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MRSA Culture, NICU
Test CodeLAB9076 1231100141
Alias/See Also
MRSA CX
MRSAC
NICU
MRSAC
NICU
Includes
CULTURE
Preferred Specimen
Nares
Instructions
Specimen source is required on request form for processing:

Acceptable Collection:
BD Liquid Amies Elution Swab (E-Swab); Copan Liquid Amies Elution Swab (ESwab); Cepheid nasal sample collection device (dual swab in liquid Stuart media); or Copan swab and transport systems (LQ Stuart or LQ Amies) (scored swabs only)

Collection Instructions:
1. Ask the patient to blow their nose prior to collection.
2. Use both swabs for both right and left nares.
Note: to avoid specimen contamination, do not touch swab tips to anything other than the inside of the nostril.
3. Insert the dry swabs 1-1.5 cm into the nostril. Swabs MUST stay attached to red cap. Do NOT insert swabs more than 1-1.5 cm.
4. Rotate the swab for 3 seconds against the nasal mucosa. Apply slight pressure on the outside of the nose with your finger to ensure good contact.
5. Repeat the process on the other nostril with the same swabs.
6. Remove and discard the cap on the transport tube then Insert the swabs back into the transport tube. The swabs should go all the way into the transport container. Tightly cap the container.
7. Label the transport container with patient label or label swab with patient’s name (first and last), Social Security number or date of birth (inpatients: medical record number), date and time of collection, collector’s initials, and type of specimen.
8. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.
Collection Protocol for Xpert assays:

Acceptable Collection:
BD Liquid Amies Elution Swab (E-Swab); Copan Liquid Amies Elution Swab (ESwab); Cepheid nasal sample collection device (dual swab in liquid Stuart media); or Copan swab and transport systems (LQ Stuart or LQ Amies) (scored swabs only)
Collection Instructions:
1. Ask the patient to blow their nose prior to collection.
2. Use both swabs for both right and left nares.
Note: to avoid specimen contamination, do not touch swab tips to anything other than the inside of the nostril.
3. Insert the dry swabs 1-1.5 cm into the nostril. Swabs MUST stay attached to red cap. Do NOT insert swabs more than 1-1.5 cm.
4. Rotate the swab for 3 seconds against the nasal mucosa. Apply slight pressure on the outside of the nose with your finger to ensure good contact.
5. Repeat the process on the other nostril with the same swabs.
6. Remove and discard the cap on the transport tube then Insert the swabs back into the transport tube. The swabs should go all the way into the transport container. Tightly cap the container.
7. Label the transport container with patient label or label swab with patient’s name (first and last), Social Security number or date of birth (inpatients: medical record number), date and time of collection, collector’s initials, and type of specimen.
8. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.
Collection Protocol for Xpert assays:
Specimen Rejection:
Unacceptable Source: Source other than Nares, Nasal
Unacceptable collection: Incorrect swab collection device, improperly labeled, unlabeled
Shipping/Handling instructions:
Ambient <24 hours. Refrigerated specimens at 2° to 8° C are stable for 24 hours up to 7 days.
Transport:
Ambient or 2° to 8° C
Transport Container
STERILE SWAB
Transport Temperature
Room Temperature
Performing Laboratory
MWH LAB

