Candida spp. Isolate Testing

Laboratory Fee Schedule
Procedure Number: N/A 

Synonym(s):  •    Candidiasis, C. auris, multidrug resistant yeast, antifungal susceptibility test, MALDI-TOF
Requisition Form •    G-2E
Test Description •    Definitive identification of Candida isolates by MALDI-TOF, antifungal susceptibility determined by broth micro dilution and E-Test. 
Pre-Approval Needed •    N/A 
Supplemental Information Required •    Copies of any previous Lab tests (MALDI identification), if available. 
Supplemental Form(s) •    N/A
Performed on Specimens from (sources) •    N/A
Sample/Specimen Type for Testing •    Pure culture of Candida isolate from any type of clinical specimen
•    Isolates should be submitted on media that supports the growth of yeast, such as Sabouraud Dextrose agar or Chromagar.
•    All Candida species except for confirmed C. albicans
Minimum Volume/Size Required •    At least one viable pure isolate per plate/slant
Storage/Preservation Prior to Shipping •    Isolates may be shipped to Laboratory at ambient temperatures.
•    Ensure that growth media used does not expire before use.  
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 at ambient temperatures.
•    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 submission guidelines available online here.
Method •    Identification of Candida by MALDI TOF.
•    Antifungal susceptibility testing by broth micro dilution and ETest.
Turn-around Time •    10 working days
Interferences/Limitations •    These results should be used only for epidemiological purposes and not for patient treatment. 
Common Causes for Rejection •    Mixed culture/contamination submitted. 
•    Non-viable isolates.
•    Missing identifiers on specimen and/or submission form.
•    Media expired at time of isolate culture
•    Mismatch(es) between patient identifiers on G-2E submission form and specimen label. 
Additional Information N/A