Humoral Immune Eval 14

Overview

  • EPIC Code:
  • MISC
  • Soft Test Code:
  • MSOT
  • Send Out Test Code:
  • 13967 & 34042
Alternate Names
  • Diphtheria and Tetanus Antitoxoids & Pneumococcal Antibody Panel (14 Serotype)
  • HISS Panel
  • Humoral Immune Eval 14
  • Humoral Immune Evaluation
  • Humoral Immune Evaluation (Pneumo 14)
  • Humoral Immune Status
Included Tests

Diphtheria Antitoxoid; Pneumococcal Antibody Panel (14 Serotype) [Pneumo Ab Type 1; Pneumo Ab Type 3; Pneumo Ab Type 4 ; Pneumo Ab Type 5 ; Pneumo Ab Type 8; Pneumo Ab Type 9 (9N); Pneumo Ab Type 12 (12F); Pneumo Ab Type 14; Pneumo Ab Type 19 (19F); Pneumo Ab Type 23 (23F); Pneumo Ab Type 26 (6B); Pneumo Ab Type 51 (7F); Pneumo Ab Type 56 (18C)*; Pneumo Ab Type 68 (9V)*]; Tetanus Antitoxoid; Streptococcus pneumoniae IgG Antibody Panel (14 Serotypes), MAID was replaced with Pneumococcal Antibody Panel (14 Serotype)


Clinical Significance

This panel measures IgG antibodies recognizing 14 type-specific pneumococcal polysaccharide antigens included in the polyvalent vaccine, 1, 3, 4, 5, 8, 9 (9N), 12 (12F), 14, 19 (19F), 23 (23F), 26 (6B), 51 (7F), 56 (18C) and 68 (9V).


Specimen Collection & Preparation

Specimen Overview

The Pneumococcal Antibody Panel (14 Serotype) & the Diphtheria Antitoxoid drawn on one tube and split

The Tetanus Antitoxoid is being drawn on the second tube. 

 

Specimen Requirements:

-OR-

3.0 mL Serum from a Red Top Tube in a two Plastic Vials
Minimum Volume:
0.3 mL Serum / 0.1mL Serum*

* This volume does not allow for repeat testing

Processing Instructions:

Centrifuge and separate and pipette 2.0 serum in one plastic vial and 1.0 mL serum in a second plastic vial


Rejection Criteria:

Gross hemolysis

Grossly icteric

Grossly lipemic 


Transport and Storage:
  • Ambient: 7 Days

    Transport 

    For Diphtheria Antitoxoid

  • Refrigerated: 14 Days

    For Diphtheria Antitoxoid

  • Frozen (-20 C or colder): 30 Days

    For Diphtheria Antitoxoid

  • Ambient: 6 Weeks

    Transport

    For the Pneumococcal Antibody Panel (14 Serotype)

  • Refrigerated: 6 Weeks

    For the Pneumococcal Antibody Panel (14 Serotype)

  • Frozen (-20 C or colder): 2 Years

    For the Pneumococcal Antibody Panel (14 Serotype)

-OR-

2.0 mL Serum from a Red Top Tube in a Plastic Vial
Minimum Volume:
0.3 mL Serum*

* This volume does not allow for repeat testing

Processing Instructions:

Centrifuge and separate and pipette 2.0 serum in one plastic vial


Rejection Criteria:

Gross hemolysis

Grossly icteric

Grossly lipemic 


Transport and Storage:
  • Ambient: 7 Days

    Tetanus Antitoxoid

    Transport 

  • Refrigerated: 14 Days

    Tetanus Antitoxoid 

  • Frozen (-20 C or colder): 30 Days

    Tetanus Antitoxoid 

Clinical Interpretation

Reference Range:

Diphtheria Antitoxoid   ≥ 0.10 IU/mL

Tetanus Antitoxoid   ≥ 0.10 IU/mL

Pneumo Ab Type 1* >1.3 ug/mL

Pneumo Ab Type 3* >1.3 ug/mL

Pneumo Ab Type 4* >1.3 ug/mL

Pneumo Ab Type 5* >1.3 ug/mL

Pneumo Ab Type 8* >1.3 ug/mL

Pneumo Ab Type 9 (9N)* >1.3 ug/mL

Pneumo Ab Type 12 (12F)* >1.3 ug/mL

Pneumo Ab Type 14* >1.3 ug/mL

Pneumo Ab Type 19 (19F)* >1.3 ug/mL

Pneumo Ab Type 23 (23F)* >1.3 ug/mL

Pneumo Ab Type 26 (6B)* >1.3 ug/mL

Pneumo Ab Type 51 (7F)* >1.3 ug/mL

Pneumo Ab Type 56 (18C)* >1.3 ug/mL

Pneumo Ab Type 68 (9V)* >1.3 ug/mL


Methodology:
  • Luminex Multiplex Fluoroimmunoassay
  • Multi-Analyte Immunodetection (MAID)
Clinical Significance

This panel measures IgG antibodies recognizing 14 type-specific pneumococcal polysaccharide antigens included in the polyvalent vaccine, 1, 3, 4, 5, 8, 9 (9N), 12 (12F), 14, 19 (19F), 23 (23F), 26 (6B), 51 (7F), 56 (18C) and 68 (9V).


Production Schedule

Sites Performed
  • Quest - Chantilly to San Juan Capistrano
Days Performed
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Sendouts - Clinical
Turn Around Time

Diphtheria and Tetanus Antitoxoids 1 to 4 days | Pneumococcal Antibody Panel (14 Serotype) 7 Days


Coding & Compliance

CDM

00910637, 00916648, 00916774


CPT Coding

x 14, 86648, 86774