Pathology Handbook

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Recent changes for all departments


Please note: you are currently viewing ALL RECENT CHANGES

Click on the 'Laboratory Staff', 'Collection Staff' or 'Test Send Away' menu item, then the 'Recent Changes' menu item, if this is not correct


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 Recent changes for Allergen to Fish Mix

Recent changes for Allergen to Fish Mix
DateFieldChanged FromChanged To
18th January 2021
Alternative names

Fish Mix allergy

Fish Mix allergy, Allergen to Seafood Mix, Seafood Mix allergy


 Recent changes for Allergen to Formaldehyde

Recent changes for Allergen to Formaldehyde
DateFieldChanged FromChanged To
26th February 2021
Request Group

058

MPS


 Recent changes for Allergen to Shrimp

Recent changes for Allergen to Shrimp
DateFieldChanged FromChanged To
17th September 2020
Alternative names

shrimp allergen, shrimp allergy

shrimp allergen, shrimp allergy, prawn allergy, allergen to prawn


 Recent changes for Allergy to Cashew

Recent changes for Allergy to Cashew
DateFieldChanged FromChanged To
12th January 2021
Request Group

003

008


 Recent changes for Allergy to Lamb

Recent changes for Allergy to Lamb
DateFieldChanged FromChanged To
18th February 2021
Request Group

LAM

124


 Recent changes for Allergy to Pawpaw

Recent changes for Allergy to Pawpaw
DateFieldChanged FromChanged To
18th January 2021
Alternative names

Pawpaw allergen

Pawpaw allergen, Allergy to Papaya, Papaya allergen


 Recent changes for Aspergillus PCR (Sendaway Test)

Recent changes for Aspergillus PCR (Sendaway Test)
DateFieldChanged FromChanged To
23rd December 2020
Registration Instructions

Sputum specimens are not suitable for testing. Please consult microbiologist.


 Recent changes for BCR-ABL Transcription (Sendaway Test)

Recent changes for BCR-ABL Transcription (Sendaway Test)
DateFieldChanged FromChanged To
6th October 2020
Volume (Adults)

3 mL

4 mL

Preferred Container Type

EDTA 4 mL
See Under Collection Instructions

EDTA 10 mL
See Under Collection Instructions


 Recent changes for Brucella Antibody Screen (Sendaway Test)

Recent changes for Brucella Antibody Screen (Sendaway Test)
DateFieldChanged FromChanged To
8th September 2020
Request Group

BRU

BRS

External Laboratory

The Alfred Pathology Service (APS)

V.I.D.R.L.


 Recent changes for Catheter Tip Culture

Recent changes for Catheter Tip Culture
DateFieldChanged FromChanged To
17th November 2020
Alternative names

Intravenous catheter tip culture

Intravenous catheter tip culture, Permacath


 Recent changes for Chromogranin A (Sendaway Test)

Recent changes for Chromogranin A (Sendaway Test)
DateFieldChanged FromChanged To
13th January 2021
Collection & Request Instructions

Fast for > 8 hours pre procedure

Fast for > 8 hours pre procedure
Collect on Ice


 Recent changes for Chromosome Analysis (Sendaway Test)

Recent changes for Chromosome Analysis (Sendaway Test)
DateFieldChanged FromChanged To
25th January 2021
Registration Instructions

1 x EDTA & 1 x LH or Salivary Kit

  • Karyotype/Chromosomes/G-banded Karyotype = 1 x 6mL LH

 

  • Microarray/MA/Molecular Karyotype/Mol Karyotype = 1 x 4mL EDTA

  • Salivary Kit may be obtained from pathology.

1 x LH or Salivary Kit

  • Karyotype/Chromosomes/G-banded Karyotype = 1 x 6mL LH

  • Salivary Kit may be obtained from pathology.

25th January 2021
Preferred Container Type

EDTA 4 mL
Salivary Kit

EDTA 4 mL
Salivary Kit
Lithium Heparin (without Gel)


 Recent changes for Clozapine

Recent changes for Clozapine
DateFieldChanged FromChanged To
6th January 2021
Registration Instructions

Testing performed on Wednesdays and or Fridays at the Alfred.

Collection & Request Instructions

Testing performed on Wednesdays and or Fridays.

Frequency

Weekly

Twice weekly

6th January 2021
Collection & Request Instructions

Testing performed on Wednesdays and or Fridays.

External Transport Instructions

Testing performed on Wednesdays and or Fridays.

6th January 2021
External Transport Instructions

Testing performed on Wednesdays and or Fridays.


