PHL Test Details Oklahoma Department of Health, Public Health Laboratory Feb 13

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Patient Information










Sex:
Race:
White Black or African American
American Indian/Native Alaskan Asian
Native Hawaiian/Pacific Islander Other
Ethnicity: Non-Hispanic Hispanic Unknown
Submitter Information











Clinical Information


Specimen Information
Collection Date: Time:   Collection By:   Outbreak:

Comment: 
        
Virology
Test Request Specimen Type/Source Details
Hepatitis B surface antigen (HBsAg) Serum 2 mL in spun serum separator tube; approved submitters only
HIV-1/2 antigen/antibodies Serum 2 mL in spun serum separator tube; approved submitters only
HIV + Syphilis Serum 2 mL in spun serum separator tube; approved submitters only
Human papillomavirus, high risk Residual ThinPrep 1 mL
Influenza virus A and B Swab, nasopharyngeal 1 or 2 synthetic swabs in viral transport medium; preferred specimen
Swab, nasal 1 or 2 synthetic swabs in viral transport medium
Swab, throat 1 or 2 synthetic swabs in viral transport medium
Other (specify source)
Contact laboratory prior to submission
Respiratory Pathogen Panel Swab, nasopharyngeal 1 or 2 synthetic swabs in viral transport medium; or other appropriate commercial medium (UTM, M4, and M4RT)
Rubella antibodies Serum 1 mL in spun serum separator tube; female county heath department patients only
SARS-CoV-2 Select Source


Swabs: synthetic swabs in viral transport medium; or other appropriate commercial medium (UTM, M4, M4RT, and saline)

Fluids (i.e., sputum, BAL, etc.): 2 mL in sterile container
West Nile virus/St. Louis encephalitis virus, IgM Antibodies Serum 1 mL in spun serum separator tube
CSF 1 mL in sterile container (must be accompanied by serum)
Zika virus, Dengue virus, Chikungunya virus, PCR
Requires pre-approval by OSDH Acute Disease Service
Serum 2 mL in spun serum separator tube
CSF 1 mL in sterile container (must be accompanied by serum)
Urine 1 mL in sterile container (must be accompanied by serum)
Amniotic fluid 1 mL in sterile container (must be accompanied by serum)
Bacteriology
Test Request Specimen Type/Source Details
Bacterial isolate: identification/serotyping/confirmation
Specify source
Plate or slant with visible growth, pure isolate only
Note: If organism suspected is not listed, write name in Comment field above
Bacteria, non-enteric: isolation and identification Specify source
Medical examiner or prior authorization only
Enteric pathogens: isolation and identification Stool, Cary Blair 2 g solid or 5-10 mL liquid feces in Cary Blair Transport Media
Stool, GN broth (STEC only) Visible growth in GN Broth
Chlamydia/Gonorrhea   Urine Collect first 20-30 mL of 1st morning void in cup then transfer 2mL into yellow specimen tube, in between the black lines. Do not under/overfill.
Vaginal swab For vaginal, throat, and rectal swabs use only the orange Multitest collection kit. Break the swab off at the score line and do not empty out the tube’s contents. Only collect in the appropriate Aptima device.
Rectal swab
Throat swab
Group B streptococcus Swab, vaginal and anal
Swab in LIM broth (combined vaginal/anal swab preferred)
Swab, vaginal
Swab in LIM broth
Swab, anal Swab in LIM broth
Bordetella: PCR Swab, nasopharyngeal 1 or 2 synthetic swabs in Reagan Lowe Transport Media
Cultured isolate (specify source)
Visible growth, pure isolate
Syphilis, serology (Reverse Algorithm) Serum 2 mL in spun serum separator tube
Bacteria, environmental Environmental (specify source)
Prior authorization required
Mycobacteriology
Test Request Specimen Type/Source Details
Fungal isolate identification
Specify source
Plate or slant with visible growth
Mycobacteria (acid-fast bacilli): smear and culture with reflex to identification Specify source
Blood: 5-10 mL ACD or heparin
Fluids: 5-10 mL
Sterile Fluids: 2-5 mL
Tissue: 1 g
Mycobacteria, isolate identification Specify source
Liquid: >3 mL, pure isolate; Solid: visible growth, pure isolate
M. tuberculosis complex: PCR
Select source
5-10 mL; includes AFB smear and culture per CDC guidelines
Parasitology
Test Request Specimen Type/Source Details
Parasites, blood Blood, stained smears (Babesia, trypanosomes, filariae) Giemsa or Wright-Giemsa-stained thin AND thick smears; at least one of each
Blood, stained smears and EDTA blood tube (Malaria) Giemsa or Wright-Giemsa-stained thin AND thick smears; at least one of each; 2-6 mL EDTA blood