Full Description
The face of infectious diseases has changed since the second edition of A Guide to Specimen Management in Clinical Microbiology was published in 1999. Despite improved surveillance and vaccinations, tens of millions of people visit physicians annually for a possible microbial or parasitic infection. Identifying the infectious agent in a patient remains a top priority, and proper identification begins with careful collection, appropriate packaging and transport, and responsible reporting of patient specimens.For these reasons, A Guide to Specimen Management in Clinical Microbiology is as essential as ever. The book is divided into four sections and features tips and words of wisdom that come directly from experts in the field.Communicating laboratory needs explains to all members of the healthcare team what role the clinical microbiology laboratory plays in patient care. It also emphasizes that microbiology specimens contain living organisms that require proper handling to remain viable.Specimen management policies and rationale provides a framework for creating a specimen management policy and a specimen collection and handling manual that, together, support good medicine and good laboratory practice.Specimen collection and processing contains detailed protocols for selecting, collecting, storing, and transporting adult and pediatric specimens to the clinical microbiology laboratory. This section can serve as a model for preparation of the specimen management manual.Specimen management summary tables are handy reference guides that provide answers to most questions regarding the laboratory needs for a wide variety of bacterial, viral, fungal, and parasitic organisms found in patient specimens.Because patient care is a team effort, all members of the health care teamaEURO"physicians, nurses, nurse practitioners, physician assistants, specimen collectors, and laboratoriansaEURO"will benefit greatly from reading this book.
Contents
PrefaceHow To Use This BookSECTION ICOMMUNICATING LABORATORY NEEDSBasic IssuesSelecting a Representative SpecimenRequisitionsSpecimen Packaging and TransportColor-Coded Vacuum TubesCatheters Often Used in Medical ProceduresSpecimen PrioritySpecimen Rejection CriteriaRejection Statements of Addenda to Laboratory ReportsSpecialty TestingEnvironmental SamplesHand Wash SpecimensLaboratory ReportsSECTION IISPECIMEN MANAGEMENT POLICIES AND RATIONALECollection TimesCollection ProceduresSpecimen TransportSpecimen Processing: GeneralSpecimen Processing: MolecularLower Respiratory Tract SpecimensUrine SpecimensWound SpecimensSpinal Fluid SpecimensThroat and Nasopharyngeal SpecimensVaginal and Endometrial SpecimensMiscellaneous SpecimensSECTION IIISPECIMEN COLLECTION AND PROCESSINGBody Fluid SpecimensAbdominal-Peritoneal Fluid (Paracentesis, Ascites)Blood SpecimensCerebrospinal FluidPleural-Thoracentesis FluidGastrointestinal SpecimensDuodenal ContentsGastric ContentsPinworm Eggs Collected by Adhesive Tape PreparationRectal and Anal Swab SpecimensSigmoidoscopy Specimens for AmebiasisStool or Feces for Culture or Parasitology StudiesStool Specimen Collection DirectionsGenital SpecimensGeneral InformationCervical or Endocervical SpecimensGenital Smears for HerpesUrethral and Penile SpecimensRespiratory SpecimensGeneral InformationBronchoscopy-Bronchial WashingNasal SpecimensNasopharyngeal SpecimensSputumTracheal AspirateTranstracheal AspirateThroat SpecimensUrine SpecimensGeneral InformationUrine from CathetersClean-Catch UrineCytoscopic Specimens: Bilateral Urethral CatheterizationSuprapubic Aspirate for Urine CulturesUrine Specimens: Bladder WashoutUrine Specimens: Ileal ConduitViruses, Chlamydiae, Rickettsiae, and FungiChlamydia CultureSpecimens for Mycoplasma and Ureaplasma spp.Fungal SpecimensRickettsial SpecimensViral SpecimensWound SpecimensGeneral InformationEar (Otitis Media) SpecimensEye SpecimensSkin and Contiguous Tissue SpecimensSECTION IVSPECIMEN MANAGEMENT SUMMARY TABLESBacteriology and Mycology Specimen Collection GuidelinesSpecimen Management for Infrequently Encountered OrganismsSpecimen Guide for Virus IsolationVirology Specimen Collection GuidelinesParasitology: Anatomic Sites Containing Diagnostic StagesParasitology Specimen Collection GuidelinesReferencesIndex