 Recent changes for CMV Viral Load (Sendaway Test)

Recent changes for CMV Viral Load (Sendaway Test)
DateFieldChanged FromChanged To
17th November 2020
Request Group

CML

CVA

Collection & Request Instructions

A separate unopened EDTA blood tube is required.

Collect in the morning to allow for the lengthy preparation that must occur on the same day. Specimen must be less than 24 hours old.

A maximum of  1 CMV viral load test per sample type will be performed on any patient in a one week period.

Requests for urgent or more frequent testing must be approved by the Microbiology Unit Head.

A separate unopened EDTA blood tube is required.

Collect in the morning to allow for the lengthy preparation that must occur on the same day. Specimen must be less than 24 hours old.

A maximum of  1 CMV viral load test per sample type will be performed on any patient in a one week period.

Testing  performed on Roche Ampliprep/ Taqman – LoD 137 IU/ml.

Requests for urgent or more frequent testing must be approved by the Microbiology Unit Head.

External Laboratory

V.I.D.R.L.

The Alfred Pathology Service (APS)


 Recent changes for Cold Agglutinins

Recent changes for Cold Agglutinins
DateFieldChanged FromChanged To
21st December 2020
Registration Instructions

Register as CAG.

Samples MUST be received at 37oC for processing.

Register as CAT.

Samples MUST be received at 37oC for processing.

21st December 2020
Request Group

CAG

CAT


 Recent changes for Coronavirus serology

Recent changes for Coronavirus serology
DateFieldChanged FromChanged To
11th September 2020
Alternative names

Wuhan coronavirus serology, 2019-nCoV serology, novel coronavirus serology, covid19 serology.

Wuhan coronavirus serology, 2019-nCoV serology, novel coronavirus serology, COVID19 serology.

11th September 2020
Alternative names

Wuhan coronavirus serology, 2019-nCoV serology, novel coronavirus serology.

Wuhan coronavirus serology, 2019-nCoV serology, novel coronavirus serology, covid19 serology.


 Recent changes for Cryoglobulin (Sendaway Test)

Recent changes for Cryoglobulin (Sendaway Test)
DateFieldChanged FromChanged To
15th October 2020
Registration Instructions

Both EDTA and *Serum tube (RED TOP) required for collection.

*Non-gel serum tubes are acceptable

Both EDTA and *Serum tube (SST) required for collection.

*Non-gel serum tubes are acceptable

Preferred Container Type

Plain tube- serum (No Gel)
EDTA 10 mL

SST
EDTA 4 mL


 Recent changes for Cyclosporin (Sendaway Test)

Recent changes for Cyclosporin (Sendaway Test)
DateFieldChanged FromChanged To
21st September 2020
Alternative names

Neoral C2, Neoral, Cyclosporin A


 Recent changes for Cytology - Body Cavity Effusions/Fluids (Sendaway Test)

Recent changes for Cytology - Body Cavity Effusions/Fluids (Sendaway Test)
DateFieldChanged FromChanged To
26th November 2020
Alternative names

Ascitic Fluid for Cytology, Pleural Fluid for Cytology, Pleural Fluid for cell differential, Pericardial Fluid for Cytology, Peritoneal Fluid for Cytology

Ascitic Fluid for Cytology, Pleural Fluid for Cytology, Pericardial Fluid for Cytology, Peritoneal Fluid for Cytology

1st October 2020
Alternative names

Ascitic Fluid for Cytology, Pleural Fluid for Cytology, Pericardial Fluid for Cytology, Peritoneal Fluid for Cytology

Ascitic Fluid for Cytology, Pleural Fluid for Cytology, Pleural Fluid for cell differential, Pericardial Fluid for Cytology, Peritoneal Fluid for Cytology


 Recent changes for ESR

Recent changes for ESR
DateFieldChanged FromChanged To
9th December 2020
Registration Instructions

ESR testing will be restricted to a maximum frequency of once every three days.


 Recent changes for Factor V Leiden

Recent changes for Factor V Leiden
DateFieldChanged FromChanged To
15th December 2020
Assay name

Factor V Leiden (sendaway)

Factor V Leiden

Request Group

SMH

FVV

External Laboratory

Melbourne Health Shared Pathology Service

10th December 2020
Assay name

Factor V Leiden

Factor V Leiden (sendaway)

Request Group

FVV

SMH

External Laboratory

Melbourne Health Shared Pathology Service

9th December 2020
Assay name

Factor V Leiden (Sendaway Test)

Factor V Leiden

Request Group

SMH

FVV

Processing Instructions

Do Not Centrifuge
Store at 4'C

Do Not Centrifuge
Store at Room Temperature

External Laboratory

Melbourne Health Shared Pathology Service

External Transport Instructions

Send at 4'C with Ice Pack

Frequency

Monthly

Weekly


 Recent changes for Familial Mediterranean Fever (Sendaway Test)

Recent changes for Familial Mediterranean Fever (Sendaway Test)
DateFieldChanged FromChanged To
11th February 2021
Registration Instructions

Test costs $300 to perform and is not Medicare rebatable.

