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Microbiology Laboratory Tests: Malaria to Mosquitoes

Microbiology
Malaria (Serological – Forwarded by TDSHS to CDC for testing.)
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Test Includes:

Reporting
Results Available: Contact #s:

Reference
Method:  
Turnaround Time:  3 weeks Reference Range:  Nonreactive
Limitations: May not detect a recent infection, or infection in a person with a severely compromised immune system. Interpretation: Nonreactive indicates that the patient does not have detectable antibody to the infectious agent. Reactive indicates that the patient has detectable antibody to the infectious agent, and depending on the clinical picture, may have a current or past infection.

Specimen Requirements
Specimen Collection: Venipuncture Sample Type: Serum
Volume/Amount Required: 10 mL whole blood Preferred Specimen:  Single Serum
Collection/Preservation: Red top or tiger top tube Storage Instructions: Do not freeze or refrigerate whole blood. Separated serum may be held at 2-8°C
Causes for Rejection: Discrepancy between name on tube and name on form, insufficient quantity of serum for testing Sample Container: Red top or tiger top tube
Sample Test Kit: Availability:
Diagnostic Information:  If blood films are negative but evidence for malaria is strong then serum is sent to the CDC.  Serology is by prior arrangement only, (512) 458-7760.  Once cleared, serum specimens are sent to the CDC.  Antibody may persist for years, so that an elevated titer cannot be used as evidence for current infection.  Emphasis is placed on blood films. A detailed patient history is required.

Specimen Submission
Required Request Form: G-2A Specimen Handling: Use Universal Precautions
Transport Temperature:  Ambient temperature for specimens on the blood clot, separated serum at 2-8°C (refrigerated) or -20°C (frozen). Shipping Requirements: Triple contain, separated serum may be shipped on cold packs (2-8°C), or frozen (-20°C) and mailed on dry ice.

Billing
CPT Code: 86750 Fees:

 

Microbiology
Malaria (Microscopic – Direct Stain Giemsa)
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Test Includes: Microscopic examination

Reporting
Results Available: 1 day Contact #s: (512) 458-7560.

Reference
Method: Microscopic examination  
Turnaround Time:  24 hours Reference Range:  No parasites found
Limitations:  Anticoagulants such as EDTA in venous blood specimens can interfere with parasite morphology and staining characteristics Interpretation:  No parasites found indicates that there were no visible parasites in the specimens submitted.

Specimen Requirements
Specimen Collection: Finger stick or Venipuncture Sample Type: Thick/thin Blood Smears; Blood in Purple top
Volume/Amount Required: 2 mL whole blood Preferred Specimen:  Thick/thin Blood Smears; Blood in Purple top
Collection/Preservation: Collect blood by finger stick. If blood is collected by venipuncture in purple top tube, make 2 thick and 2 thin smears on glass slides within one hour of collection. Storage Instructions: ambient temperature
Causes for Rejection: Incorrect blood tube used. Sample Container: Purple top vacutainer
Sample Test Kit: Availability: Monday-Friday
With prior approval on Saturday/Sunday
Diagnostic Information:  Anticoagulants such as EDTA in venous blood specimens can interfere with parasite morphology and staining characteristics, this can be further compounded by excessive delay prior to making smears. In such cases capillary blood samples are preferable (finger sticks) . If venous blood is used at least 2 thin and 2 thick smears should be made within 1 hour.

Specimen Submission
Required Request Form: G-2B Specimen Handling: Handle body fluids using universal precautions.
Transport Temperature:  Ambient temperature Shipping Requirements: Triple contained in accordance with federal shipping regulations for diagnostic specimens.

Billing
CPT Code: 87207 Fees:

 

Microbiology

Microsporidiosis (Microscopic – Modified Trichrome Stain)
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Test Includes: Microscopic examination

Reporting
Results Available: 3 days Contact #s: (512) 458-7560

Reference
Method: Microscopic examination  
Turnaround Time:  3 days Reference Range:  No parasites found
Limitations:  Interpretation:

Specimen Requirements
Specimen Collection: feces, tissue Sample Type: feces, tissue
Volume/Amount Required: 15 mL liquid stool, 15 g stool Preferred Specimen:  Feces; tissue
Collection/Preservation: Collect stool in clean, dry container. Immediately transfer to formalin preservative. Storage Instructions: Ambient temperature
Causes for Rejection:  Unpreserved stool > 5 hours old. Sample Container: Formalin transport for parasites
Sample Test Kit: Availability:  Monday-Friday
Diagnostic Information:  Feces should be formalin preserved. Other suspect tissue-send tissue or stained slide.

