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Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; single-step method, not otherwise specified, eac

CPT4 code

Name of the Procedure:

Infectious Agent Antigen Detection by Immunoassay Techniques

  • Common Names: EIA, ELISA, IMCA
  • Technical Term: Immunoassay for Antigen Detection, Single-Step Method

Summary

This procedure involves detecting specific antigens from infectious agents in a patient's sample using immunoassay techniques such as EIA (Enzyme Immunoassay), ELISA (Enzyme-Linked Immunosorbent Assay), or IMCA (Immunochemiluminometric Assay). It's designed to identify the presence of an infectious agent qualitatively or semi-quantitatively.

Purpose

Primary Goal: To diagnose infections by identifying antigens from infectious agents in the patient's sample. Expected Outcomes: Accurate determination of the presence of antigens, aiding in diagnosis and treatment planning.

Indications

  • Unexplained fever or signs of infection
  • Symptoms suggestive of infectious diseases (e.g., respiratory infections, gastroenteritis)
  • Monitoring the presence of specific pathogens in at-risk populations

Preparation

  • No special preparation is generally required.
  • Patients may need to provide a blood, urine, or other types of samples.
  • Inform your healthcare provider about any medications currently being taken as some may affect results.

Procedure Description

  1. Sample Collection:
    • Blood, urine, or other relevant samples are collected from the patient.
  2. Sample Processing:
    • Samples are prepared and processed for the immunoassay.
  3. Immunoassay Technique:
    • Reagents are added to the sample, allowing antibodies to bind to the target antigens.
    • Enzyme or chemiluminescent markers produce signals indicating the presence of antigens.
  4. Detection:
    • Results are read by interpreting the intensity of the signal, indicative of antigen presence.

Duration

The procedure typically takes 1–2 hours, including sample preparation and processing time.

Setting

Performed in a laboratory setting or clinic specializing in diagnostic testing.

Personnel

  • Medical Laboratory Technologists
  • Pathologists or Lab Supervisors overseeing the process

Risks and Complications

  • Minimal risk related to sample collection (e.g., slight pain or bruising from blood draw)
  • Very low risk of false positives/negatives due to procedural errors

Benefits

  • Rapid and accurate diagnosis of infectious diseases
  • Helps in timely and appropriate treatment interventions

Recovery

  • No recovery time needed as it's a non-invasive procedure.
  • Follow any specific instructions given by the healthcare provider based on the results.

Alternatives

  • Culture Tests: Longer processing time but highly specific.
  • PCR (Polymerase Chain Reaction): More sensitive and specific but usually more expensive.

Patient Experience

  • Generally painless except for slight discomfort during sample collection.
  • No significant pain or discomfort during the assay itself.
  • Results and interpretation are typically provided within a few days, enabling prompt medical decisions.

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