Test costs $300 to perform and is not Medicare rebatable. The attached patient consent form must be completed for testing to proceed.


 Recent changes for Fluid Cell Count and Culture

Recent changes for Fluid Cell Count and Culture
DateFieldChanged FromChanged To
4th December 2020
Registration Instructions

Code FC if blood culture bottles collected. Pleural fluid: if cell differential is requested code CYT.

During work hours please send to microbiology to be split for biochemistry, cytology and other further testing. 

Code FC if blood culture bottles collected.

During work hours please send to microbiology to be split for biochemistry, cytology and other further testing. 

1st October 2020
Alternative names

Ascitic fluid, Pleural fluid, PD fluid, body fluids

Ascitic fluid, Pleural fluid, PD fluid

Registration Instructions

Code FC if blood culture bottles collected. Pleural fluid: if cell differential is requested code CYT.

During work hours please send to microbiology to be split for biochemistry, cytology and other further testing. 


 Recent changes for Galactomannan (BAL) (Sendaway Test)

Recent changes for Galactomannan (BAL) (Sendaway Test)
DateFieldChanged FromChanged To
7th January 2021
Processing Instructions

Store at 4'C

Store at -20'C

External Transport Instructions

Send at ambient temperature

Send Frozen on Dry Ice


 Recent changes for Galactomannan Serology (Sendaway Test)

Recent changes for Galactomannan Serology (Sendaway Test)
DateFieldChanged FromChanged To
7th January 2021
Laboratory

Pathology Service

Microbiology

Request Group

SSA

AGA

Processing Instructions

Centrifuge
Store at 4'C

Centrifuge
Store at -20'C

External Laboratory

Sth Aust Pathology

V.I.D.R.L.

Frequency

Weekly


 Recent changes for Galactomannan Serum (Sendaway Test)

Recent changes for Galactomannan Serum (Sendaway Test)
DateFieldChanged FromChanged To
7th January 2021
Request Group

SSA

AGA

Processing Instructions

Centrifuge
Store at -20'C

External Laboratory

Sth Aust Pathology

V.I.D.R.L.

External Transport Instructions

Send at 4'C with Ice Pack

Send Frozen on Dry Ice


 Recent changes for Granulocyte Antibodies (Sendaway Test)

Recent changes for Granulocyte Antibodies (Sendaway Test)
DateFieldChanged FromChanged To
24th September 2020
Collection & Request Instructions

An additional paper request form is required for this test, obtainable from the Australian Red Cross Blood Service website at www.transfusion.com.au/transfusion_services.

An additional paper request form is required for this test, obtainable from the Australian Red Cross Blood Service website at

https://transfusion.com.au/node/2441

 


 Recent changes for Group B Strep Screen swab

Recent changes for Group B Strep Screen swab
DateFieldChanged FromChanged To
30th September 2020
Registration Instructions

If GBS and MCS requested GSC panel is only requirement

If GBS and MCS requested GSC panel is only required

30th September 2020
Registration Instructions

If GBS and MCS requested GSC panel is only requirement

18th September 2020
Volume (Adults)

Minimum/Paediatric Volume

Collection & Request Instructions

The site or origin of the swab is essential for interpretation of culture results. Weeks of gestation.

The site or origin of the swab is essential for interpretation of culture results. Please register weeks of gestation.


 Recent changes for Haemoglobin Electrophoresis (Sendaway Test)

Recent changes for Haemoglobin Electrophoresis (Sendaway Test)
DateFieldChanged FromChanged To
1st December 2020
Registration Instructions

Dedicated EDTA specimen required. Do not aliquot.

If the word gene or DNA is used in the request, this is for genetic test. Thalassaemia genetic test is performed in Monash, register as MON.

Dedicated EDTA specimen required. Do not aliquot. Second blood tube to be sent to the core laboratory.

If the word gene or DNA is used in the request, this is for genetic test. Thalassaemia genetic test is performed in Monash, register as MON.

Collection & Request Instructions

Two (2x) collection tubes required


 Recent changes for Helicobacter pylori culture

Recent changes for Helicobacter pylori culture
DateFieldChanged FromChanged To
17th September 2020
Assay name

Helicobacter pylori culture (Sendaway Test)

Helicobacter pylori culture

Request Group

MON

TIS

Collection & Request Instructions

Gastric biopsy required for this test.

