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Catalog ID Ref DT Diphtheria & Tetanus Antibodies, IgG

CPOE Test Name

CPOE: Ref Diphtheria & Tetanus Antibodies, IgG

DOE: Ref DT Abs

Synonyms

Tetanus/Diphtheria IgG, D/T

Specimen Type

Serum

Specimen Requirements

Gold SST tube, collect 2.0 mL blood

Centrifuge within 2 hours of specimen collection

Serum, 1.0 mL (0.15 mL minimum), refrigerated

Storage and Transport

Serum stored refrigerated until ready for transport to ARUP Laboratory

Reference Range

Antibody concentrations of  > 0.1 IU/mL are usually considered protective for diphtheria or tetanus.

Causes for Rejection

Plasma, other body fluids, specimens not centrifuged within 2 hours of specimen collection, specimens at room temperature >48 hours, insufficient quantity, unlabelled specimen

Turn Around Time

1-3 days

CPT / HCPCS Code

86317×2

Performing Lab

ARUP Laboratories

Interpretative Information

Responder status is determined according to the ratio of a one-month post-vaccination sample to pre-vaccination concentration of IgG antibodies as follows:

Diphtheria and tetanus:
1.  If the post-vaccination concentration is less than 1.0 IU/mL, the patient is considered a nonresponder.
2.  If the post-vaccination concentration is greater than or equal to 1.0 IU/mL, a patient with a ratio of less than 1.5 is a nonresponder, a ratio of 1.5 to less than 3.0, is a weak responder, and a ratio of 3.0 or greater, is a good responder.
3.  If the pre-vaccination concentration is greater than 1.0 IU/mL, it may be difficult to assess the response based on a ratio alone.  A post-vaccination concentration above 2.5 IU in this case is adequate.