Specimen Requirements

Optimal times for specimen collection must be based upon both the type of infectious disease process and ability of laboratory to expertly process specimens. The Microbiology Laboratory is not as well staffed during evening and late night hours. Specimens collected late in the evening often do not produce adequate growth by next morning. STAT testing is available at all times for critical tests including blood cultures, body fluid Gram stains, etc.

Specimen must arrive within 2 hours of collection if not added to a collection vial.

Submit only 1 of the following specimens:

Preferred:

Feces

1. Lift toilet seat, and cover toilet bowl with a large sheet of plastic wrap. Make a depression in plastic wrap. With toilet seat lowered, pass stool specimen directly onto plastic wrap. Do not contaminate with urine. 

2. Place 1 g of diarrheal (liquid or loose) stool in a screw-capped, sterile container/stool cup.

3. Alternatively, collect stool specimen in a sterile, dry, wide-mouth container. Do not use toilet paper to collect specimen. Do not remove specimen from toilet water.
4. Specimen may also be collected in an ova and parasite (O&P) collection vial(s). Follow instructions accompanying the vial(s) for collection procedure.

5. Label container/stool cup/vial(s) with patient’s name, physician’s name, date and time collected, initials of collector, and specimen source.

6. Place container/stool cup/vial(s) in biohazard transport bag.

7. Maintain sterility and forward promptly.

Note:  1. Specimen source is required on request form for processing.

2. Contamination of stool specimen with urine or barium is not acceptable.

3. Maximum storage for fresh specimens is 2 hours at ambient temperature. Maximum storage for specimens in an O&P vial at ambient temperature is 2 months or until the expiration date on vial(s), whichever is earlier. Specimens will not be processed if transport/storage requirements are exceeded.

Alternate:

Swab

1. Insert a sterile swab approximately 1 inch (2.5 cm) beyond anal sphincter.

2. Gently rotate swab to sample anal crypts.

3. Collect 3 swabs (feces should be evident on swabs).

Note:  When using sterile swabs, follow instructions on swab packaging.

4. Label tube (not packaging) with patient’s name, physician’s name, date and time collected, initials of collector, and specimen source.

5. Place tube in biohazard transport bag.

6. Maintain sterility and forward promptly. Do not refrigerate.
Note:  1. Specimen source is required on request form for processing.

2. Contamination of stool specimen with urine or barium is not acceptable.

3. Maximum storage for fresh specimens is 2 hours at ambient temperature. Maximum storage for specimens in an O&P vial at ambient temperature is 2 months or until the expiration date on vial(s), whichever is earlier. Specimens will not be processed if transport/storage requirements are exceeded.