Specimens are required to reach the Microbiology Laboratory at Monash Health (Southern Cross Pathology) within 3 - 6 hours of collection.  If this is not possible specimen may be frozen at -80oC. Send specimens directly to the Microbiology Laboratory at Monash Medical Centre NOT via Alfred Pathology Service.

Contact laboratory directly to discuss transport requirements.

 

Gastric biopsy required for this test. Send to Microbiology

Contact laboratory directly to discuss transport requirements.

 

External Laboratory

Monash Pathology

External Transport Instructions

Send at 4'C with Ice Pack

Frequency

Weekdays

Daily


 Recent changes for Hereditary Haemochromatosis Gene (Sendaway Test)

Recent changes for Hereditary Haemochromatosis Gene (Sendaway Test)
DateFieldChanged FromChanged To
22nd December 2020
Registration Instructions

Specimen should only be collected Monday through to Thursday.

Collection & Request Instructions

Specimen MUST be delivered to laboratory within <48 hours from collection (Mon - 3pm Fri, excluding public holidays).

Specimen should only be collected Monday through to Thursday. Specimen MUST be delivered to laboratory within <48 hours from collection (Mon - 3pm Fri, excluding public holidays).


 Recent changes for HLA for Coeliac Disease (Sendaway Test)

Recent changes for HLA for Coeliac Disease (Sendaway Test)
DateFieldChanged FromChanged To
24th September 2020
Collection & Request Instructions

Bucal swab for paediatric can also be collected.

An additional paper request form is required for this test, obtainable from the Australian Red Cross Blood Service website at http://resources.transfusion.com.au/cdm/ref/collection/p16691coll1/id/48

Bucal swab for paediatric can also be collected.

An additional paper request form is required for this test, obtainable from the Australian Red Cross Blood Service website at

https://transfusion.com.au/node/2441


 Recent changes for HLA B27 (Sendaway Test)

Recent changes for HLA B27 (Sendaway Test)
DateFieldChanged FromChanged To
24th September 2020
Collection & Request Instructions

By consultation with Haematologist.

An additional paper request form is preferred but not essential for this test, obtainable from the Australian Red Cross Blood Service website at http://resources.transfusion.com.au/cdm/ref/collection/p16691coll1/id/48

https://transfusion.com.au/node/2441

By consultation with Haematologist.

An additional paper request form is preferred but not essential for this test, obtainable from the Australian Red Cross Blood Service website at

https://transfusion.com.au/node/2441

24th September 2020
Collection & Request Instructions

By consultation with Haematologist.

An additional paper request form is preferred but not essential for this test, obtainable from the Australian Red Cross Blood Service website at http://resources.transfusion.com.au/cdm/ref/collection/p16691coll1/id/48

By consultation with Haematologist.

An additional paper request form is preferred but not essential for this test, obtainable from the Australian Red Cross Blood Service website at http://resources.transfusion.com.au/cdm/ref/collection/p16691coll1/id/48

https://transfusion.com.au/node/2441

24th September 2020
Collection & Request Instructions

By consultation with Haematologist.

An additional paper request form is required for this test, obtainable from the Australian Red Cross Blood Service website at http://resources.transfusion.com.au/cdm/ref/collection/p16691coll1/id/48

By consultation with Haematologist.

An additional paper request form is preferred but not essential for this test, obtainable from the Australian Red Cross Blood Service website at http://resources.transfusion.com.au/cdm/ref/collection/p16691coll1/id/48


 Recent changes for HLA B51 (Sendaway Test)

Recent changes for HLA B51 (Sendaway Test)
DateFieldChanged FromChanged To
24th September 2020
Collection & Request Instructions

An additional paper request form is required for this test, obtainable from the Australian Red Cross Blood Service website at http://resources.transfusion.com.au/cdm/ref/collection/p16691coll1/id/48

An additional paper request form is required for this test, obtainable from the Australian Red Cross Blood Service website at

https://transfusion.com.au/node/2441


 Recent changes for HLA B57 (Sendaway Test)

Recent changes for HLA B57 (Sendaway Test)
DateFieldChanged FromChanged To
24th September 2020
Collection & Request Instructions

An additional paper request form is required for this test, obtainable from the Australian Red Cross Blood Service website at http://resources.transfusion.com.au/cdm/ref/collection/p16691coll1/id/48

An additional paper request form is required for this test, obtainable from the Australian Red Cross Blood Service website at

https://transfusion.com.au/node/2441


 Recent changes for HUT test

Recent changes for HUT test
DateFieldChanged FromChanged To
18th September 2020
Preferred Container Type

See Under Collection Instructions

Hut Test


 Recent changes for Infliximab (Sendaway Test)

Recent changes for Infliximab (Sendaway Test)
DateFieldChanged FromChanged To
15th December 2020
Processing Instructions

Infliximab requests should come with a dedicated SST.  Spin and aliquot, store at 4o C prior to transportation.

