A Guide to Specimen Management in Clinical Microbiology is the classic reference that addresses and meets the needs of everyone in the "total testing process" circle. It provides complete, concise information on the unique needs of the microbiology laboratory regarding specimen management and is the only single source for the specimen management policies required for laboratory results that are accurate, significant, and clinically relevant.
Medical, nursing, and medical technology students, practicing physicians, private practice offices, clinical laboratories, and public health laboratories can turn to this valuable resource to answer their questions on issues such as the correct procedures of specimen selection, collection, transport, and storage in the clinical microbiology laboratory, the rationale associated with the specimen requirements, and proper communication between the lab and its clients.
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
