should be made by a trained healthcare provider after all clinical and laboratory findings have been evaluated. Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

CAULIFLOWER (F291) IGE **

$ 21.00

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days cMethodology Immunoassay - Analyte Specific Reagents Assay Category This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes. Alternative Name(s) ImmunoCAP®

CBC - Complete Blood Count (H/H, RBC, INDICES, WBC, PLT)

$ 19.00

CBC - Complete Blood Count (H/H, RBC, INDICES, WBC, PLT)   Does this test has other names?   CBC, Blood cell count, Full Blood Count   What is a CBC test?   A complete blood count (CBC) is a blood test used to analyze the health of a body. Your blood consists of cells and plasma. Plasma is the liquid part of the blood, which helps to flow the blood throughout the veins. CBC test diagnoses and shows the number of cells, such as red, white, and platelets. Each cell has a unique function. If you experience an infection, bleeding, weakness, fatigue, or fever, your healthcare provider recommends a CBC test to you by asking about these symptoms.    When to conduct this test?    A CBC test allows you to see the overall health conditions of your body. This test allows your provider to check for several disorders like anemia and leukemia. This test uses to diagnose a medical condition you have. It helps to monitor your health if you are using medications that can affect blood cell counts.    If you are experiencing these symptoms in your body, you may need to conduct this test.   Heart problem Blood pressure issue Irritation, swelling, inflammation Weakness Pale skin Frequent bleeding Severe infection Joint pain The CBC test shows the level of cell counts in your body if they are increasing or decreasing. Your provider judges your medical condition by this test for your treatment.     How do you prepare for the CBC test?   If your provider recommends a complete blood count test, you can eat or drink before the test. You may need to keep fast for a specific time if your provider asks for additional blood tests. You may need to follow the instructions provided to you.    What happens during this test?   You need to provide a blood sample. Your provider will inject a needle into your vein and collect it into the test tube. This test usually takes at least 5 minutes.    Is there any risk for the test?   A CBC test is a blood test that does not have a high risk. You may experience a little pain at the point in your vein from where the blood collects. A chance of bleeding or bruising may also occur, but generally, these signs do not last long.   How to understand the CBC test results?   It is necessary to understand the report of the complete blood count (CBC), so you can judge which disease you have or may occur.   White blood cells (WBCs):    WBC's purpose is to fight against bacteria, viruses, and infections. If the quantity of WBCs is low in your body, it leads to a risk of infection and inflammation. The range of WBCs lies between 3400 to 9600 cells/mcL (microliter). A low quantity of white blood cells is also known as leukopenia. Some causes are as under:   Immune system disorder AIDS/HIV Antibiotics Liver damage Bone marrow disorders Viral infections The high value of WBCs, also known as leukocytosis, shows that you have an infection. Some causes of high RBCs like:   Leukemia Different forms of cancer Certain medication Death of tissues Allergies Red blood cells (RBCs):   It eliminates carbon dioxide from your body. RBCs carry oxygen to the tissues of the body. The recommended RBC range for males is 4.35 to 5.65 million cells/mcL. The recommended value of RBCs in females is 3.92-5.13 million cells/mcL.    Symptoms of the low value of RBCs are:   Deficiency of vitamin B6 and B12 Internal bleeding Fatigue Malnutrition. Anemia is the most frequent disease, which shows a harmful impact on the body. Some of the causes of the low value of RBCs include:   Low levels of iron in the body, Chronic kidney disease Blood loss Cancer Chronic bleeding Organ failure Symptoms of the high value of RBCs are:   Shortness of breath Frequent headaches Sleep disorders Itchy skin Numbness Blurry vision Joint pain Some of the causes of the high value of RBCs lead to:   Smoking cigarette Kidney disease Lung or heart disease Low levels of oxygen in the blood Certain drugs and medications Platelets:    Platelets are colorless blood cell that helps in blood clotting. The value of platelets should not be under 50000 per cubic millimeter. The recommended range of platelets for males is 135,000 to 317,000/mcL. For females, the recommended value for platelet count is 157,000 to 371,000/mcL.    A low platelet count leads to a low value of platelets, such as   Nose bleeding Blood in your mucus Abdominal pain Blurred vision Headache Brown or red urine A high number of platelets can lead to:  Blockage of blood flow off your body Blood clotting occurs in less time Bone marrow disease Viral infection HEMATOCRIT:    It shows the number of red blood cells in your blood or plasma. The normal range for males is from 38.3 to 48.6 %. For females, the recommended percentage is 35.5 to 44.9.    RBC INDICES:   It tells the size, quality, and shape of red blood cells. There are four types of red blood cell indices: Mean corpuscular volume (MCV):   It helps in determining the average size of red blood cells.   Mean corpuscular hemoglobin (MCH):   In red blood cells, hemoglobin is a protein that contains oxygen. MCH measures the average quantity of hemoglobin in a single red blood cell.   Mean corpuscular hemoglobin concentration (MCHC):   It helps to detect the size and volume of the red blood cells besides hemoglobin.   Red cell distribution (RDW):    It shows the difference in size and volume of the red blood cells.   If you have abnormal levels for the test, you don't always have a medical disease that requires treatment. Some factors that affect the CBC test results are physical activity, certain medicines, dehydration in the body, a menstrual period, etc. You need to talk with your doctor about the results of your test.   If you experience any of the above symptoms of RBCs, WBCs, Platelets, and RBC indices, you need to take a CBC test. Visit Umbrella Health Care Systems to place an online order for this test, which is reliable healthcare system. It brings an easy way to sort out all your problems. You can register here to avail the online benefits and save precious time.  

