Version 2.78

Part Descriptions

LP207365-0   Ab.Neut
Neutralizing antibodies are antibodies that interfere with the interaction between the virus and its host cell receptor, therefore preventing infectivity. Neutralizing antibodies can be detected using a traditional VNT or other methods such as pseudovirus VNT and surrogate VNT. VNT and pseudovirus VNT use live virus (the actual virus or a recombinant virus that incorporates the viral antigen of interest, respectively) and cell culture to assess the virus-host interaction and whether neutralizing antibodies are present that block that interaction. Surrogate VNT (sVNT) does not use live virus but rather uses purified viral antigen and host cell receptor protein to mimic the same interaction. The sVNT method is currently (2021) represented in LOINC as IA, because it is an immunoassay-based method. Source: Regenstrief LOINC

LP28423-9   West Nile virus
The West Nile Virus (WNV) is an arbovirus that was first identified in the West Nile District of Uganda in 1937. In the fall of 1999, the National Veterinary Services Laboratory (NVLS) isolated WNV in a dead crow in New York City.(http://www.who.int/mediacentre/factsheets/fs354/en/) Over the following ten years, WNV spread throughout the United States, Canada, Mexico and the Carribbean. WNV is usually transmitted through the bite of the Culex mosquito, but can also be spread in blood transfusions, organ transplants, breast milk, intrauterine exposure and laboratory-acquired infections. Birds are the preferred host of WNV, and the American robin is an important amplifier host since it develops enough virus in its serum to infect feeding mosquitoes. Though most infections with WNV are subclinical for humans, between 2005 and 2009 there were 12,975 people infected with WNV, of which 35% had severe cases of neuroinvasive disease and 496 people died. For individuals who are 70 years of age or older, infection with WNV has a 15-29% fatality rate. For infants and immunocompromised patients infected with WNV, the fatality rate is even higher. Diagnosis of WNV is based on clinical symptoms and antibody titers. The IgM antibody-capture enzyme-linked immunosorbent assay (MAC-ELISA) is the key method used to diagnosis WNV in clinical settings. Antibody titers to WNV NS5 are detectable long-term in vivo and can be used to distinguish past infection with WNV from current infection. RNA is usually undetectable in serum after 13.2 days, but on rare occasions, has been found in serum beyond 40 days. Treatment of infection with WNV is mostly supportive. There are no FDA-approved drugs or vaccines available. PMID: 12089283 PMID: 23034323 Source: Regenstrief LOINC

LP6416-4   Neut
In LOINC, the Method "Neut" represents the virus neutralization test (VNT), also called conventional VNT, which is a specific laboratory method that is used primarily for identifying whether neutralizing antibodies for the virus of interest are present in the patient sample. The VNT involves incubating patient serum with the virus of interest, and then inoculating onto cell culture. If neutralizing antibodies are present and the virus is neutralized, the cells will not be infected. If neutralizing antibodies are not present, the virus will infect the cells in the cell culture. PMID: 32170698 This method can also be used to identify specific virus serotypes or strains, by performing separate tests in which serum is incubated with each of the specific virus serotypes or strains of interest. PMID: 169804 Source: Regenstrief LOINC

Fully-Specified Name

Component
West Nile virus Ab.Neut
Property
PrThr
Time
Pt
System
XXX
Scale
Ord
Method
Neut

Additional Names

Short Name
WNV NAb Spec Ql Nt
Display Name
West Nile virus neut ab Neut test Ql (Specimen)
Consumer Name Alpha Get Info
West Nile virus neutralizing antibody, Specimen

Example Answer List: LL744-4

Source: Regenstrief Institute
Answer Code Score Answer ID
Detected LA11882-0
Not detected LA11883-8

Basic Attributes

Class
MICRO
Type
Laboratory
First Released
Version 2.68
Last Updated
Version 2.72
Change Reason
Release 2.72: COMPONENT: Updated "Ab" to "Ab.Neut" since this test is detecting neutralizing antibodies.;
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG32768-0 West Nile virus

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) West-Nil-Virus Ak.neutralisierend:Nachweis oder Schwellenwert:Zeitpunkt:XXX:Ordinal:Neutralisationstest
es-ES Spanish (Spain) Virus Nilo Occidental Anticuerpos antineutrófilos:PrThr:Punto temporal:XXX:Ord:Prueba de neutralización
es-MX Spanish (Mexico) Ab virus del Nilo Occidental:Presencia o umbral:Punto temporal:XXX:Ordinal:Prueba de neutralización
fr-FR French (France) West Nile virus Ac neutralisant:Présence/Seuil:Ponctuel:Milieux divers:Qualitatif:Neutralisation
fr-CA French (Canada) Virus du Nil occidental Ac.neut:Présence-Seuil:Temps ponctuel:XXX:Ordinal:Test de neutralisation
it-IT Italian (Italy) Nilo occidentale, virus Ab.Neut:PrThr:Pt:XXX:Ord:Neut
Synonyms: anticorpo Microbiologia Presenza o Soglia Punto nel tempo (episodio) Test di neutralizzazione Virus del Nilo occidentale
nl-NL Dutch (Netherlands) West-Nijlvirus As.neutraliserend:aanwezigheid:moment:XXX:ordinaal:neutralisatietest
Synonyms: antistof; antilichaam
pl-PL Polish (Poland) Wirus gorączki zachodniego Nilu Ab.Neutralizujące:granica wykrywalności:punkt w czasie:XXX:półilościowy:test neutralizacji
Synonyms: Przeciwciała do wirusa gorączki zachodniego Nilu Przeciwciała neutralizujące do wirusa gorączki zachodniego Nilu
zh-CN Chinese (China) 西尼罗河病毒 抗体.中和:存在情况或阈值:时间点:XXX:序数型:中和试验
Synonyms: Ab;自身抗体 WNV Ab WNV 抗体 WNV;西尼罗河热;西尼罗河热病毒 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 中和试验;中和抗体;中和 传染毒;传染毒素;滤过性病原体;病毒类;过滤性病原体 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 存在情况;存在;存在与否;是否存在;阈值;界值;界限;阀值;临界值;存在情况(存在、存在与否、是否存在)或阈值(界值、界限、阀值、临界值) 微生物学;微生物学试验;微生物学试验(培养、DNA、抗原及抗体) 时刻;随机;随意;瞬间 西尼罗河热病毒 Ab 西尼罗河热病毒抗体 西尼罗河病毒 Ab

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CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=94289-6