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1 of 10

. ()
Epstein-Barr
(LPDs) .

()-
.
6-10
2-3
.

. : , ,
, , ..
10%-
10
.
, , ,

(
IV-2) . - ()
, - () IgG IgM -
. - IgM ( IgG
) -
, - .
- 6

. -
1-2
.
90%
IgG -
5%-10% -
.


:
,
, -
. - NAAT(
) -
-
.
.
, ,
.
- ,
.

-
-
(eg,
, )
.
, ,
.

.
C. ()

-
( XIV-3).
IgM
-
IgM
. IgG .

XIV-3

XIV - 2

clot tube,
<2

IgG, IgM
-


clot tube,
<2
sterile tube,

<2

,

,

EDTA,
<2

sterile tube,

<2



()

clot tube,
<2
sterile tube,

<2

Antigenemia

Sterile container,
, , <2
,
,

, EDTA,
,
<2

EDTA
,
<2

Sterile container,
<2

Sterile container,
<2

Page 2 of 10


, -

; ,

. -

( N I S T )
(SRM) . SRM 2366, - -
-
.
(
) .
14
1-2
.

.

-
-
.

FFPE in situ .

(NAAT)

.
-
.

; UL54(
) , UL97( )
.
-

. ,
. UL97
460, 594, 595 3
Ganciclovir- . UL54
.
UL54 ganciclovir cidofovir-
-
ganciclovir cidofovir
foscarnet - ; foscarnet-
ganciclovir cidofovir- - .
-
- -
(NAATs)
(eg.

-
).
- , ,

.
-
.

D. Varicella-Zoster virus ()
- IgG IgM -
; , -

. - IgG IgM
-
. IgG , IgM
- ,
-
, -

. -
2-3

. - -
,
(NAATs)
( XIV-4).
.


. -

2
.
CDC-

( http://www.bt.cdc.gov/
agent/smallpox/diagnosis/ riskalgorithm/index.asp );

( http://www.bt.cdc.gov/agent/smallpox/ lab-
testing. ). -
(NAAT) -
.
IgM (intrathecal)
-
.
E.Herpes Simplex Virus ()
- 1 2- G

.
XIV-4.

Clot tube,

<2



(NAAT)


<2

Sterile container

<2

Page 3 of 10

XIV-5.

XIV-6. -6

Clot tube,

<2

Clot tube, <2



(NAAT)

Clot tube, <2



(NAAT)


<2

Sterile tube

<2

Sterile container

<2




<2

IgG
IgG- 4
. - IgM

.
,

- 1
2 . ( XIV-5).

.
,
.

.
-
- - .
1 2 , ;
1
2 . -
-
.

F. Human Herpes Virus -6 (-6)


-6 (roseola infantum)

. -6 IgM
IgG 4 -6 -
.

EDTA tube, <2

Sterile container,
<2


.
2
.
-6 IgG
.
5%- IgM .
-6-

(NAAT)
XIV-6 . NAAT
. -6


. -6
.
-6
.
-6

.
-6
.
, 21
;
1-3
.

. -6 -
FFPE- in situ
.
G. Parvovirus (Erythrovirus) B19 - ()
, erythema infectiosum
/ 19
19

( XIV-7). IgM
. IgM 10-14
5
. IgG IgM
1 .

Page 4 of 10

XIV-8.
XIV-7.

sterile container,
, <2
formalin container,
, 2-24

Clot tube, <2


Sterile tube,
<2

Clot tube, <2



(NAAT)

Clot tube, <2


-
-


Sterile container,
<2
Viral transport
media <2
EDTA, <2
Sterile tube,
<2



(NAAT)

-
,



Sterile cnotainer,
<2
Sterile container,
<2
EDTA tube, <2
Sterile tube,
<2

EDTA tube, <2

IgG . IgG


.

. 19- -


. NAAT

19
,

FDA - .
19-

.
H. Measles (Rubeola) Virus - ()

IgG .
IgG IgM .
IgM IgG - .
IgM

20% 72
. IgM
72
. IgM

. IgM
. IgG
4 .
( XIV-8).

10-30 .
.


.


(SSPE); SSPE


SSPE- .
-
.
. NAAT
.
I.Mumps virus ()

( XIV-9).
: IgM
, IgG
4 , ,
- .
IgG-
5 ;

2
. IgM
,
7
.
, , IgM
. IgM
2-3
IgM - .

Page 5 of 10

XIV-9.

XIV-10.

Clot tube, <2


Sterile tube,
<2

Clot tube, <2

250 -
,
50 2%-
Saccomanno`s
ixative

50%




100
.
, <2

BK virus NAAT

EDTA tube, <2


Clot tube, <2
Sterile
container,<2



(NAAT)



-
-


Sterile container,
,
<2

Viral transport
medium, <2
Viral transport
medium, <2

-
,

Sterile tube, ,
<2

Sterile tube,<2


-
.

,
. -
. -
5-8
.
,
,
.
-
.

J. Rubella Virus ()

( XIV-10). -

.
IgG 4
-
IgM .
7-10 14-21
. - IgM

.
; IgM

.
IgG-
.

. BK Virus ()

,
in situ .
,

.
NAAT - -

, NAAT FDA -
. ( XIV-11).
NAAT
.
NAAT

.
-
.
;
.
- -


.
L. JC virus ()
(PML)-

- .

