Accessed on 02/08/16. Accessed on 02/08/16. ( 2007). Zip Code Distance 2013 Laboratory Corporation of America Holdings Walk-ins are also welcome. Fasting or diet restrictions, such as low-fat diets, should be explained in detail, particularly to aged or overanxious patients or their caregivers. Thomas, Clayton L., Editor (1997). Use the collection container as specified in the test requirements, and refrigerate the specimen when bacteriological examination of the specimen is required. Collect blood in room temperature containers unless the specimen requirement specifies otherwise. Appointments are not required. Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Browse Health Resources Toggle Browse Health Resources, Labcorp OnDemand Testing Toggle Labcorp OnDemand Testing, Find Clinical Trials Toggle Find Clinical Trials, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules, To determine whether you have an infection of your digestive tract due to the presence of disease-causing (pathogenic) bacteria, When you have diarrhea, abdominal cramps, nausea and/or vomiting that is severe or lasts more than a few days, A fresh stool sample transported to the laboratory within 2 hours or one that has been placed in a transport medium (a collection vial containing a preservative). Single Specimens. Provide the proper mixing of specimen with urine preservative as specified in the test requirements. Use the container/tube indicated in the test requirements for appropriate specimen preservation. 620 CRANBURY RD East Brunswick, NJ 08816. A stool culture is more likely to be ordered when a person: A healthcare practitioner may order one or more stool cultures when someone has had a previous pathogenic bacterial infection of the gastrointestinal tract and has either been treated for it or it has resolved on its own. Multiple Specimens. The user may opt to return a spreadsheet or webpage displaying the matched PSC locations. Stool Culture. Provide the patient, in advance, with appropriate collection instructions and information on fasting, diet, and medication restrictions when indicated for the specific test. Has eaten food or drunk fluids that may have been contaminated with pathogenic bacteria, such as undercooked meat or raw eggs, or the same food that has made others ill. Is ill and a possible foodborne or waterborne outbreak prompts the medical community to investigate and identify the cause; examples include contaminated produce, contaminated food from a specific restaurant, and/or illness on a cruise ship. Check to see that all the preservative or anticoagulant is dissolved. Medscape Drugs and Diseases. You may obtain specimen collection information from our online Test Menu by searching the test ordered and selecting Specimen in the left-hand navigation. Contact your local representative for more information. All Rights Reserved. Unit Code 50005: Enteric Pathogens Culture, Stool. MedlinePlus Medical Encyclopedia [On-line information]. To collect a sufficient quantity of each type of specimen indicated for the procedures to be performed, please consult the volume requirements published in thisDirectory. Prior to each collection, review the appropriate test description, including the specimen type indicated, the volume, the procedure, the collection materials, patient preparation, and storage and handling instructions. I need information about sample collection for a test being ordered for a patient. Sometimes, the balance of the normal flora may be affected by the administration of broad-spectrum antibiotics; the drugs inhibit the growth of normal flora and allow the bacteria Clostridium difficile that is resistant to the antibiotics to survive and overgrow the digestive tract,leading to symptoms such as diarrhea and abdominal pain. Directory of Labcorp locations. All Rights Reserved. The bacteria found in stool are representative of the bacteria that are present in the digestive system (gastrointestinal tract). Some of these include: A stool culture may be ordered when someone has signs and symptoms of an infection of the digestive tract, such as: Not everyone who has these symptoms will necessarily have testing done or be treated. To ensure an adequate specimen volume: The definition of specimen temperatures for storage and shipping is as listed below: For clients whose specimen lockboxes must be placed outdoors, adding a frozen gel pack to the lockbox during warmer weather will help provide a moderate temperature inside the lockbox until specimens are collected by your LabCorp service representative. Hemolytic uremic syndrome is a serious complication characterized by the destruction of red blood cells and kidney failure that may occasionally arise from an infection with a toxin-producing strain of the bacteria Escherichia coli. Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Browse Health Resources Toggle Browse Health Resources, Labcorp OnDemand Testing Toggle Labcorp OnDemand Testing, Find Clinical Trials Toggle Find Clinical Trials, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules. F.A. These strains of E. coli, however, are different than the strains of Shiga toxin-producing E. coli (O157:H7), which can cause hemolytic uremic syndrome. The test distinguishes between the types of bacteria that cause disease (pathogenic) and the types that are normally found in the digestive tract (normal flora). Devkota, B. Catecholamine assay. Causes and prevention are discussed under the section on hemolysis. Salmonella
Provide sufficient quantity of specimen to meet the minimum fill line on preservative transport container. Separate serum from red cells within two hours of venipuncture. CDC, Division of Bacterial and Mycotic Diseases, Disease Information [On-line information]. Adequate patient preparation, specimen collection, and specimen handling are essential prerequisites for accurate test results. It is important to gain the patient's understanding and cooperation in obtaining an acceptable specimen. "stomach flu." When there is difficulty accessing a vein or when a vacuum tube fills too slowly due to a difficult venipuncture, damage to the red blood cells may result. Travelers' diarrhea is typically caused by toxin-producing Escherichia coli, which are the leading cause of bacterial diarrhea infections among travelers to Africa, Asia, and Latin America. Submitted slides may be labeled with a single identifier, but two identifiers are preferred. The gel-barrier tube is an additive tube and should be inverted five to six times after collection. If any preservative powder is visible, continue inverting the tube slowly until the powder is dissolved. The laboratory sends out a report marked QNS (quantity not sufficient), and the patient has to be