Infliximab requests should come with a dedicated SST. 

15th December 2020
Processing Instructions

Infliximab requests whould come with a dedicated SST.  Spin and aliquot, store at 4o C prior to transportation.

Infliximab requests should come with a dedicated SST.  Spin and aliquot, store at 4o C prior to transportation.

15th December 2020
Request Group

LVP

IFX

Registration Instructions

It is essential that the request form required by Sydney South West Pathology Service is completed. Download the form via http://www.palms.com.au/clinical/Infliximab_Request_Frm.pdf .

Collection & Request Instructions

Please note, Infliximab levels require a dedicated SST tube - if the patient request includes any other serum tests, another SST will be required.

Processing Instructions

Infliximab requests whould come with a dedicated SST.  Spin and aliquot, store at 4o C prior to transportation.

External Laboratory

Sydney South West Path (SSWPS) - Liverpool

Dorevitch Pathology


 Recent changes for Leucocyte Immunophenotyping (Sendaway Test)

Recent changes for Leucocyte Immunophenotyping (Sendaway Test)
DateFieldChanged FromChanged To
8th September 2020
Optional Container Type

Lithium Heparin (with Gel)

Collection & Request Instructions

Dedicated EDTA tube. Flow Cytometric analysis of cells stained with a range of antibodies against lymphoid and myeloid markers. The panel of markers used will be appropriate to the clinical notes supplied or as arranged by prior consultation. Samples must be marked "Urgent", must reach the laboratory as soon as possible, and will not normally be accepted after 5pm Monday - Thursday, and on Fridays. All out-of hours testing requires notification to the on call Laboratory Haematologist (via switch) and the laboratory. An FBE must also be requested and collected (additional 3mL EDTA tube)) if Leucocyte Immunophenotyping is requested on peripheral blood.

Dedicated EDTA tube. Flow Cytometric analysis of cells stained with a range of antibodies against lymphoid and myeloid markers. The panel of markers used will be appropriate to the clinical notes supplied or as arranged by prior consultation. Samples must be marked "Urgent", must reach the laboratory as soon as possible, and will not normally be accepted after 5pm Monday - Thursday, and on Fridays. All out-of hours testing requires notification to the on call Laboratory Haematologist (via switch) and the laboratory. An FBE must also be requested and collected (additional 3mL EDTA tube)) if Leucocyte Immunophenotyping is requested on peripheral blood.

For lymphoma panel, lithium heparin tube can be used and is valid up to 48 hours.


 Recent changes for Methylene tetrahydrofolate reductase mutation (Sendaway Test)

Recent changes for Methylene tetrahydrofolate reductase mutation (Sendaway Test)
DateFieldChanged FromChanged To
19th February 2021
Collection & Request Instructions

Specimen MUST be delivered to laboratory within &lt;48 hours from collection (Mon - 3pm Fri, excluding public holidays). For identification of carriers of inherited venous thrombophilia. General population screening and routine screening before prescribing oral contraceptives or hormone replacement therapy are not recommended. test should only be requested by a practioner skilled in genetic counselling of thrombophilia. The significance of a polymorphism in an affected individual is uncertain. Test is Methyl Tetrahydrofolate Reductase C677T.

 

 Homozygous mutation may be associated with increased thrombotic risk.

Specimen MUST be delivered to laboratory within <48 hours from collection (Monday - Thursday, excluding public holidays). For identification of carriers of inherited venous thrombophilia. General population screening and routine screening before prescribing oral contraceptives or hormone replacement therapy are not recommended. test should only be requested by a practioner skilled in genetic counselling of thrombophilia. The significance of a polymorphism in an affected individual is uncertain. Test is Methyl Tetrahydrofolate Reductase C677T.

 

 Homozygous mutation may be associated with increased thrombotic risk.