CBC (H/H, RBC, INDICES, WBC, PLT) (REFL)

$ 19.00

"Clinical Significance CBC (H/H, RBC, Indices, WBC, Plt) (REFL) - A complete blood count is used as a screening test Preferred Specimen(s) Whole blood from a full EDTA (lavender-top) tube Minimum Volume Microtainer: 0.5 mL 1 mL whole blood EDTA (lavender-top) tube Collection Instructions Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect lavender-top tube last. Traumatic tap can introduce thromboplastin and trap WBC/platelets. Transport Container EDTA (lavender-top) tube Transport Temperature Room temperature Specimen Stability Room temperature: 48 hours Refrigerated: 48 hours (may cause platelet clumping) Frozen: Unacceptable Reject Criteria Hemolysis • Clotted • Received frozen Includes WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count   This is a client specific reflex test. Reflex criteria has been pre-defined by the ordering physician. Additional testing will be performed at an additional charge. Methodology Electronic Cell Sizing/Counting/Cytometry/Microscopy Reference Range(s) See Laboratory Report

CBC (INCLUDES DIFF/PLT)

$ 19.00

"Clinical Significance CBC (includes Differential and Platelets) - A complete blood count is used as a screening test for various disease states to include: anemia, leukemia and inflammatory processes. Preferred Specimen(s) Whole blood from a full EDTA (lavender-top) tube Collection Instructions Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets. Transport Container EDTA (lavender-top) tube Transport Temperature Room temperature Specimen Stability Room temperature: 48 hours Refrigerated: 48 hours (may cause platelet clumping) Frozen: Unacceptable Reject Criteria Hemolysis • Clotted • Received frozen Includes WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) If abnormal cells are noted on a manual review of the peripheral blood smear or if the automated differential information meets specific criteria, a full manual differential will be performed. Methodology Electronic Cell Sizing/Counting/Cytometry/Microscopy Reference Range(s) See Laboratory Report Alternative Name(s) Complete Blood Count

CBC, PLATELET CT, RDW & DIFFERENTIAL (REFL)

