Effective December 4th 2024, the Corewell Health Microbiology Laboratory will discontinue the following viral culture orders. Viral culture is relatively slow and insensitive as compared to molecular options that are now available as the recommended standard of care.
Obsolete order | Specimen | Recommended alternative |
Herpes Simplex Viral Culture (LAB9460)
|
-Swabs (genital, nasal, ocular, oral, rectal, skin, etc.)
-Cerebrospinal fluid -Blood |
Herpes Simplex PCR (LAB9170) |
Aqueous fluid | HSV PCR, aqueous fluid (LAB1230247) | |
Bronchoalveolar lavage | HSV PCR, BAL (LAB1230248) | |
Bronchial washing | HSV PCR, bronch wash (LAB1230246) | |
Tissue | HSV PCR, tissue (LAB1230413) | |
Tracheal aspirate | HSV PCR, trach aspirate (LAB1230251) | |
Tracheal washing | HSV PCR, trach wash (LAB1230252) | |
Vitreous fluid | HSV PCR, vitreous fluid (LAB1230253) | |
Cytomegalovirus (CMV) Culture (LAB255)
|
Amniotic fluid | CMV PCR, amniotic fluid (LAB1230177) |
Aqueous fluid | CMV PCR, aqueous fluid (LAB1230187) | |
Bone marrow | CMV PCR, bone marrow (LAB1230176) | |
Bronchoalveolar lavage | CMV PCR, BAL (LAB1230179) | |
Bronchial washing | CMV PCR, bronchial washing (LAB1230185) | |
Cerebrospinal fluid | CMV PCR, spinal fluid (LAB1230175) | |
Eye swab | CMV PCR, eye swab (LAB1230186) | |
Pericardial fluid | CMV PCR, pericardial fluid (LAB1230182) | |
Pleural fluid | CMV PCR, pleural fluid (LAB1230181) | |
Stool | CMV PCR, stool (LAB1230178) | |
Tissue | CMV PCR, tissue (LAB1230420) | |
Tracheal aspirate | CMV PCR, trach aspirate (LAB1230184) | |
Tracheal washing | CMV PCR, trach wash (LAB1230188) | |
Urine | CMV PCR, urine (LAB1230174) | |
Vitreous fluid | CMV PCR, vitreous fluid (LAB1230183) | |
Viral Culture (LAB254)
|
Bronchoalveolar lavage | Respiratory pathogen PCR panel (LAB3359) |
Swabs (genital, nasal, ocular, oral, rectal, skin, etc.) | Herpes Simplex PCR (LAB9170)
Varicella Zoster Virus (VZV) PCR (LAB1230844) |
|
Adenovirus Antigen (LAB2111005) | Stool | Adenovirus qualitative PCR, stool (LAB1230211) |