pathology services handbook - St George's Healthcare NHS Trust

Section Title Page No.
6 MEDICAL MICROBIOLOGY 51
6.1 Consultants and senior staff 51
6.2 Clinical liaison 51
6.3 Laboratory working hours 51
6.4 CernerOrder Comms 51
6.5 Request forms 51
6.6 Sample labelling 52
6.7 Out-of-hours 52
6.8 Enquiries –-during working hours 52
6.9 Additional tests 52
6.10 Urgent requests 53
6.11 Reference laboratories 53
6.12 Reporting Results 53
6.12 Bacteriology 53
6.13.1 Blood cultures 53
6.1.2 Antibiotic and Anitfungal levels in blood 54
6.13.3 Cerebrospinal fluid 54
6.13.4 Meningococcal infection 55
6.13.5 Respiratory specimens 55
6.13.6 Urine 56
6.13.7 Faeces 57
6.13.8 Tissue and biopsies 57
6.13.9 Ophthalmology specimens 58
6.13.10 Pus, fluid and aspirates 58
6.13.11 Swabs (colour coded) 58
6.13.12 Infections of the female genital tract 59
6.13.13 CAPD peritonitis 59
6.13.14 MRSA Screening 60
6.13.15 Endoscopy Waters and Breast Milk 60
6.13.16 Bone marrow 60
6.13.17 Mycology 60
6.13.18 Prostatitis 60
6.13.19 HelicobacterPylori culture 60
6.13.20 Resistence sreen (other than MRSA) 61
6.13.21 Mycobacterial culture 61
6.13.22 Vascular catheter and other tips 61
6.13.23 Molecular request 61
6.13.24 Invasive medical procedures 61
6.13.25 Bordetella investigation 62
6.14 Bacterial and Viral Serology 62
6.14.1 Services provided 62
6.14.2 Serological tests done at St. George’s 63
6.14.3 Requests for serology for human immunodeficiency virus (HIV) 63
6.14.4 Emergency procedures 63
6.15 Virology 64
6.15.1 Rapid diagnosis 64
6.15.2 Specimen for virus culture/isolation 64
6.15.3 Pharyngeal washings/aspirate/swab 64
6.15.4 Cerebrospinal fluid 65
6.15.5 Faeces 65
6.15.6 Conjunctival specimens 66
6.15.7 Vesicular lesions of skin and mucous membranes 66
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