The University of Iowa (UIHC)
Department of Pathology
LABORATORY SERVICES HANDBOOK


Echinococcus Antibody, IgG
Order Code: ECHINO
Epic Lab Code: LAB4481
Order Form: A-1a Miscellaneous Request or Epic Req
  Commercial "Mail-out" Laboratory
6240 RCP
356-3527
Specimen:
Serum
Collection Medium:
Red top tube
Minimum:
Adult preferred minimum:  1 mL serum
Adult absolute minimum:  0.5 mL serum
Pediatric minimum:   0.15 mL serum
Rejection Criteria:
Severely lipemic or contaminated specimens.
Delivery Instructions:
Submit specimen to laboratory as soon as possible after collection.
Specimen
Instructions:
Acute and convalescent specimens must be labeled as such; parallel 
testing is preferred and convalescent specimens must be received within 
30 days from receipt of acute specimens.  Please mark specimens plainly 
as "acute" or "convalescent."
Reference Range:
0.8 IV or less: Negative - No significant level of Echinococcus IgG 
antibody detected.

0.9-1.1 IV: Equivocal - Questionable presence of Echinococcus IgG 
antibody detected.  Repeat testing in 10-14 days may be helpful.

1.2 IV or greater: Positive - Presence of IgG antibody to Echinococcus 
detected, suggestive of current or past infection.
Interpretive Data:
Patients with collagen vascular diseases, hepatic cirrhosis, 
schistosomiasis, and other parasitic infections can produce 
false-positive results. There is a strong cross-reaction between 
echinococcosis and cysticercosis positive sera.

Seroconversion between acute and convalescent sera is considered strong 
evidence of recent infection.  The best evidence for infection is a 
significant change on two appropriately timed specimens where both 
tests are done in the same laboratory at the same time.
Methodology:
Enzyme-Linked Immunosorbent Assay
CPT Code:
86682

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Updated: 09/26/2007

Note: The information contained in this handbook is for use by personnel of University of Iowa Health Care. No other use is implied or intended.