| Specimen Submission Criteria (Acceptance / Rejection) |
Specimen Types
|
Virus
|
Transport and Submission
|
Influenza Surveillance
(Nasopharyngeal swabs, nasal swabs)
|
Influenza
|
Transport cold on ice packs within 72 hours of collection or freeze at - 70° C and ship on dry ice. Please refer to www.texasflu.org for additional specimen submission criteria.
|
Respiratory
|
RSV
|
Transport cold on ice packs within 48 hours of collection.
|
| Respiratory |
Adenovirus, Parainfluenza1,2,3,4 |
Transport cold on ice packs within 48 hours of collection. If specimens will not be received at the laboratory within 48 hours of collection, specimens should be frozen and shipped on dry ice.
|
| CSF, Swabs, Fecal Matter, Solid Tissue |
Enterovirus (Coxsackie B, Echovirus, Entero 71, Coxsackie A9) |
| Nasopharyngeal Swab, Throat Swab |
Measles (PCR) |
| Throat Swab, Buccal Swab (PCR) |
Mumps (PCR) |
| Respiratory, Urine |
Rubella (PCR) |
| Respiratory, Urine, Saliva, CSF, Swabs, Tissue |
CMV (Requires equal volume of 0.4M sucrose phosphate before freezing at - 70° C) |
| Swabs, Vesicular Fluid |
HSV 1,2 |
Swabs, Vesicular Fluid
|
Varicella Zoster
|
Transport cold on ice packs within 12 hours of collection. Specimens that will not be received within 12 hours of collection should be frozen and shipped on dry ice.
|
| |
| |
| Viral Specimen Selection Based on Clinical Symptoms |
Clinical symptoms
|
Common etiological agent
|
Clinical source of specimen for isolation or identification
|
Cardiac
(Pleurodynia,pericarditis, myocarditis)
|
Coxsackie B virus
|
Throat, nasopharyngeal (NP), stool or rectal swab
|
CNS
(Encephalitis, meningitis)
|
Enterovirus
Coxsackie A or B virus Echovirus Poliovirus
|
Stool, cerebrospinal fluid (CSF), throat
|
Mumps virus
|
Throat, CSF, urine
|
HSV
|
Brain biopsy, throat, CSF
|
Congenital and perinatal
|
CMV
|
Throat, urine
|
Enterovirus
|
Throat, stool or rectal swab
|
HSV
|
Throat, CSF, vesicular fluid
|
Rubella virus
|
Throat, CSF, urine
|
Conjunctivitis
(Keratoconjunctivitis)
|
Adenovirus
|
Conjunctival swabs or scrapings
|
HSV
|
Conjunctival swabs or scrapings
|
Cutaneous and mucocutaneous membrane lesions
Vesicular
|
Enterovirus
|
Vesicle fluid
|
HSV
|
Vesicular fluid or scrapings at base of lesion
|
Poxvirus
|
Vesicle fluid, please call (512) 458-7594
(888) 963-7111 ext. 7594 toll free
|
VZV
|
Vesicular fluid or scrapings at base of lesion
|
Clinical symptoms
|
Common etiological agent
|
Clinical source of specimen for isolation or identification
|
Cutaneous and mucocutaneous membrane lesions
Maculopapular
|
Enterovirus
|
Throat, stool or rectal swab
|
Measles virus
|
Throat, respiratory secretions, urine
|
Rubella virus
|
Throat, respiratory secretions, urine
|
Gastrointestinal infection
|
Calicivirus
|
Stool or rectal swab, PCR only
|
CMV
|
Rectal swab, colon biopsy
|
Rotavirus
|
Stool, please call (512) 458-7594
(888) 963-7111 ext. 7594 toll free
|
Genital lesions
|
HSV
|
Vesicle fluid or scraping from lesion, endocervix, exocervix, or vulva
|
Parotitis
|
Mumps virus
|
Saliva, throat, urine
|
Parainfluenza virus
|
Throat, NP
|
Respiratory
|
Adenovirus
|
Throat, NP
|
CMV
|
BAL, urine
|
Enterovirus
|
Throat, NP
|
HSV
|
Throat
|
Influenza virus
|
Throat, NP
|
Parainfluenza virus
|
Throat, NP
|
RSV
|
Throat, NP
|
Rhinovirus
|
Throat, NP
|
Undifferentiated febrile illness
|
CMV
|
Urine
|
Dengue virus
|
Serum, please call (512) 458-7594
(888) 963-7111 ext. 7594 toll free
|
Enterovirus
|
Throat, stool or rectal swab
|
Urinary tract infection
|
Adenovirus
|
Urine, stool or rectal swab, throat
|