Clinical experience, infection control practices and diagnostic algorithms for poxvirus infections - an Emerging Infections Network survey

Table 2 Diagnostic ordering preferences for the two case scenarios in the EIN poxvirus survey

		Monkeypox Scenario		Orf Scenario
Diagnostic Test	Lab utilized	#	%*	#	%*
PCR	In-house/local academic institution	61	28.8%	70	33.0%
	State/Federal	140	66.0%	72	34.0%
	Commercial reference lab	25	11.8%	26	12.3%
	In-house/local academic institution	37	17.5%	17	8.0%
Serology	State/Federal	106	50.0%	46	21.7%
	Commercial reference lab	36	32.1%	28	13.2%
	In-house/local academic institution	99	46.7%	67	31.6%
Culture/Histopathology	State/Federal	68	32.1%	23	10.8%
	Commercial reference lab	8	3.8%	6	2.8%

Note: Monkeypox specific PCR, culture and histopathology are currently available at CDC. Most state reference laboratories are able to perform orthopoxvirus generic PCR. Serological testing at CDC is orthopoxvirus generic. Orf specific PCR is currently available at CDC while orf serology is available at an outside lab (Viral and Rickettsial Disease Laboratory, California Department of Public Health, Richmond, CA).
* Percent of total responders. Numbers do not add up to 100% as respondents were able to pick multiple choices.

ISSN: 1756-0500