SPECIMEN HANDLING AND METHODS IN VIROLOGY Flashcards
Vesicle collection
Wipe surface with sterile saline. Remove crust, unroof with sterile needle or scalpel. Fluid aspiration via capillary pipette, tuberculin syringe, or swabbing lesion base.
Sterile fluid handling
Extraction first to remove interfering proteins. False negative due to dilution.
Blood/Bone marrow collection
Disinfect skin with 70% alcohol, then iodine iodophor
For viral culture: EDTA/Heparin; for NAAT: EDTA (lavender/purple top)/AC - Acid Citrate Dextrose (white-top blue).
Dried blood spots
Capillary finger stick, air-dried for 2 hours for antibody testing and NAAT.
Rectal swab collection
Insert 3-5 cm into the anus, rotate until feces collected.
Feces collection
5-10 mL of freshly passed stool.
Urine collection
Minimum of 10 mL, centrifuge.
Tissue collection
Fresh tissue for culture; Fresh or formalinized/deparaffinized tissue for NAAT. Homogenized in VTM, centrifuged, inoculated. Debris stays in sediment.
Serum collection
Acute specimen (as soon as symptoms appear) or Convalescent specimen (2-3 weeks after acute specimen).
Preferred swabs
Dacron and Rayon swabs for most viruses. Flocked nylon swabs preferred for specimen absorption and release for fluorescent testing.
Antibody testing - IgM
Acute or ongoing infection.
Antibody testing - IgG
Past infection, immunity, or vaccination.
Rhinovirus virus and preferred specimen
Nasal
Influenza virus and preferred specimen
Throat or Nasopharynx
Parainfluenza virus and preferred specimen
Throat or Nasopharynx
RSV (Respiratory Syncytial Virus) virus and preferred specimen
Throat or Nasopharynx
Metapneumovirus virus and preferred specimen
Throat or Nasopharynx
SARS virus and preferred specimen
Throat or Nasopharynx