Ordering Recommendations

UCSF Measles Testing Guidance (link)

Approval Required

If you suspect measles, place the patient on Airborne Isolation and call UCSF Infection Control immediately.

 

Patient's physician must discuss the case with UCSF Infection prevention and receive approval for submission of specimens from the SF Department of Public Health Communicable Disease Control Unit  (628) 217-6100

Available Stat

No

Performing Lab

San Francisco Public Health Laboratory

Methodology

PCR, serology, molecular genotyping

Reported

PCR 5 business days

Additional Information

The PCR results should always be interpreted in conjunction with serologic testing for IgM and thorough assessment of the relevant clinical and epidemiological risk factors.

CDPH Testing Guidance Document (link)
SFDPH Lab Manual (link) 

 

Synonyms

  • Rubeola

Sample Type

NP/throat Swab in Universal Transport Medium (throat swab preferred)
Urine

Collect

NP or throat swab in Universal Transport Medium (throat swab preferred)

Urine

 

Nasal swab could also be collected in Universal Transport Medium though is not a preferred collection site.  


 

Amount to Collect

Urine 50 mL
 

Preferred Volume

Urine 50 mL
 

Minimum Volume

Urine 10 mL
 

Remarks

Urine AND either a nasopharyngeal (NP) or throat swab for PCR should be collected. Collect NP or throat swab for PCR within 9 days after rash onset. Collect urine for PCR within 10 days after rash onset. Measles can frequently be detected in the urine later in the infection (up to 10 days - sometimes longer) when it can no longer be detected in respiratory samples.

Nasopharyngeal swab: firmly rub posterior nasopharynx with sterile Dacron swab or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab into Universal Transport Medium. 

 

Throat Swab (preferred respiratory specimen): vigorously swab tonsillar areas with sterile Dacron or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab in Universal Transport Medium.

Urine: Collect 10-50 ml urine in a sterile container. Collect from first part of urine stream; first morning void is ideal.

Stability (from collection to initiation)

Refrigerated 24 hours. Freeze specimen upon receipt in the lab.

Unacceptable Conditions

Swabs not collected using synthetic flocked or Dacron swab with aluminum or plastic shaft 
Swabs not submitted in Universal Transport Medium

Test Code

P319

Test Group

Measles

Sendout

Yes

Performing Lab

San Francisco Public Health Laboratory

Specimen Preparation

Urine AND either a nasopharyngeal (NP) or throat swab for PCR should be collected. Collect NP or throat swab for PCR within 9 days after rash onset. Collect urine for PCR within 10 days after rash onset. Measles can frequently be detected in the urine later in the infection (up to 10 days - sometimes longer) when it can no longer be detected in respiratory samples.

Nasopharyngeal swab: firmly rub posterior nasopharynx with sterile Dacron swab or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab into Universal Transport Medium.

 

Throat Swab (preferred respiratory specimen): vigorously swab tonsillar areas with sterile Dacron or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab in Universal Transport Medium.

Urine: Collect 10-50 ml urine in a sterile container. Collect from first part of urine stream; first morning void is ideal.

Preferred Volume

Urine 50 mL
 

Minimum Volume

Urine 10 mL
 

Unacceptable Conditions

Swabs not collected using synthetic flocked or Dacron swab with aluminum or plastic shaft 
Swabs not submitted in Universal Transport Medium

Stability (from collection to initiation)

Refrigerated 24 hours. Freeze specimen upon receipt in the lab.

Reference Interval

No virus detected

Additional Information

The PCR results should always be interpreted in conjunction with serologic testing for IgM and thorough assessment of the relevant clinical and epidemiological risk factors.

CDPH Testing Guidance Document (link)
SFDPH Lab Manual (link) 

 

Approval Required

If you suspect measles, place the patient on Airborne Isolation and call UCSF Infection Control immediately.

 

Patient's physician must discuss the case with UCSF Infection prevention and receive approval for submission of specimens from the SF Department of Public Health Communicable Disease Control Unit  (628) 217-6100

Available Stat

No

Ordering Recommendations

UCSF Measles Testing Guidance (link)

Test Code

P319

Test Group

Measles

Performing Lab

San Francisco Public Health Laboratory

Sendout

Yes

Methodology

PCR, serology, molecular genotyping

Remarks

Urine AND either a nasopharyngeal (NP) or throat swab for PCR should be collected. Collect NP or throat swab for PCR within 9 days after rash onset. Collect urine for PCR within 10 days after rash onset. Measles can frequently be detected in the urine later in the infection (up to 10 days - sometimes longer) when it can no longer be detected in respiratory samples.

