DNase-B Antibody
Ordering Recommendation
Confirm current or recent infection with group A Streptococcus in patients suspected of having a nonsuppurative complication such as acute glomerulonephritis (AGN) or acute rheumatic fever (ARF). DNase-B Antibody (0050220) and Streptolysin O Antibody (ASO) (0050095) are generally ordered concurrently. Preferred test for rheumatic chorea since it remains elevated longer.
New York DOH Approval Status
Specimen Required
Serum separator tube.
Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP standard transport tube. (Min: 0.4 mL)
Refrigerated.
Plasma or severely hemolyzed specimens.
After separation from cells: Ambient: 2 hours; Refrigerated: 8 days; Frozen: 3 months
Methodology
Quantitative Nephelometry
Performed
Sun-Sat
Reported
1-4 days
Reference Interval
0-6 years: Less than 250 U/mL
7-17 years: Less than 310 U/mL
18 years and older: Less than 260 U/mL
Interpretive Data
Elevated titers of antideoxyribonuclease B antibody (anti-DNase B) or antistreptolysin O antibody (ASO) indicate a recent group A Streptococcus infection. Anti-DNase B antibodies typically remain elevated longer than ASO and may remain elevated for several months after infection. Patients suspected of having complications related to a recent Streptococcus infection such as acute glomerulonephritis or acute rheumatic fever may have elevated anti-DNase B but normal ASO antibody titers. A negative or very low anti-DNase B and ASO antibody titers, especially from a specimen tested 2 weeks after a suspected infection, indicates unlikely incidence of a recent Streptococcus infection.
FDA
Note
Hotline History
Hotline History
CPT Codes
86215
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0050220 | DNAse B Antibody | 5133-4 |
Aliases
- DNase-B, Anti
- ADB (Antideoxyribonuclease B)
- Anti-Dnase B
- Anti-DNase-B Antibody
- Anti-Hyaluronidase
- Antideoxyribonuclease B (ADB)
- Antideoxyribonulease
- DNA Streptococcal Antibody
- Hyaluronidase
- Serum Dnase-B Antibody
- Streptococcal Antibodies, Serum