87254 Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

Name of the Procedure:

Virus Isolation; Centrifuge Enhanced (Shell Vial) Technique, includes Identification with Immunofluorescence Stain, Each Virus

Summary

This procedure involves isolating and identifying viruses from clinical samples using an enhanced centrifuge technique known as the shell vial method. To confirm the presence of specific viruses, the isolated viruses are stained with immunofluorescence stains.

Purpose

This procedure is used to diagnose viral infections by isolating and identifying the specific virus responsible for an illness. The goal is to provide a precise and rapid diagnosis, allowing for appropriate treatment.

Indications

• Unexplained fever
• Suspected viral infections (e.g., respiratory infections, herpes simplex virus, cytomegalovirus)
• Immunocompromised patients with potential viral illnesses
• Monitoring of a known virus to guide treatment

Preparation

• No special preparation, such as fasting, is usually required.
• It is important to follow any specific instructions provided by your healthcare provider.
• Inform your doctor about any medications you are currently taking.

Procedure Description

1. A sample (typically from blood, urine, throat swabs, or other body fluids) is collected from the patient.
2. The sample is centrifuged in a shell vial, which enhances the concentration of viruses.
3. The vial is then incubated to allow any present viruses to infect the cells within the vial.
4. After incubation, the vial is stained with immunofluorescence stains that can attach to specific viruses.
5. The stained cells are examined under a fluorescence microscope to identify the viruses present.

Duration

The procedure to process the sample and identify the virus usually takes 1 to 3 days.

Setting

The procedure is typically conducted in a hospital or a specialized laboratory.

Personnel

• Laboratory technicians
• Virologists or microbiologists
• Pathologists

Risks and Complications

• Minimal risk associated with the sample collection (e.g., slight discomfort or bruising).
• False-negative or false-positive results, though rare.

Benefits

• Rapid and accurate identification of the virus causing illness.
• Guides timely and appropriate treatment.

Recovery

• No recovery time is needed for the patient since it is a laboratory-based procedure.
• Patients can typically resume normal activities immediately after sample collection.
• Follow-up consultations may be required depending on the test results.

Alternatives

• Polymerase Chain Reaction (PCR) tests for specific viral DNA/RNA
• Serological tests to detect antibodies against viruses
• Each alternative has its own advantages and limitations in terms of accuracy, speed, and specificity.

Patient Experience

• Minimal discomfort during sample collection (e.g., throat swab or blood draw).
• No pain during the laboratory procedure itself.
• Anxiety while waiting for results can be managed with clear communication from the healthcare provider.

Pain management and comfort measures: Minor discomfort from sample collection can be managed with standard pain-relief measures if necessary.