Nasopharyngeal swab: firmly rub posterior nasopharynx with sterile Dacron swab or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab into Universal Transport Medium. 

 

Throat Swab (preferred respiratory specimen): vigorously swab tonsillar areas with sterile Dacron or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab in Universal Transport Medium.

Urine: Collect 10-50 ml urine in a sterile container. Collect from first part of urine stream; first morning void is ideal.

Collect

NP or throat swab in Universal Transport Medium (throat swab preferred)

Urine

 

Nasal swab could also be collected in Universal Transport Medium though is not a preferred collection site.  


 

Amount to Collect

Urine 50 mL
 

Sample Type

NP/throat Swab in Universal Transport Medium (throat swab preferred)
Urine

Preferred Volume

Urine 50 mL
 

Minimum Volume

Urine 10 mL
 

Unacceptable Conditions

Swabs not collected using synthetic flocked or Dacron swab with aluminum or plastic shaft 
Swabs not submitted in Universal Transport Medium

Specimen Preparation

Urine AND either a nasopharyngeal (NP) or throat swab for PCR should be collected. Collect NP or throat swab for PCR within 9 days after rash onset. Collect urine for PCR within 10 days after rash onset. Measles can frequently be detected in the urine later in the infection (up to 10 days - sometimes longer) when it can no longer be detected in respiratory samples.

Nasopharyngeal swab: firmly rub posterior nasopharynx with sterile Dacron swab or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab into Universal Transport Medium.

 

Throat Swab (preferred respiratory specimen): vigorously swab tonsillar areas with sterile Dacron or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab in Universal Transport Medium.

Urine: Collect 10-50 ml urine in a sterile container. Collect from first part of urine stream; first morning void is ideal.

Reference Interval

No virus detected

Synonyms

  • Rubeola

Stability (from collection to initiation)

Refrigerated 24 hours. Freeze specimen upon receipt in the lab.

Reported

PCR 5 business days

Additional Information

The PCR results should always be interpreted in conjunction with serologic testing for IgM and thorough assessment of the relevant clinical and epidemiological risk factors.

CDPH Testing Guidance Document (link)
SFDPH Lab Manual (link) 

 

Ordering

Ordering Recommendations

UCSF Measles Testing Guidance (link)

Approval Required

If you suspect measles, place the patient on Airborne Isolation and call UCSF Infection Control immediately.

 

Patient's physician must discuss the case with UCSF Infection prevention and receive approval for submission of specimens from the SF Department of Public Health Communicable Disease Control Unit  (628) 217-6100

Available Stat

No

Performing Lab

San Francisco Public Health Laboratory

Methodology

PCR, serology, molecular genotyping

Reported

PCR 5 business days

Additional Information

The PCR results should always be interpreted in conjunction with serologic testing for IgM and thorough assessment of the relevant clinical and epidemiological risk factors.

CDPH Testing Guidance Document (link)
SFDPH Lab Manual (link) 

 

Synonyms

  • Rubeola
Collection

Sample Type

NP/throat Swab in Universal Transport Medium (throat swab preferred)
Urine

Collect

NP or throat swab in Universal Transport Medium (throat swab preferred)

Urine

 

Nasal swab could also be collected in Universal Transport Medium though is not a preferred collection site.  


 

Amount to Collect

Urine 50 mL
 

Preferred Volume

Urine 50 mL
 

Minimum Volume

Urine 10 mL
 

Remarks

Urine AND either a nasopharyngeal (NP) or throat swab for PCR should be collected. Collect NP or throat swab for PCR within 9 days after rash onset. Collect urine for PCR within 10 days after rash onset. Measles can frequently be detected in the urine later in the infection (up to 10 days - sometimes longer) when it can no longer be detected in respiratory samples.

Nasopharyngeal swab: firmly rub posterior nasopharynx with sterile Dacron swab or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab into Universal Transport Medium. 

 

Throat Swab (preferred respiratory specimen): vigorously swab tonsillar areas with sterile Dacron or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab in Universal Transport Medium.

Urine: Collect 10-50 ml urine in a sterile container. Collect from first part of urine stream; first morning void is ideal.

Stability (from collection to initiation)

Refrigerated 24 hours. Freeze specimen upon receipt in the lab.

