Consider for jaundice, deranged liver enzymes (ALT/AST).
| Samples | Test | Pathogens covered | Comment |
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Smaller tubes are available for paediatric samples. |
1st line testing: HAV IgM |
Hepatitis A virus (HAV) Hepatitis B virus (HBV) Hepatitis C virus (HCV) |
*If acute HCV is suspected, then HCV core antigen or HCV PCR is also needed. |
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If 1st line testing is negative & other symptoms suggest CMV/EBV: CMV IgM |
Cytomegalovirus (CMV) Epstein-Barr virus (EBV) |
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In addition to the 1st line screen above, if there is travel history to HEV endemic countries or ALT >1000 IU/L: HEV (IgM & IgG)** |
Hepatitis E virus (HEV) |
**HEV serology is referred to Colindale.  Virus Reference Department, Microbiology Services Colindale, 61 Colindale Avenue, London NW9 5HT |
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If patient is immunosuppressed: HSV DNA |
Herpes simplex virus (HSV) CMV/EBV/adenovirus
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If patient is neonate: HSV DNA RealTime,
Enterovirus RNA
Parechovirus RNA
CMV DNA
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Herpes simplex virus (HSV) Enterovirus & Parechovirus CMV |
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Turnaround time |
see virology and microbiological serology turnaround times. ** HEV serology: referral lab quotes target turnaround time of 8 days, however additional time must be allowed for packing, dispatch and delivery of sample, and return and processing of results. |
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Enquiries |
Microbiology (Virology and Serology), ext. 64627 |
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5 mL clotted blood.