 Recent changes for Mycobacterium tuberculosis PCR (Sendaway Test)

Recent changes for Mycobacterium tuberculosis PCR (Sendaway Test)
DateFieldChanged FromChanged To
18th September 2020
Alternative names

TBPCR

TB PCR


 Recent changes for Myositis Autoantibodies (Sendaway Test)

Recent changes for Myositis Autoantibodies (Sendaway Test)
DateFieldChanged FromChanged To
12th February 2021
Alternative names

Anti Myositis antibodies, Anti Mi-2, Mi-2 antibodies, Anti Ku, Ku antibodies, Anti Pm/Scl(75&100), Pm/Scl antibodies, Anti SRP, SRP antibodies, Anti PL7, PL7 antibodies, Anti EJ, EJ antibodies, Anti OJ, OJ antibodies, Anti Ro-52, R0-52 antibodies, TIF1Y(P155)

Anti Myositis antibodies, Anti Mi-2, Mi-2 antibodies, Anti Ku, Ku antibodies, Anti Pm/Scl(75&100), Pm/Scl antibodies, Anti SRP, SRP antibodies, Anti PL7, PL7 antibodies, Anti EJ, EJ antibodies, Anti OJ, OJ antibodies, Anti Ro-52, R0-52 antibodies, TIF1Y(P155), Anti synthetase


 Recent changes for Ova, cysts and parasites (Sendaway Test)

Recent changes for Ova, cysts and parasites (Sendaway Test)
DateFieldChanged FromChanged To
17th September 2020
Collection & Request Instructions

Investigations for ova, cysts and parasites are restricted to Outpatients and patients hospitalised for less than 4 days.

See separate entry for cryptosporidium or cyclospora stains. These tests must be requested separately.

Only one (1) faecal sample is required. It must be placed in the fixative contained in the faecal collection kit available from the laboratory.

Strongyloides culture

Pathologist approval is required for Strongyloides stercoralis culture. Phone the laboratory for special collection instructions. Specimens must be labelled URGENT and arrive in Microbiology within 1 hour of collection between 0800 and 1630. Do not refrigerate.

Duodenal aspirates must arrive in Microbiology within 1 hour of collection. Mark specimens URGENT. Do not refrigerate.

 

 

 Mark specimens URGENT.

Enterobius vermicularis (Pinworm)

The specimen should be obtained in the morning before showering or using the toilet. Take about 3 cm of transparent cellulose (sticky tape). With the sticky side outwards, press frimly against the perianal and perineal skin. Place the tape in a sealed specimen container. Eggs adhere to the cellulose tape and can be detected microscopically in the laboratory.

Investigations for ova, cysts and parasites are restricted to Outpatients and patients hospitalised for less than 4 days.

See separate entry for cryptosporidium or cyclospora stains. These tests must be requested separately.

Only one (1) faecal sample is required. It must be placed in the fixative contained in the faecal collection kit available from the laboratory.

Strongyloides culture

Pathologist approval is required for Strongyloides stercoralis culture. Phone the laboratory for special collection instructions. Specimens must be labelled URGENT and arrive in Microbiology within 1 hour of collection between 0800 and 1630. Do not refrigerate.

Duodenal aspirates must arrive in Microbiology within 1 hour of collection. Mark specimens URGENT. Do not refrigerate.

 

 

 Mark specimens URGENT.

Enterobius vermicularis (Pinworm)

The specimen should be obtained in the morning before showering or using the toilet. Take about 3 cm of transparent cellulose (sticky tape). With the sticky side outwards, press frimly against the perianal and perineal skin. Place the tape in a sealed specimen container. Eggs adhere to the cellulose tape and can be detected microscopically in the laboratory.


 Recent changes for PFA 100 (Sendaway Test)

Recent changes for PFA 100 (Sendaway Test)
DateFieldChanged FromChanged To
17th September 2020
Transport Instructions between sites and/or laboratories

___

17th September 2020
Collection & Request Instructions

A separate container is required for this test.

Transport Instructions between sites and/or laboratories

Send to lab immediately

17th September 2020
Request Group

RCH

TNA

Registration Instructions

Fee: Contact reference laboratory directly for up to date fee advice.

Collection & Request Instructions

Collection Requirements: Sodium Citrate Tube (** 3.8% tube required)

Collection only available at the Epping Collection Centre.  A booking is required.

Test not available. Refer patient to the Royal Children's Hospital (03) 9345 5904

 

Processing Instructions

Specimen must be sent to RCH a.s.a.p. Specific collection and specimen handling requirements. Sodium Citrate Tube (** 3.8% tube required)


 Recent changes for Plasma Amino Acids

Recent changes for Plasma Amino Acids
DateFieldChanged FromChanged To
14th October 2020
Alternative names

Amino Acids Plasma, serum amino acids


 Recent changes for Platelet and HLA Antibodies (Sendaway Test)

Recent changes for Platelet and HLA Antibodies (Sendaway Test)
DateFieldChanged FromChanged To
24th September 2020
Collection & Request Instructions

Test by consultation with Haematologist.

Both Serum and ACD blood tubes required to be collected.

The samples are to be kept at room temperature 

An additional paper request form is required for this test, obtainable from the Australian Red Cross Blood Service website at http://resources.transfusion.com.au/cdm/ref/collection/p16691coll1/id/48

Test by consultation with Haematologist.