Specimen Submission
Required Request Form: G-2B Specimen Handling:  Handle body fluids using universal precautions. Formalin is a poison, handle with care.
Transport Temperature:  Ambient temperature Shipping Requirements: Triple contained in accordance with federal shipping regulations for diagnostic specimens.

Billing
CPT Code: 87209 Fees:

 

Microbiology
Milk, Quality Check (Culture- SPC)
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Test Includes: Standard plate count

Reporting
Results Available: 4 days Contact #s: (512) 458-7562

Reference
Method: Standard plate count  
Turnaround Time:  4 days Reference Range:  By report
Limitations: Interpretation:

Specimen Requirements
Specimen Collection: Milk Sample Type: Milk
Volume/Amount Required: According to requirements of the State Milk Program Preferred Specimen:  Milk
Collection/Preservation: Milk is collected by state health officials Storage Instructions:  0-4.4° C
Causes for Rejection: Temperature control out of range Sample Container: whirlpak or milk container
Sample Test Kit: Availability: With prior notification or as routinely scheduled
Diagnostic Information:  Samples are accepted only from state health officials. Prior notification by the collecting authority is required.

Specimen Submission
Required Request Form: G-84 or G-21 Specimen Handling: According to FDA guidelines
Transport Temperature:  0-4.4° C Shipping Requirements: Leak-proof containers, refrigerated

Billing
CPT Code: Fees:

 

Microbiology
Milk, Quality Check (Inhibitors)
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Test Includes:

Reporting
Results Available: Contact #s:

Reference
Method:  
Turnaround Time:  4 days Reference Range:  By report
Limitations: Interpretation:

Specimen Requirements
Specimen Collection: Sample Type:
Volume/Amount Required: Preferred Specimen:  Milk
Collection/Preservation: Storage Instructions:
Causes for Rejection: Sample Container:
Sample Test Kit: Availability:
Diagnostic Information:  Samples are accepted only from state health officials.  Prior notification by the collecting authority is required.

Specimen Submission
Required Request Form: G-84 or G-21 Specimen Handling: According to FDA Guidelines
Transport Temperature:  0-4.4º C   Shipping Requirements: Leak-proof containers, refrigerated

Billing
CPT Code: Fees:

 

Microbiology
Milk, Quality Check (Phosphatase)
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Test Includes:

Reporting
Results Available: Contact #s:

Reference
Method:  
Turnaround Time:  4 days Reference Range:  By report
Limitations: Interpretation:

Specimen Requirements
Specimen Collection: Sample Type:
Volume/Amount Required: Preferred Specimen:  Milk
Collection/Preservation: Storage Instructions:
Causes for Rejection: Sample Container:
Sample Test Kit: Availability:
Diagnostic Information:  Samples are accepted only from state health officials.  Prior notification by the collecting authority is required.

Specimen Submission
Required Request Form: G-84 or G-21 Specimen Handling: According to FDA Guidelines
Transport Temperature:  0-4.4º C Shipping Requirements: Leak-proof containers, refrigerated

Billing
CPT Code: Fees:

 

Microbiology
Milk, Quality Check (Aflatoxin)
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Test Includes:

Reporting
Results Available: Contact #s:

Reference
Method:  
Turnaround Time:  4 days Reference Range:  By report
Limitations: Interpretation:

Specimen Requirements
Specimen Collection: Sample Type:
Volume/Amount Required: Preferred Specimen:  Milk
Collection/Preservation: Storage Instructions:
Causes for Rejection: Sample Container:
Sample Test Kit: Availability:
Diagnostic Information:  Samples are accepted only from state health officials.  Prior notification by the collecting authority is required.

Specimen Submission
Required Request Form: G-84 or G-21 Specimen Handling: According to FDA guidelines
Transport Temperature:  0-4.4º C Shipping Requirements: Leak-proof containers, refrigerated.

Billing
CPT Code: Fees:

 

Microbiology
Milk, Quality Check (Somatic cell counts)
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Test Includes:

Reporting
Results Available: Contact #s:

Reference
Method:  
Turnaround Time:  4 days Reference Range:  By report
Limitations: Interpretation:

Specimen Requirements
Specimen Collection: Sample Type:
Volume/Amount Required: Preferred Specimen:  Milk
Collection/Preservation: Storage Instructions:
Causes for Rejection: Sample Container:
Sample Test Kit: Availability:
Diagnostic Information:  Samples are accepted only from state health officials.  Prior notification by the collecting authority is required.

Specimen Submission
Required Request Form: G-84 or G-21 Specimen Handling: According to FDA guidelines
Transport Temperature:  0-4.4º C Shipping Requirements: Leak-proof containers, refrigerated.

Billing
CPT Code: Fees: