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A Guide to Specimen Management in Clinical Microbiology


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Table of Contents

Preface How to Use This Book Section I Communicating Laboratory Needs Basic Issues Selecting a Representative Specimen Requisitions Specimen Packaging and Transport Color-Coded Vacuum Tubes Catheters Often Used in Medical Procedures Specimen Priority Specimen Rejection Criteria Rejection Statements of Addenda to Laboratory Reports Specialty Testing Environmental Samples Hand Wash Specimens Laboratory Reports Section II Specimen Management Policies and Rationale Collection Times Collection Procedures Specimen Transport Specimen Processing: General Specimen Processing: Molecular Lower Respiratory Tract Specimens Urine Specimens Wound Specimens Spinal Fluid Specimens Throat and Nasopharyngeal Specimens Vaginal and Endometrial Specimens Miscellaneous Specimens Section III Specimen Collection and Processing Body Fluid Specimens Abdominal-Peritoneal Fluid (Paracentesis, Ascites) Blood Specimens Cerebrospinal Fluid Pleural-Thoracentesis Fluid Gastrointestinal Specimens Duodenal Contents Gastric Contents Pinworm Eggs Collected by Adhesive Tape Preparation Rectal and Anal Swab Specimens Sigmoidoscopy Specimens for Amebiasis Stool or Feces for Culture or Parasitology Studies Stool Specimen Collection Directions Genital Specimens General Information Cervical or Endocervical Specimens Genital Smears for Herpes Urethral and Penile Specimens Respiratory Specimens General Information Bronchoscopy-Bronchial Washing Nasal Specimens Nasopharyngeal Specimens Sputum Tracheal Aspirate Transtracheal Aspirate Throat Specimens Urine Specimens General Information Urine from Catheters Clean-Catch Urine Cytoscopic Specimens: Bilateral Urethral Catheterization Suprapubic Aspirate for Urine Cultures Urine Specimens: Bladder Washout Urine Specimens: Ileal Conduit Viruses, Chlamydiae, Rickettsiae, and Fungi Chlamydia Culture Specimens for Mycoplasma and Ureaplasma spp. Fungal Specimens Rickettsial Specimens Viral Specimens Wound Specimens General Information Ear (Otitis Media) Specimens Eye Specimens Skin and Contiguous Tissue Specimens Section IV Specimen Management Summary Tables Bacteriology and Mycology Specimen Collection Guidelines Specimen Management for Infrequently Encountered Organisms Specimen Guide for Virus Isolation Virology Specimen Collection Guidelines Parasitology: Anatomic Sites Containing Diagnostic Stages Parasitology Specimen Collection Guidelines References Index

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