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Pathology User Guide Bedford Hospital Trust Page 69 of 85 TEST SAMPLE COMMENTS CAT SCRATCH FEVER (Bartonella) 5ml clotted blood – red and yellow top CMV IgG/M Screen 5ml clotted blood– red and yellow top. Citrated blood required for PCR Reference laboratory request – Please give full clinical details and risk factors. Please give date of onset and state whether patient is immunocompromi-sed. Infection usually only of clinical significance in immunocompromi-sed or pregnant patients. DENGUE FEVER, RICKETTSIA, HAEMORR-HAGIC FEVER, TYPHUS, WEST NILE VIRUS, SARS etc EBV DO NOT TAKE SAMPLE without contacting Consultant Microbiology CONTACT Consultant Microbiologist 5ml clotted blood – red and yellow top. Tested once per 10-14 days Enterovirus (including Coxsackie) 5ml clotted blood – red and yellow top. Suggest send sample for Monospot in the first instance. If negative and EBV remains a differential diagnosis send sample for EBV testing. Reference laboratory request – Please give full clinical details –only available if diagnosis is pericarditis. Sent to reference lab Cannot distinguish between current and past infection Immunity check. Once per week Transmission usually occurs enterically through: Person to Person contact Ingestion of contaminated food or water 1-2 days during working week. Confirmation from ref lab usually 1014 days Haemophilus, Pneumococal,Tetanus Antibodies Helicobacter pylori IgG 5ml clotted blood – red and yellow top HEPATITIS A IgG 5ml clotted blood with gel – red and yellow top HEPATITIS A IgM 5ml clotted blood – red and yellow top Version 1.0 Issued August 2011. TURN-AROUND TIMES 10-14 days 1-3 days 1-2 weeks 2 weeks 1-3 days Review August 2012