Page 6 of 10

XIV-12. -

XIV-14. -



(NAAT)

IgM

Clot tube, <2

Sterile tube,<2

EDTA tube, <2


. -
In situ . PML
- - NAAT-



( XIV-12).

M.Dengue Virus ()
Dengue .
Chikungunya
, .
, NAAT -
. ( XIV-13).

.
5 .

IgG ; IgG

6
. -
.


7-10 IgG IgM
. Ig M -
. -
,
:West Nile, St.Lois . -
CDC- .
XIV-13. -

Clot tube, <2

Clot tube, <2



(NAAT)

Clot tube, <2


EDTA tube, <2
Sterile tube,<2

N. Hepatitis A virus ()

- IgM
. ( XIV-14).
, -
(IgM, IgG )
, -
.
- IgG
.
O.Hepatitis B, D, C viruses- (, , )
- -
;
.
4
1-6
. -
.
( XIV-15).

.


. -
-
.
- IgM -
6
. -
-
.
IgM
6 .
- -

. (
IgM ), (-
IgM IgG ) (-
IgG ) - .

Page 7 of 10

XIV-15. , -

-

(HBsAg)

Clot tube, <2


(anti-
HBs)


(anti-HBc total)

IgM
(anti-HBc IgM)

(HBeAg)

(anti HBe)

(anti-HDV
total)
IgM
(anti- HDV
IgM)
IgG
(anti-HDV IgG)


EDTA tube, <2

20
- .


.


. ,
;
,
, -
.
-
. - (PCR,
branched DNA assay) -


. -
,


. - ,
-p
(
) .


>=10mlU/mL
.



.
-
- , - IgM
( XIV-15).

( , IgM, )
IgM .
- EIA
CIA IgG
.
6-10 -
.
-
(XIV-16).

-
. (http://www.cdc.gov/hepatitis/HCV/
LabTesting. htm).- NAAT-
. -
NAAT- (RT-PCR, branced DNA)
(RT-PCR, TMA) 2 .

-


.
RIBA


.
RIBA
.
RIBA - .

XIV-15. , -

- IgG
(anti-HCV IgG)

Clot tube, <2

- IgG
RIBA

(anti-HCV RIBA)
-

()
-

EDTA tube, <2

Page 8 of 10

-

,
.
28

-

,
. CDC - 1945 1965
-
.
P. Enterovirus and arechovirus (, )


70 71 . - NAAT
-

( XIV-17).


.


.

NAAT
. FDA-
PCR .

Q. Respiratory syncytial virus ()





.
- , NA AT -
. ( XIV-18). FDA
NAAT .
.
R. Inluenza virus infecton ()
(
48 )
.
NAAT
. ( XIV-19).
NAAT
.
NAAT
.

. NAAT-

. FDA- NAAT- .



XIV-18.-

XIV-17. , -



(NAAT)

Sterile container,or
viral transport
medium , <2



(NAAT)

Sterile tube,<2

Clot tube, <2

EDTA tube, <2

Sterile container,
<2

Sterile container,or
viral transport
medium , <2

Sterile container,or
viral transport
medium , <2
Sterile container,
<2
EDTA tube, <2


-



,

Sterile container,or
viral transport
medium , <2

(IgG,
IgM)

Clot tube, T <2

Page 9 of 10

XIV-19.



(NAAT)

Sterile container,or
viral transport
medium , <2


-



,

Sterile container,or
viral transport
medium , <2

Sterile container,or
viral transport
medium , <2

Clot tube, T <2


Sterile tube, ,
<2

(IgG,
IgM)


.
.
-
-
.
- -

- IgM
.
, ,
.
- NAAT

.
NAAT
.
- NAAT -
.
.
Eastern, Western equine, St Louis, California encephalitis
.
T. Adenovirus ()
,
,
.
XIV-21

XIV-20. West nile Virus(and eastern equine,


western equine, Saint Louis, and California Encephalitis-

Clot tube, <2



(NAAT)

Sterile tube,<2

Clot tube, <2

EDTA tube, <2



(NAAT)


,


,
,
, ,

Sterile container,or
viral transport
medium , <2


,


,

Sterile container,or
viral transport
medium , <2


,


,
,

Sterile container,or
viral transport
medium , <2

S. West Nile Virus ()


- . -
IgM
. ( XIV-20). - IgM
>= 6


. ( 3-10
) (2-3 )
IgG . -

Page 10 of 10

XIV-21



40, 41

Sterile container
, <2

Clot tube , <2


Sterile tube ,
<2



.
, ,
, , ,
. .
NAAT, ,
. (
XIV-21).

.


, ,
.


.
-
, IgG- 4
, IgM .
, ,
.

U. Rabies virus ()
-
.
XIV-22.

Clot tube, <2


Sterile tube,
<2



(NAAT)

Sterile tube,<2

Nuchal skin,
,

Sterile container,
<2


. (XIV-22). ,
, ,
. -
NAAT - ( ).

.

.

.
V.Lymphocytic Choriomeningitis Virus ()


.
IgG- 4 IgM
. ( XIV-23).
, ,
.

.
XIV-23.

( IgG,
IgM)

Clot tube, <2


Sterile tube,
<2

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