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| Organization: | Alberta Precision Laboratories | ||
| Message Alert: | PLEASE NOTE: This Test Directory is in an interim state and due to changes pertaining to the DynaLIFE transition, performing site for routing has not been updated. Please refer to Laboratory Information System for appropriate routing. | ||
| Test Name/Synonym: | CULTURE, Swab - Central Zone | ||
| Test Code: | SEE PROCEDURE | ||
| Minimum Collection Volume: | Swab - approved sites | ||
| Specimen Collection Requirements: | Requisition to Use: Central Zone Laboratory Requisition | ||
| Processing: | MATERIALS: - Sterile swabs in container of clear transport media. - Optional for nasopharynx or urethra - FLOQ swabs. PROCEDURE: 1. Collect swab(s) and insert into labelled transport media. 2. Refrigerate if sample cannot be transported to Lab within 24h. CERVIX, ENDOCERVIX (GCCU) - Swab discharge from exocervix. DEEP WOUND (CUWD) >2.0 cm - Enter body site and state whether swab was collected in the OR. EAR (CUEAR) - Cleanse the external ear with antiseptic. - Insert swab and rotate gently. EYE (CUEYE) - Take the swabs before the application of topical anesthetic. - Swab the lower cul-de-sac and inner canthus of the eye to obtain purulent material. MOUTH/GUMS/TONGUE (CUO) - Swab the ulcerated or white patches; avoid contact with normal areas. METHICILLIN RESISTANT STAPH AUREUS (MRSA) - See Antibiotic Resistant Organisms NASAL (CUN) - Insert the swab about 2.5 cm into the nares and rotate gently. - If the patient has a nasal lesion, swab the lesion, avoiding contact with other areas of the nasal passage. NASOPHARYNGEAL (RSV) - Hold the patient's head firmly. - Insert the swab into the nostril and push straight back through the nasal cavity in a direct line with the lobe of the ear until resistance of the post-pharyngeal wall is felt. - Rotate the swab againt the wall several times and withdraw. RECTAL/ANAL (CUSUP) - Pass swab beyond the anal sphincter, rotate carefully and withdraw. SURFACE BODY SITE (CUSUP) - Swab lesion margins and abscess walls firmly. THROAT OR TONSIL (CUTHR) - With the patient's tongue depressed, and the throat well illuminated, rub the swab firmly over the back of the throat, both tonsils or tonsillar fossae, and any area of inflammation, exudation or ulceration. - Avoid tongue, lips or roof of mouth. MALE URETHRA (GCCU) - Instruct patient not to urinate for 1 h prior to sampling. - Insert swab 1.0 to 2.0 cm into urethra and rotate. VAG < 13 yr old OR vagina, cervix or urethra with history of Toxic Shock Syndrome, OBGYN surgery or endometritis (CUGEN) VAGINA (VAGS) - Swab discharge or secretions from mucosa high in vaginal canal. VAG-ANORECTAL FOR GROUP B STREPTOCOCCUS (GBS) - Swab lower vagina first, then anal orifice and insert swab into the anal canal. VANCOMYCIN RESISTANT ENTEROCOCCUS (VRE) - See Antibiotic Resistant Organisms | ||
| Testing Schedule: | Daily - Not available Stat | ||
| Critical Value: | Refer to Critical Values | ||
| Testing Area: | Microbiology | ||
| Performing Site: | Camrose, Red Deer Use the applicable referral laboratory test directory if this test is NOT performed on site or referred within Central Zone. | ||
| Additional Test Information: | Samples for microbial culture should be taken before the administration of antibiotics or the application of topical anesthetic where possible. Relevent patient history includes: 1) Symptoms of illness, eg. fever, redness and swelling. 2) Factors which may compromise a patient's immune status (ie. disease such as cancer or diabetes and age - neonate or elderly). 3) Type of wound (ie. burn, surgical wound, deep wound (>2.0 cm), bite, ulcer, abcess, debridement, etc.) 4) Suspected pathogens if appropriate (ie. MRSA, yeast, beta Strep, etc). 5) Antimicrobial therapy - dosage not required. | ||
| Last Updated On: | Thursday, March 7, 2019 | ||
| Date of Last Review: | Feb 25 2019 12:00AM | ||
