Candida auris Colonization Screening

Laboratory Fee Schedule
Procedure Number: N/A 

Synonym(s): •    Candidiasis, C. auris, multidrug resistant yeast, Colonization screening, PCR, Culture
Requisition Form •    G-2E
Test Description •    Detection of Candida auris from colonization screening swabs by real time PCR or culture
Pre-Approval Needed •    Yes; permission to submit a specimen for screening is first required from a DSHS HAI Epidemiologist
•    Email to schedule a screening 
•    Specimen collection swabs and shipping supplies may be ordered by emailing
Supplemental Information Required •    N/A 
Supplemental Form(s) •    N/A
Performed on Specimens from (sources) •    Human 
Sample/Specimen Type for Testing •    Axilla/Groin swab (Copan or BD E-Swab)
Minimum Volume/Size Required •    One swab
Storage/Preservation Prior to Shipping •    Shipping refrigerated swabs on (multiple) cold packs is encouraged to prevent transport conditions above ambient temperature.
•    Swabs should be shipped to Laboratory within 24 hours of collection
•    Only swabs within expiration date should be used
Transport Medium •    N/A
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 in submission form.
•    Additional DSHS Laboratory specimen labeling guidelines available online here
Shipping and Specimen Handling Requirements •    Ship refrigerated at 2–8°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.   
Method •    Identification of C. auris by real time PCR or conventional culture.
Turn-around Time •    1 working day
Interferences/Limitations •    These results should be used only for epidemiological purposes and not for patient treatment. 
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 swabs. 
•    Specimen collected on expired E-Swab kit.
•    Specimen collection guidance available here.
Additional Information •    N/A