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CARPHA Laboratory Procedure Manual Section: QSE 05 – Process Control Title: Laboratory User Manual Page 29 of 58 Effective date: 01.07.2013 Doc. No: GUL-Q05-001 Review date: 01.07.2014 Edition: 1 B.1.3 ASPIRATES PROCEDURE STEP ACTION 1 Nasopharyngeal secretions are aspirated through a catheter connected to a mucus trap and fitted to a vacuum source. 2 The nasal aspirates are collected by introducing a few ml of saline into the nose with a syringe fitted with a fine tubing or catheter. 3 The catheter is inserted into a nostril parallel to the palate. The vacuum is then applied and the catheter is slowly withdrawn with a rotation motion. 4 Mucus from the other nostril is collected with the same catheter in a similar manner. 5 After mucus has been collected from both nostrils, the catheter is flushed into a screw cap vial with 3 ml viral transport media 6 Label the vial with patient’s name type of specimen and date of collection B.2.0 LOWER RESPIRATORY TRACT SPECIMENS B.2.1 SPUTUM PROCEDURE STEP 1 ACTION Instruct patient to take a deep breath and cough up sputum directly into a wide mouth sterile container. Avoid saliva or postnasal discharge. Minimum volume should be about 1 ml 2 Label the specimen containers 3 Complete the laboratory request forms