Laboratory Fee Schedule
Procedure Number: N/A
| Synonym(s): | Candidiasis, C. auris, Candidozyma, multidrug resistant yeast, Colonization screening, PCR, Culture |
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| Requisition Form | G-2E |
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| Test Description | Detection of Candida auris from colonization screening swabs by real time PCR or culture. |
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| Pre-Approval Needed | - Yes; permission to submit a specimen for screening is first required from a DSHS HAI Epidemiologist.
- Email ICAR@dshs.texas.gov to schedule a screening.
- Order specimen collection swabs and shipping supplies by emailing TexasARLN@dshs.texas.gov.
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| Supplemental Information Required | N/A |
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| Supplemental Form(s) | N/A |
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| Performed on Specimens from (sources) | Human |
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| Sample/Specimen Type for Testing | - Axilla/groin swab (Copan or BD E-Swab)
- Swab axilla and groin sites together using one swab.
- Specimen collection guidance available here.
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| Minimum Volume/Size Required | One swab |
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| Storage/Preservation Prior to Shipping | - Shipping refrigerated swabs on (multiple) cold packs is encouraged to prevent transport conditions above ambient temperature.
- Ship swabs to Laboratory within 24 hours of collection.
- Use only swabs within their expiration date.
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| Transport Medium | N/A |
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| Specimen Labeling | - At least two patient identifiers required on specimen (e.g., patient full name, date of birth, medical record number).
- Three patient identifiers are preferred.
- Patient identifiers on specimen label must exactly match identifiers on submission form. (e.g., abbreviated name on label and full name on form is not acceptable.)
- Additional DSHS Laboratory specimen labeling guidelines available online here.
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| Shipping and Specimen Handling Requirements | - Ship refrigerated at 2°C–8°C on cold packs for overnight delivery to Laboratory.
- Ship according to Dangerous Goods Regulations, IATA, and/or CFR 49.
- Category B Biological Substance, UN3373 shipping requirements apply.
- Submitters are responsible for packaging and shipping specimens according to regulatory requirements.
- Additional DSHS Laboratory specimen labeling guidelines online here.
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| Method | Identification of C. auris by real time PCR or conventional culture. |
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| Turn-around Time | 1 working day |
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| Interferences/Limitations | These results should be used only for epidemiological purposes and not for patient treatment. |
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| Common Causes for Rejection | - Missing identifiers on specimen or submission form.
- Mismatch(es) between patient identifiers on G-2E submission form and specimen label.
- More than 84 hours between time of swab collection and arrival at Laboratory.
- Excessively soiled swab.
- Specimen collected on expired swab kit.
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| Additional Information | N/A |
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