• Test Code:
    3302
  • Department:
    Infectious Disease
  • Test Synonyms:
    Hepatitis C genotype HCV genotype
  • CPT Code(s):
    87902
Background:

Hepatitis C (HCV) infection is the most common chronic blood-borne infection in the United States with an estimated seroprevalence of 1.6%.  An estimated 3.2 million Americans suffer from chronic HCV infection and an estimated 85% of those with acute hepatitis C progress to chronic infection, of which 20%-25% will develop complications such as cirrhosis within 2 to 3 decades of onset.  In addition to the quantitation of HCV RNA by polymerase chain reaction (PCR) to measure active viremia in antibody-positive chronic HCV infected patients,  genotype identification of Hepatitis C is important for physicians tailor dose and duration of pegylated interferon – α and ribavirin combination therapy.

Methodology:

The Abbott RealTime HCV Genotype II RUO has been validated in our laboratory for clinical use.  This assay detects the major HCV genotypes 1a, 1b, 2, 3, 4, 5, and 6 through the use of genotype-specific fluorescent-labeled oligonucleotide probes.

Specimen Requirements:

  • 5-10 mL of blood in purple (EDTA) tube.  Specimen must be centrifuged and separated within 6 hours. 
  • Freeze plasma for transport to lab. 
  • Alternatively, serum from a red top or SST tube may be separated, frozen, and submitted for the assay.
  • Pediatric Minimum is 200µL of plasma or serum.

A REQUISITION FORM MUST ACCOMPANY ALL SAMPLES.  Please include detailed clinical information.

Test Performed (Days):

Weekly

Turn Around Time:

7-10 days

Shipment Sensitivity Requirements:

Package and ship specimen on dry ice.  Ship via overnight express, using the FedEx priority overnight label provided.  Contact Client Services for shipping kits and instructions at (855) 535-1522.

References:

Abbott RealTime HCV Genotype II RUO © 2010 Abbott Molecular, Inc. Des Plaines, Illinois, USA.

Additional Info:

Clinical Utility:
Guidelines and product information for the current FDA-approved pegylated interferon support the determination of HCV genotypes as an independent predictor of sustained virologic response following pegylated interferon – α and ribavirin combination therapy.  This test is intended to aid physicians in the management of HCV-infected individuals undergoing anti-viral therapy.   

Sensitivity:
The Hepatitis C viral load of the sample being tested must be above 320 IU/mL.