$ 19.00

"Clinical Significance CBC, Platelet Count, RDW and Differential (REFL) - A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes. Preferred Specimen(s) Whole blood from a full EDTA (lavender-top) tube Minimum Volume Microtainer 0.5 mL • 1 mL whole blood EDTA (lavender-top) tube Collection Instructions Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets. Transport Container EDTA (lavender-top) tube Transport Temperature Room temperature Specimen Stability Room temperature: 48 hours Reject Criteria Hemolysis • Clotted • QNS • Age of specimen Includes This is a client specific reflex test. Reflex criteria has been pre-defined by the ordering physician. Additional testing will be performed at an additional charge. . WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential. If abnormal cells are noted on a manual review of the peripheral blood smear or if the automated differential information meets specific criteria, a full manual differential will be performed. Methodology Electronic Cell Sizing/Counting/Cytometry/Microscopy Reference Range(s) See Laboratory Report

CELERY (F85) IGE

$ 21.00

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

CHEDDAR CHEESE (F81) IGE

$ 21.00

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

CHEESE MOLD TYPE (F82) IGE

$ 21.00

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

CHERRY (F242) IGE

$ 21.00

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

CHESTNUT (SWEET) (F299) IGE

$ 21.00

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature

CHESTNUT (T206) IGE **

$ 21.00

Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

CHICK PEA (F309) IGE

$ 21.00

"Clinical Significance CBC (H/H, RBC, Indices, WBC, Plt) (REFL) - A complete blood count is used as a screening test Preferred Specimen(s) Whole blood from a full EDTA (lavender-top) tube Minimum Volume Microtainer: 0.5 mL 1 mL whole blood EDTA (lavender-top) tube Collection Instructions Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect lavender-top tube last. Traumatic tap can introduce thromboplastin and trap WBC/platelets. Transport Container EDTA (lavender-top) tube Transport Temperature Room temperature Specimen Stability Room temperature: 48 hours Refrigerated: 48 hours (may cause platelet clumping) Frozen: Unacceptable Reject Criteria Hemolysis • Clotted • Received frozen "Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days Setup Schedule, Minimum Volume"

CHICKEN FEATHERS (E85) IGE

$ 21.00

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

CHICKEN MEAT (F83) IGE

$ 21.00

Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Chickenpox - VARICELLA ZOSTER VIRUS ANTIBODY (IGG)

