Microbiology Specimen Collection and Transport Show
Deliver all specimens as soon as possible to the Clinical Microbiology Laboratory 6004 BT. Collection devices are available from Hospital Stores.
Bacterial Cultures: Transport at room temperature unless otherwise specified.
Fungal Culture
Mycobacterial Culture (AFB Culture)
Viral/Molecular Infectious Disease PCR Testing Collect specimens for PCR testing early in illness when viral shedding is maximal. Place swabs in viral transport medium (33595, 33625). Collect bronchoalveolar lavage and specimens from normally sterile sites in a sterile, leak-proof container (37777). Transport the specimen to the Microbiology laboratory (6004 BT) immediately. Respiratory Virus PCR: This panel covers these analytes: Influenza A (includes H1N1/2009), Influenza B, Parainfluenza 1, 2, 3, and 4, Respiratory Syncytial virus A and b, Adenovirus, Human Metapneumovirus, Human Rhinovirus/Enterovirus (not distinguished), Coronavirus, Chlamydia pneumoniae and Mycoplasma pneumoniae. Nasopharyngeal swab: Collect specimen using the flexible minitip flocked swab (Hospital Stores #33595). Measure the distance from the patient's nostril to the nasopharynx (half the distance from nostril to base of the ear) and hold the swab at that location. Do not advance the swab beyond that point. Gently insert the swab along the base of one nostril (straight back, not upwards) and continue along the floor of the nasal passage until reaching the nasopharynx. Rotate swab 2-3 times and hold in place for 5 seconds. Place swab in tube containing viral transport medium. Break off the excess length of swab at the score mark to permit capping of the tube. : Collect throat swab in ESwab (74541). PCR Assays are available for the following viruses: BKV (blood and urine), HSV1&2, VZV, enterovirus (CSF), EBV (Blood and CSF) and CMV (blood, CSF, or BAL). PCR testing requires a dedicated collection tube and cannot be added onto a previously opened Vacutainer® tube. For CSF from lumbar puncture, most patients should have an order placed for the Meningitis/Encephalitis Panel (LAB8514).
A transport tube containing multiple swabs, or a combination of swab and urine cannot be used in the Cepheid CT/NG assay and will be rejected. After collection, urine specimens may be stored and transported at 2°C to 30°C for up to 8 days. If longer storage is needed, specimens in Xpert Collection Kits may be stored at 2°C to 30°C for up to 45 days. Refer to the Xpert Specimen Collection product inserts for detailed sample collection instructions: Clinician-Collected Rectal Swab Specimen Collection Parasitology
Vacutainer® and/or Microtainer® are registered trademarks of Becton, Dickinson & Company. Which of the following tests may require special documentation when the specimen is collected?Special Procedures. Which of the following tests can be monitored using POCT analyzers?The most common point-of-care tests are blood glucose monitoring and home pregnancy tests. Other common tests are for hemoglobin, fecal occult blood, rapid strep, as well as prothrombin time/international normalized ratio (PT/INR) for people on the anticoagulant warfarin.
Which of the following tests is collected from patients with Fuo to rule out septicemia?questions for chapter test 11 & 12. Which of the following POC tests is used to monitor warfarin?Coagulation POCT
POCT Coagulation meters are used to report prothrombin time and international normalized ratio (INR), activated partial thromboplastin time (aPTT), and activated coagulation time (ACT) to monitor anticoagulation therapy (warfarin or heparin).
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