Cortisol, Salivary
Label Mnemonic: | SALCT |
Epic code: | LAB2929 |
Downtime form: | Doctor/Provider Orders - Pathology Core and Specialty Care Nursery |
Commercial Mailout Laboratory
6240-8 RCP
356-8593
6240-8 RCP
356-8593
Specimen(s):
Saliva
Specimen
Instructions:
Do not collect specimen within 60 minutes after eating a meal, within
12 hours after consuming alcohol, immediately after brushing teeth or
after any activity that may cause gums to bleed. Rinse mouth
thoroughly with water 10 minutes before specimen collection.
Recommended collection time is between 11:00 p.m. - 1:00 a.m.
Transfer saturated swab to plain (non-citric acid) cotton Salivette® collection device. Record the time of collection on the test request form, and on Salivette® transport container.
Transfer saturated swab to plain (non-citric acid) cotton Salivette® collection device. Record the time of collection on the test request form, and on Salivette® transport container.
Minimum:
Saliva. Swab must be completely saturated to ensure sufficient volume
for testing.
Rejection Criteria:
Specimens not collected using the Salivette® collection device.
Sodium azide preservative. Specimens with pH values greater than 9.0
or less than 3.5 must be recollected. Specimens visibly contaminated
with blood, cellular debris, food particles, or mucus.
Testing Schedule:
Testing performed on Monday, Wednesday and Friday at reference
laboratory.
Turn Around
Time:
1-4 days upon receipt at reference laboratory
Reference Range:
By report
Interpretive Data:
For a collection at 2300 hr, the normal cortisol concentration is less
than 0.112 μg/dL. Patients with Cushing's Syndrome have
concentrations of 0.112 μg/dL or greater.
Comments:
Bovine hormones normally present in dairy products can cross-react
with anti-cortisol antibodies and cause false results. Acidic or high
sugar foods can compromise assay performance by lowering sample pH and
influencing bacterial growth. Samples with pH values greater than 9.0
or less than 3.5 must be recollected.
Collection vial MUST reach lab within 5 days in order to be viable upon receipt at reference laboratory.
Collection vial MUST reach lab within 5 days in order to be viable upon receipt at reference laboratory.
Methodology:
Quantitative Enzyme Immunoassay
CPT Code:
82533