Unacceptable Conditions

Swabs not collected using synthetic flocked or Dacron swab with aluminum or plastic shaft 
Swabs not submitted in Universal Transport Medium
Processing

Test Code

P319

Test Group

Measles

Sendout

Yes

Performing Lab

San Francisco Public Health Laboratory

Specimen Preparation

Urine AND either a nasopharyngeal (NP) or throat swab for PCR should be collected. Collect NP or throat swab for PCR within 9 days after rash onset. Collect urine for PCR within 10 days after rash onset. Measles can frequently be detected in the urine later in the infection (up to 10 days - sometimes longer) when it can no longer be detected in respiratory samples.

Nasopharyngeal swab: firmly rub posterior nasopharynx with sterile Dacron swab or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab into Universal Transport Medium.

 

Throat Swab (preferred respiratory specimen): vigorously swab tonsillar areas with sterile Dacron or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab in Universal Transport Medium.

Urine: Collect 10-50 ml urine in a sterile container. Collect from first part of urine stream; first morning void is ideal.

Preferred Volume

Urine 50 mL
 

Minimum Volume

Urine 10 mL
 

Unacceptable Conditions

Swabs not collected using synthetic flocked or Dacron swab with aluminum or plastic shaft 
Swabs not submitted in Universal Transport Medium

Stability (from collection to initiation)

Refrigerated 24 hours. Freeze specimen upon receipt in the lab.

Result Interpretation

Reference Interval

No virus detected

Additional Information

The PCR results should always be interpreted in conjunction with serologic testing for IgM and thorough assessment of the relevant clinical and epidemiological risk factors.

CDPH Testing Guidance Document (link)
SFDPH Lab Manual (link) 

 

Administrative
Complete View

Approval Required

If you suspect measles, place the patient on Airborne Isolation and call UCSF Infection Control immediately.

 

Patient's physician must discuss the case with UCSF Infection prevention and receive approval for submission of specimens from the SF Department of Public Health Communicable Disease Control Unit  (628) 217-6100

Available Stat

No

Ordering Recommendations

UCSF Measles Testing Guidance (link)

Test Code

P319

Test Group

Measles

Performing Lab

San Francisco Public Health Laboratory

Sendout

Yes

Methodology

PCR, serology, molecular genotyping

Remarks

Urine AND either a nasopharyngeal (NP) or throat swab for PCR should be collected. Collect NP or throat swab for PCR within 9 days after rash onset. Collect urine for PCR within 10 days after rash onset. Measles can frequently be detected in the urine later in the infection (up to 10 days - sometimes longer) when it can no longer be detected in respiratory samples.

Nasopharyngeal swab: firmly rub posterior nasopharynx with sterile Dacron swab or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab into Universal Transport Medium. 

 

Throat Swab (preferred respiratory specimen): vigorously swab tonsillar areas with sterile Dacron or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab in Universal Transport Medium.

Urine: Collect 10-50 ml urine in a sterile container. Collect from first part of urine stream; first morning void is ideal.

Collect

NP or throat swab in Universal Transport Medium (throat swab preferred)

Urine

 

Nasal swab could also be collected in Universal Transport Medium though is not a preferred collection site.  


 

Amount to Collect

Urine 50 mL
 

Sample Type

NP/throat Swab in Universal Transport Medium (throat swab preferred)
Urine

Preferred Volume

Urine 50 mL
 

Minimum Volume

Urine 10 mL
 

Unacceptable Conditions

Swabs not collected using synthetic flocked or Dacron swab with aluminum or plastic shaft 
Swabs not submitted in Universal Transport Medium

Specimen Preparation

Urine AND either a nasopharyngeal (NP) or throat swab for PCR should be collected. Collect NP or throat swab for PCR within 9 days after rash onset. Collect urine for PCR within 10 days after rash onset. Measles can frequently be detected in the urine later in the infection (up to 10 days - sometimes longer) when it can no longer be detected in respiratory samples.

Nasopharyngeal swab: firmly rub posterior nasopharynx with sterile Dacron swab or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab into Universal Transport Medium.

 

Throat Swab (preferred respiratory specimen): vigorously swab tonsillar areas with sterile Dacron or flocked swab. Swabs must be synthetic with aluminum or plastic shaft. Place swab in Universal Transport Medium.

Urine: Collect 10-50 ml urine in a sterile container. Collect from first part of urine stream; first morning void is ideal.

Reference Interval

No virus detected

Synonyms

  • Rubeola

Stability (from collection to initiation)

Refrigerated 24 hours. Freeze specimen upon receipt in the lab.

Reported

PCR 5 business days

Additional Information

The PCR results should always be interpreted in conjunction with serologic testing for IgM and thorough assessment of the relevant clinical and epidemiological risk factors.

CDPH Testing Guidance Document (link)
SFDPH Lab Manual (link)