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Test Code LAB779 Cryptococcal Antigen

Performing Lab

Arnot Ogden Medical Center

Ordering Recommendations

Monitoring Cryptococcus species complex (Cryptococcus neoformans and Cryptococcus gattii) antigen titers in CSF or serum.

Collect

Serum or CSF

Collection Device

Gold Top Tube (Serum)

CSF Collection Device (CSF)

Stability (from collection to initiation)

Specimens are stable under the following conditions:

Room Temperature  up to 24 hours
Refrigerated (2-8C) Up to 72 hours
Frozen (-20C or less) indefinitely but protect from freeze/thaw cycling

Storage/Transport Temperature

Specimens may be held in storage/transit under the following conditions:

Room Temperature  up to 24 hours
Refrigerated (2-8C) Up to 72 hours
Frozen (-20C or less) indefinitely but protect from freeze/thaw cycling

Methodology

Immunochromatographic Lateral Flow Assay

Synonyms

Cryptococcus Antigen

Start Date

9/13/2017

Last Review Date

6/19/2025

Performed

Daily

Reference Interval

Reference Range: Negative

Interpretive Data

  1. Depending on disease and organism prevelance, testing should not be performed as a screening procedure for the general population. The predictive value of a positive or negative serologic result depends on the pretest likelihood of cryptococcal disease being present. Testing should only be done when clinical evidence suggests the diagnosis of cryptococcal disease.
  2. The performance of this test has not been established with specific HIV therapies. The patient samples included in the manufacturer's studies were obtained from patients undergoing HIV therapy, but information on the specific therapy type was not available.

Unacceptable Conditions

Reasons for specimen rejection may include but not be limited to:

  • Serum specimens may not be hemolyzed
  • CSF samples must be collected asceptically
  • Specimens must conform to the current laboratory labeling policy

Lab Section

Microbiology

Remarks

  • A titer will be reflexed for all postive cryptococcal antigen results.
  • Hemolyzed serum samples will not be processed.
  • If the sample is held frozen, do not allow repeated thaw-freeze cycles.

Reported

Daily