PRESERVATION, STORAGE AND TRANSPORT OF SPECIMENS Flashcards
specimen priority levels
tissue
Level 2 (Unpreserved)
Usual incubation for most bacteria, AFB
18 - 24 hours at 37 c
Temperature for CSF
body temp (37 c)
specimen priority levels
pericardial fluid
Level 1 (Critical/Invasive)
specimen priority levels
tissue for quantification
Level 3 (Quantitation required)
specimen priority levels
- Critical/Invasive
- Unpreserved
- Quantitation required
- Preserved
- Batch processing
Critical values that should be reported immediately:
- Blood culture
- CSF Gram stain culture
- S.pyogenes in surgical wound
- Gr Staining of gas gangrene
- Blood smear for malaria
- Cryptococcal Antigen Test
- AFS
- Detection of select agents (Brucella etc.
maximum specimen transport time
2 hours
Transport media/Holding media examples:
- Cary Blair
- Stuart’s or Amie’s
- JEMBEC Media
- Gonopak
Incubation for Capnophiles
Candle Jar (5-10% carbon dioxide, 15% oxygen)
specimen priority levels
feces in preservative
Level 4 (Preserved)
specimen priority levels
swabs in holding/transport media
Level 4 (Preserved)
Incubation for Aerobic bacteria
21% Oxygen, 0.03% CO2
specimen priority levels
Urine
Level 3 (Quantitation required)
specimen priority levels
amniotic fluid
Level 1 (Critical/Invasive)