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Virology Testing Available

Test Specimen Required Test Method
Mumps Blood, Serum, Swab in Viral Transport Medium. See Instructions: http://www.dhss.mo.gov/Lab/mumps.pdf DFA, PCR, Virus Culture
Viral Rash Investigation
(Vaccinia, Varicella zoster, Adenovirus, Enterovirus, Herpes Simplex virus) 		Click here for the
SPHL Rash Investigation page 		Viral Isolation, PCR
Adenovirus Throat washing or swab, nasopharyngeal washing or swab. Urine, feces or CSF
Collection and transport kits available 		Viral Isolation, EIA
Arbovirus
Includes: EEE, WEE, SLE, Calif. and West Nile Virus		 Serum and/or CSF
Instructions for Sending Diagnostic Specimens
 FA and EIA
Cytomegalovirus (CMV) Urine, throat swab, lung aspirate
Collection and transport kits available		 Viral Isolation
Enterovirus:
Coxsackievirus,   Poliovirus, Echovirus 		 Throat swab, feces, CSF, pericardial fluid
Collection and transport kits available 		Viral Isolation
Hepatitis A Whole Blood or Serum
(Single specimen, IgM test only)		 EIA
Hepatitis B Whole Blood or Serum
(limited to Department of Health & Senior Services program - Contact Us)		 EIA
Influenza A, Influenza B Throat washing or swab in viral transport medium (Prior authorization must be obtained when submitting specimens, with the exception of physician sentinel sites)
Collection and transport kits available 		Viral Isolation
Measles Whole Blood or Serum (single specimen, IgM test only) EIA
Norwalk Virus (Norovirus)

Feces or vomitus (outbreak situations only)

 PCR
Parainfluenza 1, 2, 3 Throat washing or swab, nasopharyngeal washing or swab, nasopharyngeal wash or swab in viral transport medium
Collection and transport kits available		 Viral Isolation
Rabies Animal head (see instructions) DFA
Respiratory syncytial virus (RSV) Nasopharyngeal swab or wash in transport medium
Collection and transport kits available		 EIA
Rotavirus and Adenovirus Feces (must NOT be in transport medium) EIA
Rubella (Diagnostic) Whole Blood or Serum (single specimen, IgM test only) EIA
Varicella zoster Vesicle scraping
Collection and transport kits available		 PCR, Viral Isolation

Test abbreviation key:

  • EIA = Enzyme Immunoassay (ELISA)
  • DFA = Direct Fluorescent Antibody
  • CSF = Cerebrospinal fluid
  • HBsAg = Hepatitis B Surface Antigen
  • FA= Fluorescent Antibody
  • PCR=Polymerase Chain Reaction

Additional Tests Available
Many additional services are available at the Centers for Disease Control and Prevention. Authorization must be made through the State Health Laboratory prior to submission of specimens. These additional tests include, but are not limited to: