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Laboratory Test Reference Guide

Laboratory Information

Test Name

ESR

Synonyms

Erythrocyte Sedimentation Rate

External Price (excl. GST)

8.39

Specimen Collection

Adult Specimen

1.2 mL Sodium Citrate ESR tube (black)

Paediatric Specimen

1.2 mL EDTA

Test Information

Department

Haematology

Test Availability

Mon - Sun, 24hrs

Laboratory Turnaround Time

2 hours (for add-on ESR test - within 24 hours)

Unit of measurement

mm/hr

Reference interval

See attached PDF

Reference interval Attachments

Diagnostic Use Or Instructions

Don’t order an erythrocyte sedimentation rate (ESR) to look for inflammation in patients with undiagnosed conditions. Order a C-reactive protein (CRP) to detect acute phase inflammation.

The ESR should not be used to screen for plasma cell dyscrasias; if these conditions are suspected, protein electrophoresis and/or serum free light chains should be used.

It is seldom appropriate for both an ESR and CRP to be performed on the same sample.

Additional Information

ESRs will only be processed when relevant clinical details are legibly written on the request form and meet the testing criteria. Refer to the list below for the conditions where ESR testing is warranted.

 

 

 

ESR Testing Guidelines for Waikato DHB

All Rheumatology patients

Bone/Joint infection/Osteomyelitis

RA/Rheumatoid Arteritis

Discitis and infection of the Spine

JIA/Juvenile Idiopathic Arthritis

Prosthetic Joint Infection

 Vasculitis

Uveitis

SLE/Systemic Lupus Erythematosus

Iritis

RF/Rheumatic Fever

Kawasaki Disease

Hodgkin Lymphoma

Inflammatory bowel diseases:

TA/Temporal Arteritis

-       Crohn’s disease

GCA/Giant Cell Arteritis

-       Ulcerative colitis

PMR/Polymyalgia Rheumatica

CTD/Connective Tissue Disease

 


All add-on ESRs also require the relevant clinical detail provided prior testing.
 

  •  

  • Failure to provide the relevant clinical detail will result to the ESR test to be declined. Samples will be kept for 24 hours if testing is still felt to be warranted.

     

  • Contact the laboratory for any queries.

 NOTE: If a 1.2 mL Sodium Citrate ESR tube (black) is not available, EDTA (purple tube) can also be used with a minimum volume of 1.2 mL.

Minimum Volume

1.2 mL Sodium Citrate ESR tube (black)

Electronic Information

Registration Code

ESR

HL7 mapping code

$ESR

LOINC Code

30341-2