Candida auris Colonization Screening

Laboratory Fee Schedule
Procedure Number: N/A

Synonym(s):	*Candidiasis, C. auris,* multidrug resistant yeast, Colonization screening, PCR, Culture**
Requisition Form	G-2E
Test Description	Detection of Candida auris from colonization screening swabs by real time PCR or culture
Pre-Approval Needed	Yes; permission to submit a specimen for screening is first required from a DSHS HAI Epidemiologist Email ICAR@dshs.texas.gov to schedule a screening Specimen collection swabs and shipping supplies may be ordered by emailing TexasARLN@dshs.texas.gov
Supplemental Information Required	N/A
Supplemental Form(s)	N/A
Performed on Specimens from (sources)	Human
Sample/Specimen Type for Testing	Axilla/Groin swab (Copan or BD E-Swab)
Minimum Volume/Size Required	One swab
Storage/Preservation Prior to Shipping	Shipping refrigerated swabs on (multiple) cold packs is encouraged to prevent transport conditions above ambient temperature. Swabs should be shipped to Laboratory within 24 hours of collection Only swabs within expiration date should be used
Transport Medium	N/A
Specimen Labeling	At least two patient identifiers required on specimen (e.g., patient full name, date of birth, medical record number). Three patient identifiers are preferred. Patient identifiers on specimen label must exactly match identifiers in submission form. Additional DSHS Laboratory specimen labeling guidelines available online here.
Shipping and Specimen Handling Requirements	Ship refrigerated at 2–8°C on cold packs for overnight delivery to Laboratory. Ship according to Dangerous Goods Regulations, IATA, and/or CFR 49. Category B Biological Substance, UN3373 shipping requirements apply. Submitters are responsible for packaging and shipping specimens according to regulatory requirements. Additional DSHS Laboratory specimen labeling guidelines online here.
Method	Identification of C. auris by real time PCR or conventional culture.
Turn-around Time	1 working day
Interferences/Limitations	These results should be used only for epidemiological purposes and not for patient treatment.
Common Causes for Rejection	Missing identifiers on specimen or submission form Mismatch(es) between patient identifiers on G-2E submission form and specimen label. More than 84 hours between time of swab collection and arrival at Laboratory Excessively soiled swabs. Specimen collected on expired E-Swab kit. Specimen collection guidance available here.
Additional Information	N/A