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