Oxidative Burst

Overview

  • EPIC Code:
  • LAB2639
  • Soft Test Code:
  • Send Out Test Code:
  • 37523
Alternate Names
  • Chronic Granulation
  • NBT (CGD-IT)
  • Neutrophil Burst
  • Neutrophil Function
  • Neutrophil Function, Oxidative Burst
  • Nitro Blue
  • OXIB
  • Oxidative Burst, Neutro
  • Polymorphonuclear Dihydrorhodamine 123 oxidation
  • Respiratory Burst Assay
Clinical Significance

This assay measures the capability of neutrophils (PMN) to undergo oxidative metabolism to produce superoxide anion and hydrogen peroxide, as detected by oxidation of dihydrorhodamine (DHR). Patients with chronic granulomatous disease (CGD) are unable to oxidize DHR due to defects in oxidative capacity slowly decreases as the specimen age (hours post collection) increases. It is thus important that the reference range value appropriate for the specimen age be utilized when assessing the reported results.


Specimen Collection & Preparation

Specimen Requirements

Two (2) 7.0 mL Whole Blood in a Green Top Tube - Na Heparin


Transport And Storage

72 hours Ambient


Collection Instructions

Collect Monday through Thursday ONLY

1. Obtain peripheral blood in a sodium heparin anticoagulated tube (green-top) and send 7 mL of heparinized whole blood.
2. Obtain peripheral blood from a normal, unrelated person at the same time, in a sodium heparin tube (green-top) and send 7 mL of heparinized whole blood. Label clearly on outermost label Transport Control.
3. Draw date and time must be provided with each whole blood specimen. 4. Forward promptly at room temperature only.


Minimum Volume

Two (2) 4.0 mL Whole Blood


Neonatal Volume

Clinical Interpretation

Reference Range:

%Oxidation Pos Neutrophils
24 Hours ≥93%
48 Hours ≥83%
72 Hours ≥82%


Methodology:
  • Flow Cytometry (FC)
Clinical Significance

This assay measures the capability of neutrophils (PMN) to undergo oxidative metabolism to produce superoxide anion and hydrogen peroxide, as detected by oxidation of dihydrorhodamine (DHR). Patients with chronic granulomatous disease (CGD) are unable to oxidize DHR due to defects in oxidative capacity slowly decreases as the specimen age (hours post collection) increases. It is thus important that the reference range value appropriate for the specimen age be utilized when assessing the reported results.


Production Schedule

Days Performed
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Sendouts - Clinical
Turn Around Time

3 to 7 days


Coding & Compliance

CDM

00910633


CPT Coding

82657 x 2