$ 44.00

Chickenpox - VARICELLA ZOSTER VIRUS ANTIBODY (IgG) Does this test have other names? IgG ELISA, The Chickenpox test, Serum varicella IgG levels, herpes zoster test, varicella-zoster virus antibody, Chickenpox-shingles test What is a varicella-zoster virus IgG antibody test? The test measures the number of IgG antibodies in your blood. These antibodies are proteins produced by the immune system. The function of antibodies is to protect your body against infections and viruses like varicella-zoster. The varicella virus spreads from one person to another and develops chicken pox and shingles (viral infection that leads to a painful rash).  Varicella (Chickenpox) is a small red pimple or sore on your skin. You may also have fatigue and fever. If people get infected first time in their life with the varicella-zoster virus, they experience chickenpox. After chickenpox, many people get immune to the virus, and then it does not appear to them for the rest of their life. The first illness or sign may secret the virus in nerves in your body. The virus may become active in your life in later stages, which leads to a painful rash known as shingles (herpes zoster). What is the purpose of the test? The test indicates the number of IgG antibodies in your blood against the varicella-zoster virus. These antibodies develop by the late response to the virus results. They are present in the blood for long life. IgG antibodies can show any late stages of the infection or if you have developed immunity against the virus.    The varicella-zoster virus IgG test identifies any infection in a person that may develop in the past or in recent times with chickenpox. The antigen-antibody binding helps to differentiate the previously produced immunity and the current infection. People have a high attraction for antigen-antibody binding if they have had already experience infection. A low affinity for antigen-antibody binding show that recently infected people with the virus.   When do you need the test? Your provider may recommend the varicella-zoster IgG antibody test to see if you are likely to experience varicella-zoster virus in your body. It can help your healthcare provider because they may work with those patients who have already experienced the virus.  There are two stages of the varicella virus primary viremia and secondary viremia. The virus infects those immune cells found in the liver and spleen in primary viremia. T-cells are affected in secondary viremia. The signs and symptoms of chickenpox appear when the stage of secondary viremia begins.   The test may also help your provider to determine the presence of chicken pox if the diagnoses are inaccurate. Signs and symptoms of chickenpox include   Headache Sore throat Fever Loss of appetite Weaknesses The appearance of different rashes a day or two before the other symptoms The rash can stay up to two weeks on your skin. Varicella virus spreads by flowing through the skin lesions till all the lesions get crusted over. Different types of bumps appear at different stages on your overall body.  You may also experience these general symptoms, which include Large red and pink flat spots or pimples increase with time. Skin lesions on the face, trunk, and scalp that grow in stages. Vesicles (sacs) filled with fluid. The sores get crusty and scab over in a short time. What happens during the test? Your provider needs a blood sample. A needle injects into a vein in your arm. A small amount of blood collects in the test tube. Your provider applies a bandage to your vein. The blood sample goes to the laboratory to observe IgG antibodies. People can return to their homes for daily activities. The test usually takes at least 5 minutes. You can order the virus test online at UmbrellaMD.  How do I get ready for the test? You may not need to prepare for this test. You can inform your healthcare provider about specific medicines, vitamins, and supplements that you are taking.  What other tests may I need to take along with this test? You do not need any additional tests.  What are the risks involved in the test? A blood test has a small risk. You may experience pain when the needle injects into your vein. Some bleeding may also occur.  You can talk with your doctor if you have experience: Fainting or dizziness Leakage from the needle spot Excessive Bleeding Fever What may affect the test result? People having a history of chickenpox or a vaccine against the disease may alter your test results.  What does the test result mean? The test results depend on the person’s age, gender, medical history, and other factors. The test results may be a little varying on the laboratory you used. It is not a big concern. You can ask your healthcare provider what your test results mean.  Positive test results for varicella-zoster virus IgG antibody may indicate a few possible conditions.   Your provider uses the test results to observe the risk of developing an infection. When your provider identifies the varicella-zoster immunoglobulin G (IgG) antibodies in your blood, it indicates you are immune to the virus. If you already have had a chickenpox infection or immunization occurred successfully in your body.    If your healthcare provider detects that you have experience chickenpox, you may be infected with the varicella-zoster virus due to the increasing IgG levels for several weeks. In this case, your provider only conducts the test to confirm the diagnosis after the complete examination.  Your provider will recommend some antiviral medications after diagnosis. You can prevent complications if you start the treatment on time. The virus often recovers in about two weeks.  Visit Umbrella Health Care Systems to get detailed information about the result of the macroscopic urinalysis test. It is online healthcare that helps you to solve your health problems. You can book the lab test if you do not have a prescription. We aim to provide better services, including e-consultation, medical imaging, pharmacies, and lab tests. You can get treatment by sitting at home. Register here to learn more about us, and if you have any queries, you can write us.  

CHILDHOOD ALLERGY (FOOD AND ENVIRONMENTAL) PROFILE

$ 159.00

"Transport Container Serum Separator Tube (SST®) Includes IgE allergy testing for: Alternaria alternata (m6) Cat Dander (e1) Cladosporium herbarum (m2) Cockroach (i6) Codfish (f3) Cow's Milk (f2) Dermatophagoides farinae (d2) Dermatophagoides pteronyssinus (d1) Dog Dander (e5) Egg White (f1) Mouse Urine Proteins (e72) Peanut (f13) Shrimp (f24) Soybean (f14) Walnut (f256) Wheat (f4)   Immunoglobulin E Methodology Immunoassay (IA) Alternative Name(s) ImmunoCAP®

CHILDHOOD ALLERGY (FOOD AND ENVIRONMENTAL) PROFILE PUERTO RICO

$ 140.00

"Preferred Specimen(s) 2.5 mL serum Minimum Volume 1.5 mL Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Includes IgE allergy testing for: Alternaria alternata (m6) Cat Dander (e1) Cockroach (i6) Corn (f8) Cow's Milk (f2) Dermatophagoides pteronyssinus (d1) Dog Dander (e5) Egg White(f1) Mouse Urine Proteins (e72) Peanut (f13) Soybean (f14) Wheat (f4)   Immunoglobulin E Methodology Immunoassay (IA) Alternative Name(s) ImmunoCAP®

CHILDHOOD ALLERGY PROFILE WITH REFLEXES

$ 159.00

"Preferred Specimen(s) 5 mL serum Minimum Volume 4 mL Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days Includes IgE allergy testing for: Alternaria alternata (m6) Cat Dander (e1) Cladosporium herbarum (m2) Cockroach (i6) Codfish (f3) Cow's Milk (f2) Dermatophagoides farinae (d2) Dermatophagoides pteronyssinus (d1) Dog Dander (e5) Egg White (f1) Mouse Urine Proteins (e72) Peanut (f13) Shrimp (f24) Soybean (f14) Walnut (f256) Wheat (f4) Immunoglobulin E   If Egg White (f1) IgE is ≥0.10 kU/L, Egg Component Panel will be performed at an additional charge (CPT code(s): 86008 x2). If Cow's Milk (f2) IgE is ≥0.10 kU/L, Milk Component Panel will be performed at an additional charge (CPT code(s): 86008 x3). If Peanut (f13) IgE is ≥0.10 kU/L, Peanut Component Panel will be performed at an additional charge (CPT code(s): 86008 x5). Methodology Immunoassay (IA) Reference Range(s) See Laboratory Report Alternative Name(s) ImmunoCAP®

CHILDHOOD AND TREE NUT ALLERGY PANEL

$ 199.00

"Preferred Specimen(s) 3.5 mL serum Minimum Volume 2.5 mL Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days Includes IgE allergy testing for: Almond (f20) Alternaria alternata (m6) Brazil Nut (f18) Cashew Nut (f202) Cat Dander (e1) Cladosporium herbarum (m2) Cockroach (i6) Codfish (f3) Cow's Milk (f2) Dermatophagoides farinae (d2) Dermatophagoides pteronyssinus (d1) Dog Dander (e5) Egg White (f1) Hazelnut (f17) Macadamia Nut (rf345) Mouse Urine Proteins (e72) Peanut (f13) Shrimp (f24) Soybean (f14) Walnut (f256) Wheat (f4)   Immunoglobulin E Methodology Immunoassay (IA) Reference Range(s) See Laboratory Report Alternative Name(s) Tree Nut Childhood Allergy,ImmunoCAP®

CHILI PEPPER (F279) IGE**

$ 21.00

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days Methodology Immunoassay - Analyte Specific Reagents Assay Category This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes. Alternative Name(s) ImmunoCAP®