Both Serum and ACD blood tubes required to be collected.

The samples are to be kept at room temperature 

An additional paper request form is required for this test, obtainable from the Australian Red Cross Blood Service website at

https://transfusion.com.au/node/2441


 Recent changes for Pleural Fluid for cell differential

Recent changes for Pleural Fluid for cell differential
DateFieldChanged FromChanged To
4th December 2020
Laboratory

Pre-Analytical

Microbiology

4th December 2020
Request Group

TNA

FLD

Registration Instructions

TNA - need to confirm whether cytology is required


 Recent changes for PNH Flow Cytometry (Sendaway Test)

Recent changes for PNH Flow Cytometry (Sendaway Test)
DateFieldChanged FromChanged To
22nd December 2020
Registration Instructions

Test may be performed up to 48 hours of collection. If the specimen is collected prior to a public holiday the specimen must be in the laboratory prior to midday.

Specimen should only be collected Monday through to Thursday. Test may be performed up to 48 hours of collection. If the specimen is collected prior to a public holiday the specimen must be in the laboratory prior to midday.

Collection & Request Instructions

Test may be performed up to 48 hours of collection.

Specimen should only be collected Monday through to Thursday.  Test may be performed up to 48 hours of collection.


 Recent changes for Prothrombin G20210A Mutation

Recent changes for Prothrombin G20210A Mutation
DateFieldChanged FromChanged To
15th December 2020
Assay name

Prothrombin G20210A Mutation (sendaway)

Prothrombin G20210A Mutation

Request Group

SMH

FVV

External Laboratory

Melbourne Health Shared Pathology Service

Notes

1-2 weeks to result.

10th December 2020
Assay name

Prothrombin G20210A Mutation

Prothrombin G20210A Mutation (sendaway)

Request Group

FVV

SMH

External Laboratory

Melbourne Health Shared Pathology Service

9th December 2020
Assay name

Prothrombin G20210A Mutation (Sendaway Test)

Prothrombin G20210A Mutation

Request Group

SMH

FVV

Processing Instructions

Do Not Centrifuge
Store at 4'C

Do Not Centrifuge
Store at Room Temperature

External Laboratory

Melbourne Health Shared Pathology Service

External Transport Instructions

Send at 4'C with Ice Pack

Frequency

Fortnightly

Weekly


 Recent changes for Pus Culture

Recent changes for Pus Culture
DateFieldChanged FromChanged To
18th September 2020
Alternative names

abscess fluid, haematoma, drain fluid, pus

Request Group

SUNDRY C

WSD

MBS rebatable

No

Yes

Preferred Container Type

Sterile Container

Sterile Container
Gel Swab

Collection & Request Instructions

Aspirate from collection, abscess or wound; biopsy of abscess wall. The specimen should be collected in a sterile container. It is also possible to send a capped syringe (needle must be removed).

Pus should always be aspirated, if possible, rather than collecting a wound swab.

Swabs from a draining wound or sinus are frequently contaminated with normal flora from skin, mucous membrane.

Pus should be transported immediately to the laboratory.

Biopsy of abscess wall or adjacent tissue may increase the yield, especially in chronic infection.

Aspirate from collection, abscess or wound; biopsy of abscess wall. The specimen should be collected in a sterile container. It is also possible to send a capped syringe (needle must be removed).

Pus should always be aspirated, if possible, rather than collecting a wound swab.

Swabs from a draining wound or sinus are frequently contaminated with normal flora from skin, mucous membrane.

Pus should be transported immediately to the laboratory.

Biopsy of abscess wall or adjacent tissue may increase the yield, especially in chronic infection.

Frequency

Daily


 Recent changes for Swab for culture - deep wound

Recent changes for Swab for culture - deep wound
DateFieldChanged FromChanged To
18th September 2020
Preferred Container Type

Amplicor Transport Medium Swab

Gel Swab


 Recent changes for Swab for culture - genital

Recent changes for Swab for culture - genital
DateFieldChanged FromChanged To
23rd November 2020
Alternative names

Genital culture, Gonorrhoea culture - genital, vaginal swab culture, penile swab culture, urethral swab culture, anal swab culture

Genital culture, Gonorrhoea culture - genital, vaginal swab culture, penile swab culture, urethral swab culture, anal swab culture, IUD, mirena

17th September 2020
Alternative names

Genital culture, Gonorrhoea culture - genital

Genital culture, Gonorrhoea culture - genital, vaginal swab culture, penile swab culture, urethral swab culture, anal swab culture


