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Test Code MUMPR Mumps Virus, Molecular Detection, PCR, Buccal


Ordering Guidance


Polymerase chain reaction testing (this test) is recommended as the first-line test if a patient has symptoms of mumps (ie, fever, swollen salivary/parotid glands).

 

If serology has been performed and IgM-class antibodies against mumps are detected (MMPGM / Mumps Virus Antibody, IgM and IgG, Serum), this test should be ordered to confirm mumps infection.



Shipping Instructions


Specimens should be transported as soon as possible.



Specimen Required


Specimen Type: Buccal Swab

Supplies: Culturette (BBL Culture Swab) (T092)

Container/Tube: Sterile container with transport media

Specimen Volume: Entire collection

Collection Instructions:

1. Collect specimen by swabbing back and forth over mucosal surface around buccal cavity (the space near the upper rear molars between the cheek and the teeth) to maximize recovery of cells.

2. Swab must be placed into viral transport media (eg, M4-RT, M4, M5, Barthels FlexTrans Media or Jiangsu Transport Media)


Useful For

Rapid qualitative detection of mumps virus using buccal swab specimens

Method Name

Real-Time Polymerase Chain Reaction (PCR)

Reporting Name

Mumps Virus PCR, Buccal

Specimen Type

Swab

Specimen Minimum Volume

0.3 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Swab Refrigerated (preferred) 7 days
  Frozen  7 days

Reject Due To

E-swab, calcium alginate-tipped swab, wood swab, dry swab, or transport swab containing gel or charcoal additive  Reject
Throat swab Reject

Clinical Information

The mumps virus is a single-stranded, negative-sense RNA paramyxovirus belonging to the Rubulavirus family. Symptoms of infection include painful swollen salivary glands (parotitis), fever, headache, muscle aches, weakness, and fatigue. Complications may include pancreatitis, orchitis, encephalitis, meningitis, or hearing loss. Oftentimes, mumps is diagnosed based on the characteristic swollen salivary glands. The mumps virus is spread person-to-person through contact with infected respiratory droplets or saliva. It can also be transmitted by direct contact with contaminated fomites. Laboratory diagnosis of mumps cases can be through serologic detection of mumps-specific IgM antibodies, molecular detection of mumps virus RNA, or viral culture. The use of real-time polymerase chain reaction assays can provide more rapid laboratory confirmation of mumps shortly after symptom onset compared to serologic testing and provides a shorter turnaround time than viral culture. Buccal swabs are the preferred specimen type for the detection of mumps virus, but urine may also be collected for viral detection.

Reference Values

Negative

Day(s) Performed

Monday through Friday

Report Available

1 to 3 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

87798