MICROBIOLOGY
GENERAL INFORMATION
1.The following notes are issued for general information regarding collection and dispatch of specimens to the Microbiology Laboratory. When in doubt, please contact the laboratory staff by telephone (2825 5333 & 2825 5334).
2.Each specimen should be properly collected and placed in the appropriate container.
3.All specimens should be regarded as potentially infectious. Care must be taken to avoid contaminating the outside of the containers with specimens. All specimen containers should be tightly capped on receipt; otherwise the specimen will be rejected.
4.An appropriate request form must be attached to each specimen. This form must be properly completed.
5.All specimens must be delivered to the laboratory.
6.Forms to use
a) For urine routine, pregnancy test, stool routine, stool for occult blood and stool for Rotavirus use "Light-yellow form"
b) For all cultures, smear examinations and viral antigen detection use "Deep Yellow form" Please fill in name of antibiotics administered if Sensitivity Test is required. Do not fill in name of drugs that is not anti-bacterial agent such as anti-fungal, anti-viral, etc
c) For Body fluid routine, CSF routine, CSF for MTB by PCR and CSF for Cryptococcal antigen use "Green Form"
d) For viral titres/studies, viral cultures and investigations sending to Virus Unit (Department of Health), please also attach additional pink request form (DH1293A) suppling clinical finding/ history information & properly signed by requesting doctor.
GUIDELINES FOR SPECIMEN COLLECTION
INVESTIGATION
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CONTAINER
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NOTES ON COLLECTION
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Blood culture for bacteria
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MW Bloodgrow culture bottle
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Take blood culture before giving antibiotics: using aseptic technique. 3-5ml blood should be added into the blood culture bottle
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Blood culture for Mycobacteria
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Special bottle
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By arrangement in advance with lab.
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CSF for direct smear, antigen detection and culture
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Sterile universal bottle or Elkay 12x75mm sterile tube
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Send immediately after collection to avoid lysis of cells and death of organism
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Body fluids other than CSF, e.g. joint fluid, pleural fluid etc for cell count and culture
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Sterile universal bottle
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Send immediately after collection
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Pus, vaginal, cervical, eye, ear, wound, throat and nasal swabs for direct smear and culture.
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Sterile plain cotton wool set
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Send immediately after collection
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NAP for direct viral antigen detection
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Sterile disposable tracheal suction kit or sterile universal bottle
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Send immediately after collection
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Sputum for direct smear and culture
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Sterile plastic container
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Collect fresh sputum(not saliva) aseptically into the container
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Urine for routine and/or culture
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Sterile urine culture (yellow cap) bottle
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Collect fresh random mid-stream urine. Minimum quantity required is 20 ml
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Urine for pregnancy test
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Urine culture(yellow cap) bottle
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Stool for routine and/or culture
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Red cap plastic bottle
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Collect approx.10 gm fresh stool
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Stool for amoeba
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Red cap plastic bottle
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Collect approx.10 gm fresh stool and select blood and mucus part. Send immediately to lab.
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Stool for Rotavirus
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Red cap plastic bottle
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Collect fresh stool and send immediately to lab.
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Tissue for smear and/or culture
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Sterile universal bottle
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Send to lab. without delay
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