Ordering Recommendation

May assist in confirming a current or past Bartonella quintana infection and/or monitoring treatment.

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation
Collect

Serum separator tube.

Specimen Preparation

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) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as acute or convalescent.

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Contaminated, hemolyzed, or severely lipemic specimens.

Remarks
Stability

After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)

Methodology

  Semi-Quantitative Indirect Fluorescent Antibody (IFA)

Performed

    Mon-Sat

Reported

    1-5 days

Reference Interval

Test Number
Components
Reference Interval
  B. quintana IgG Screen Negative

Interpretive Data

  A low positive result suggests past exposure or infection, while a high positive result may indicate recent or current infection, but is inconclusive for diagnosis. Seroconversion between acute and convalescent sera is considered strong evidence of recent infection. The best evidence for infection is a significant change on two appropriately timed specimens where both tests are done in the same laboratory at the same time.


Component Interpretation
Bartonella quintana Antibody, IgG with Reflex to Endpoint Titer Negative - No significant level of B. quintana IgG
Equivocal - Questionable presence of B. quintana IgG antibody detected.  Repeat testing in 10-14 days may be helpful.
Positive - Presence of IgG antobody to B. quintana detected.

Compliance Category

Analyte Specific Reagent (ASR)

Note

If testing for Bartonella quintana Antibody, IgG With Reflex to Endpoint Titer is positive, then Bartonella quintana, Antibody, IgG Endpoint Titer will be added. Additional charges apply.

Hotline History

N/A

CPT Codes

  86611; if reflexed add 86611

Components

Component Test Code* Component Chart Name LOINC
3020066 B. quintana IgG Screen
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

  • Trench Fever
    Bartonellosis
    Bacillary Angiomatosis
Bartonella quintana Antibody, IgG With Reflex to Endpoint Titer