Chlamydia and Gonorrhoea CHLAMYDIA/N. GONORRHOEAE RNA, TMA, UROGENITAL

$ 110.00

"Clinical Significance Chlamydia/Neisseria gonorrhoeae RNA, TMA, Urogenital - C. trachomatis infections are the leading cause of sexually transmitted diseases in the United States. C. trachomatis is known to cause cervicitis, pelvic inflammatory disease (PID), epididymitis and proctitis. It is also the most frequent cause of non-gonococcal urethritis in men. Among women, the consequences of Chlamydial infections are severe if left untreated. Approximately half of Chlamydial infections are asymptomatic. Neisseria gonorrhoeae (gonococci) is the causative agent of gonorrhea. In men, this disease generally results in anterior urethritis accompanied by purulent exudate. In women, the disease is most often found in the cervix, but the vagina and uterus may also be infected. Preferred Specimen(s) 1 vaginal swab in Aptima® Transport Tube or 1 endocervical or urethral swab in Aptima® Transport Tube or 2 mL urine in Aptima® Transport Tube or 1 mL liquid cytology (PreservCyt®) Preservative (ThinPrep®) in Aptima® Transfer Tube or 0.5 mL SurePath™ Preservative Fluid in Aptima® Transfer Tube Minimum Volume 1 vaginal swab in Aptima® Transport • 1 endocervical or urethral swab in Aptima® Transport • 2 mL urine in Aptima® Transport • 1 mL PreservCyt® (ThinPrep®) in Aptima® Transfer Tube • 0.5 mL SurePath™ fluid in Aptima® Transfer Tube Collection Instructions Vaginal Swab: Follow instructions in the Aptima® Vaginal Swab Collection or Multitest Collection Kit (orange label). Endocervical or Urethral Swab: Follow instructions in the Aptima® Unisex Swab Specimen Collection Kit (white label). In females, to ensure collection of cells infected with N. gonorrhoeae/C. trachomatis, columnar epithelial cells lining the endocervix should be obtained. Excess mucus should be removed prior to sampling. Urine: Direct patient to provide a first-catch urine (a maximum of 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. 2 mL of urine specimen must be transferred into the Aptima® Specimen Transport within 24 hours of collection and before being assayed. Use the tube provided in the urine specimen collection kit. The fluid (urine plus transport media) level in the urine transport tube must fall within the clear pane of the tube label. Labs performing cytology: Aliquot PreservCyt® ThinPrep® solution before performance of liquid based cytology testing. PreservCyt® ThinPrep®: Transfer 1 mL PreservCyt® ThinPrep® solution into Aptima® Specimen Transfer Tube (green label) or Aptima® Vaginal Collection or Multitest Collection Tube (orange label) or Unisex Swab Specimen Collection Kit (white label). SurePath™: SurePath™ fluid must be transferred to Aptima® tube within 4 days of collection. Transfer 0.5 mL SurePath™ solution into Aptima® Specimen Transfer Tube (green label) or Aptima® Vaginal Collection or Multitest Collection Tube (orange label) or Unisex Swab Specimen Collection Kit (white label). Note: Results from the Aptima® Combo 2 Assay should be interpreted in conjunction with other laboratory and clinical data available to the clinician. The Aptima® Combo 2 Assay is not intended for the evaluation of suspected sexual abuse or for other medico-legal indications. For a complete list of assay limitations we recommend that you review the manufacturers package insert, https://www.hologic.com/package-inserts/diagnostic-products/aptima-combo-2-assay-ctng  IMPORTANT: Please review the Specimen Collection instructions SPECIMEN COLLECTION GUIDES FOR APTIMA for this test Transport Container Aptima® Transport Tube Transport Temperature Room temperature Specimen Stability PreservCyt® (ThinPrep®) in Aptima® Transport Tube Room temperature: 14 days Refrigerated: 30 days Frozen: 1 year   Liquid cytology (Preservcyt® Preservative (ThinPrep®) Room temperature: 30 days Refrigerated: 30 days Frozen: 1 year   SurePath™ Preservative Fluid Room temperature: 14 days Refrigerated: 14 days Frozen: Unacceptable   Urine in Aptima® Transport Medium Room temperature: 30 days Refrigerated: 30 days Frozen: 1 year   Swabs in Aptima® Transport Room temperature: 60 days Refrigerated: 60 days Frozen: 1 year Includes Chlamydia trachomatis RNA, TMA, Urogenital Neisseria gonorrhoeae RNA, TMA, Urogenital Patient Preparation Urine: Patient should not have urinated within one hour prior to collection. Female patients should not cleanse the labial area prior to providing the specimen. Methodology Transcription-Mediated Amplification (TMA) Reference Range(s) C. trachomatis RNA, TMA, Urogenital    Not detected N. gonorrhoeae RNA, TMA, Urogenital    Not detected Alternative Name(s) CT/NG Aptima,Hologic,CT/GC Aptima,CT/GC TMA,CT/NG TMA

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