CDC 55.83D NREVSS Polymerase Chain Reaction (PCR) Worksheet

2014-2015
Polymerase Chain Reaction
(PCR) Worksheet

State & Local Health
Departments

Participating
Laboratories

Identify PCR
Positive Samples
Fe

ed
b

ac

k

Feedback

 www.cdc.gov/

surveillance/nrevss/
 www.cdc.gov/flu/
 MMWR
Enter Data
Online

 Journal articles

Process & Analyze Data

U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES · Public Health Service
Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor,
and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer;
1600 Clifton Road NE, MS D-24, Atlanta, Georgia 30333; ATTN: PRA (0920-0004).

CDC 55.83D Rev. 06/2014 (page 1 of 3)

Center Number

National Respiratory and Enteric Virus Surveillance System
2014-2015 Polymerase Chain Reaction (PCR) Worksheet

FORM APPROVED
OMB NO. 0920-0004

To Report Results: Log onto https://wwwn.cdc.gov/nrevss
Respiratory Viruses by PCR

2014
Week
Ending
Saturday

Jul

RSV

5
19
26
2
9
16
23
30

Sep

6
13
20
27

Oct

4
11
18
25

Nov

1
8
15
22
29

Dec

Influenza Virus

Enteric Viruses
Human
Metapneumovirus

No.
No.
No. 2009 AH3N A
No. RSV A RSV Unk.
PIV 1 PIV 2 PIV 3 PIV 4 Unk.
No.
B
No.
TestTestTest- AH1N1 2
Unk.
Tested Pos. B. Pos Pos.
Pos. Pos. Pos. Pos. Pos.
Pos.
Pos. Tested
ed
ed
ed
Pos. Pos. Pos.

12

Aug

Parainfluenza Virus (PIV)

Respiratory
Adenovirus

6
13
20
27

CDC 55.83D Rev. 06/2014 (page 2 of 3)

No.
Pos.

Rhinovirus/
Enterovirus
No.
No.
Tested Pos.

Coronavirus

Rotavirus

Enterovirus

No. CoV CoV CoV CoV No.
No.
Test- HKU1 NL63 OC43 229E TestPos
ed Pos. Pos. Pos. Pos. ed

No.
No.
TestPos.
ed

Respiratory Viruses by PCR

2015
Week
Ending
Saturday

Jan

Feb

RSV
No.
RSV A RSV B
Tested Pos.
Pos.

Respiratory
Adenovirus

Parainfluenza Virus (PIV)
Unk.
Pos.

No.
Tested

PIV 1
Pos.

PIV 2
Pos.

PIV 3
Pos.

PIV 4
Pos.

Unk.
Pos.

No.
Tested

No.
Pos.

Influenza Virus

Enteric Viruses
Human
Metapneumovirus

2009
No.
AH3N2 A Unk.
No.
AH1N1
B Pos.
Tested
Pos.
Pos.
Tested
Pos.

No.
Pos.

Rhinovirus/
Enterovirus
No.
Tested

No.
Pos.

Coronavirus
CoV
No.
HKU1
Tested
Pos.

CoV
NL63
Pos.

CoV
OC43
Pos.

Rotavirus
CoV
229E
Pos.

Enterovirus

No.
No.
No. Pos
Tested
Tested

3
10
17
24
31
7
14

Mar

21
28
7
14
21
28

Apr

4
11
18

Ma

25
2
9
16
23
30

Jun

6
13
20
27
2014—2015 Polymerase Chain Reaction (PCR) Worksheet
DEPARTMENT OF HEALTH &
HUMAN SERVICES
Centers for Disease Control
and Prevention (CDC)
1600 Clifton Road, N.E.
Atlanta, GA 30333

CDC 55.83D Rev. 06/2014 (page 3 of 3)

National Center for Immunization and Respiratory Diseases
Division of Viral Diseases, Epidemiology Branch
For further information call: (404) 639-6050 or 639-8253
fax: (404) 235-1866
email: [email protected]

National Center for Immunization and Respiratory Diseases
Influenza Division
For further information call: (404) 639-1400
fax: (404) 639-3866
email: [email protected]

No.
Pos.