 Recent changes for Swab wound - Superfical

Recent changes for Swab wound - Superfical
DateFieldChanged FromChanged To
19th February 2021
Alternative names

Superficial wound swab, skin swab, PICC Lines, Catheter tips

Superficial wound swab, skin swab, PICC Lines, Catheter tips, Ulcer


 Recent changes for Syphilis PCR (Sendaway Test)

Recent changes for Syphilis PCR (Sendaway Test)
DateFieldChanged FromChanged To
9th December 2020
Alternative names

Treponemal PCR

Treponemal PCR, T. pallidum PCR


 Recent changes for Syphilis Serology

Recent changes for Syphilis Serology
DateFieldChanged FromChanged To
12th January 2021
Registration Instructions

Requests received on infants (<12 months) are to be registered as SYC and forwarded to VIDRL for testing.

9th December 2020
Alternative names

RPR, TPHA, Fluorescent Treponemal Antibodies (Serum), TPA, REAGIN, VDRL, Dementia screening, TPPA, FTA ABS

RPR, TPHA, Fluorescent Treponemal Antibodies (Serum), TPA, REAGIN, VDRL, Dementia screening, TPPA, FTA ABS, Treponema pallidum, T. pallidum


 Recent changes for Syphilis serology (Infants)

Recent changes for Syphilis serology (Infants)
DateFieldChanged FromChanged To
12th January 2021
Transport Instructions between sites and/or laboratories

Store at 4C


 Recent changes for Thalassaemia Gene Testing

Recent changes for Thalassaemia Gene Testing
DateFieldChanged FromChanged To
17th December 2020
Alternative names

Alpha Thalassaemia Gene testing/analysis, Beta Thalassaemia Gene Testing/analysis, Thalassaemia DNA studies, Alpha gene analysis, Haemoglobin (Hb) DNA analysis, Haemoglobin sequencing, Haemoglobinopathy DNA

Alpha Thalassaemia Gene testing/analysis, Beta Thalassaemia Gene Testing/analysis, Thalassaemia DNA studies, Alpha gene analysis, Haemoglobin (Hb) DNA analysis, Haemoglobin sequencing, Haemoglobinopathy DNA, Hb DNA


 Recent changes for Thiopurine Metabolites (Sendaway Test)

Recent changes for Thiopurine Metabolites (Sendaway Test)
DateFieldChanged FromChanged To
5th November 2020
Registration Instructions

Samples must be collected Mondays - Thursdays Only. Do not collect before a Friday or public holiday. The test costs $145 and the patient consent form below must be completed.

Patient Consent form

Samples must be collected Mondays - Thursdays Only. Do not collect before a Friday or public holiday. The test costs $145 and the below patient consent form must be completed.

Patient Consent form

5th November 2020
Collection & Request Instructions

Dedicated EDTA Tube required.

Dedicated EDTA Tube required.

Patient Consent form

5th November 2020
Registration Instructions

Samples must be collected Mondays - Thursdays Only. Do not collect before a Friday or public holiday. The test costs $145 and the attached patient consent form must be completed 

Samples must be collected Mondays - Thursdays Only. Do not collect before a Friday or public holiday. The test costs $145 and the attached patient consent form must be completed.
 

5th November 2020
Registration Instructions

Samples must be collected Mondays - Thursdays Only. Do not collect before a Friday or public holiday.

Samples must be collected Mondays - Thursdays Only. Do not collect before a Friday or public holiday. The test costs $145 and the attached patient consent form must be completed 


 Recent changes for Toxoplasma Serology

Recent changes for Toxoplasma Serology
DateFieldChanged FromChanged To
30th November 2020
Request Group

TXM

TOX

12th November 2020
Request Group

TOG, TOM

TXM


 Recent changes for Von Willebrand Factor Antigen

Recent changes for Von Willebrand Factor Antigen
DateFieldChanged FromChanged To
25th January 2021
Collection & Request Instructions

Retrospective testing within 6 hours
Two (2x) collection tubes required

Retrospective testing within 6 hours
Three (3x) collection tubes required


 Recent changes for Yersinia Serology

Recent changes for Yersinia Serology
DateFieldChanged FromChanged To
30th October 2020
Request Group

Test not available

MDU

MBS rebatable

No

No

Volume (Adults)

5.0 mL

Minimum/Paediatric Volume

5.0 mL

Registration Instructions

Test not available

Preferred Specimen Type

No specimen

Serum

Preferred Container Type

See Detailed Information

SST

Transport Instructions between sites and/or laboratories

See Detailed Information

Store at 4C

Processing Instructions

Centrifuge

External Laboratory

Microbiological Diagnostic Unit

Frequency

Fortnightly