called back for a repeat collection at an inconvenience to the patient and to the physician. Accessed May 2011. Accessed on 02/08/16. Instructions for Use. There will be some dead space at the top of the tube. Refer to individual test descriptions for specific information. Salmonella Enteritidis. Examples include: Depending on the affected person's medical and/or travel history, tests for other pathogens or potential pathogens may be included or be separately available. [On-line information]. If diarrhea lasts more than a few days, it may lead to complications such as dehydration and electrolyte imbalance, which can be dangerous conditions, especially for children and the elderly. Pagana, K. D. & Pagana, T. J. Here are some instances in which timed multiple specimen tests may be ordered. When using vacuum tubes containing no additives: In general, grossly or even moderately hemolyzed blood specimens may not be acceptable for testing. A fresh stool sample is collected in a clean container. Oral contraceptives cause a decrease in serum vitamin B12 levels that is often indistinguishable from vitamin B12 deficiency of any cause. Avoid hemolysis: red blood cells broken down and components spilled into serum. CDC, Division of Bacterial and Mycotic Diseases, Disease Information [On-line information]. Fecal culture. Quest Diagnostics has headquarters in the U.S. and operations in India, Ireland, and Mexico. (2014 May 15 Updated). Available online athttp://www.nlm.nih.gov/medlineplus/ency/article/000224.htm. Available online athttp://www.cdc.gov/ncidod/dbmd/diseaseinfo/escherichiacoli_t.htm. Postprandial glucose may be performed two hours after a meal for a timed test that is helpful in diabetes detection. Serum or plasma may be cloudy due to bacterial contamination or chronic or transient high lipid levels in the patient's blood. Accessed May 2011. Since information related to any of these areas may change as clinical laboratory technology changes, please refer to the . (Press Enter or Space to Go to Landing Page or Press Down to expand Menu). Locate Me OR Reason for your visit Radius Tap the tube gently at a point just below the top to release any additive adhering to the tube or top. Preparing the Specimen. Do not collect a specimen from or through a hematoma. You may develop a short-term immunity against the particular strain of pathogenic bacteria that caused your infection, but there are many other types and strains of pathogenic bacteria that can make you ill if you are exposed to them. Also, use of a blood pressure cuff, in lieu of a tourniquet, will reduce trauma to fragile red blood cells. If the stool is not fresh, or in a preservative, the proportion of the different kinds of bacteria in the stool can change, no longer representing the proportions present in the gastrointestinal tract. Results of stool cultures that are reported as negative usually reflect the fact that the stool culture was checked for the most common pathogens at several intervals and none were found (not isolated). CDC: Yersinia enterocolitica
Carefully tighten specimen container lids to avoid leakage and/or potential contamination of specimens. 2022 Laboratory Corporation of America Holdings. If it is not possible to avoid placing the specimen lockbox in direct sunlight, add 20F to the temperatures listed above to determine how many frozen gel packs to use. Has prolonged signs and symptoms and/or infections that do not resolve without treatment. Available online at http://www.nebraskamed.com/app_files/pdf/careers/education-programs/asp/gi-panel-guidance-12-3-14.pdf. Avoid hemolysis or red blood cell breakdown. Accessed on 02/08/16. They should be frozen solid prior to being placed in the lockbox, and they should be frozen solid before each use, even though they may be used with specimens that are not frozen. Food that might be contaminated, such as raw meats and eggs, should be cooked thoroughly. Available online at http://www.cmecorner.com/macmcm/ons/ons2002_05.htm. In all settings in which specimens are collected and prepared for testing, laboratory and health care personnel should follow current recommended sterile techniques, including precautions regarding the use of needles and other sterile equipment. They also cause an increase in total serum thyroxine-binding globulin. In otherwise healthy individuals, the infections are considered common illnesses that are not serious and sometimes thought of as "food poisoning" or
Drug interference of notable clinical significance has been well-documented in the following instances. Carefully tighten specimen container lids to avoid leakage of specimen. Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Browse Health Resources Toggle Browse Health Resources, Labcorp OnDemand Testing Toggle Labcorp OnDemand Testing, Find Clinical Trials Toggle Find Clinical Trials, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules. National Digestive Diseases Information Clearinghouse [On-line information]. Campylobacter
One of the most common problems in specimen collection is the submission of an insufficient volume of specimen for testing. (See Figure 1.) Examples of acceptable identifiers include (but are not limited to): patient's name (patient's first and last name exactly as they appear on the test request form), date of birth, hospital number, test request form number, accession number, or unique random number. It is critical, especially for any specimen collection tube containing an additive, to allow the tube to fill to the "fill line" marked on the tube. There are four steps involved in obtaining a good quality specimen for testing: (1) preparation of the patient, (2) collection of the specimen, (3) processing the specimen, and (4) storing and/or transporting the specimen. (2014 January 16 Updated). E. Coli Infection. For all those who are involved in specimen collection and preparation, the responsibility to adhere to current recommendations designed to maintain the safety of both patients and health care workers does not end when the patient is dismissed. AAFP, familydoctor.org, Handout [On-line information]. Some of the most common pathogenic bacteria that cause infections in the U.S. and their most frequently encountered sources include: A wide variety of other bacteria may sometimes cause GI infections and may be identified with a stool culture. Walk-ins are also welcome. People with healthy immune systems will usually get better on their own within a week or so. If the patient cannot be taken off the medication in question, its presence should be noted on the test request form. Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Turbid serum or plasma appears cloudy or milky. 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