CP-CRO surveillance

Alphabetical Test listing

CP-CRO surveillance-15068

  
CP-CRO surveillance
  
15068
  
LAB15068
  
CRO
  
Carbapenemase-producing organisms
CPO
Carbapenem-resistant organism
CRO
CARBAR
Carba-R
  
Detection of KPC, NDM, VIM, OXA-48, and IMP gene sequences.
  

Detection of carbapenem resistant organisms (CROs) in human rectal swab specimens.

  

Mutations or polymorphisms in primer or probe binding regions may affect detection of current, new or unknown KPC, NDM, VIM, OXA-48, and IMP variants, resulting in a false negative result.

As the detection of KPC, NDM, VIM, OXA-48, and IMP gene sequences is dependent on the number of organisms present in the sample, reliable results are dependent on proper sample handling and storage.

 

This order is for Allina Health only.  Non-Allina sites need to contact MDH directly.

  
Copan Dual Swab
  

Copan Transystem™ Sterile Transport Swab

  
  1. Open the outer packaging of Copan Transystem™ Sterile Transport Swab on the end that says “PEEL HERE” (the opposite end from the cotton tips).
  2. Pull the dual swab from the plastic packaging, being careful not to touch the cotton tips.
  3. Carefully insert both swab tips approximately 1 cm beyond the anal sphincter and gently rotate against the walls of the rectum (3) three times

                      

   

Diapered infants: The cotton swab may be used to swab the stool present in the soiled diaper.

Patients with an ostomy: Use the cotton applicator to obtain specimen from the stoma site.

      4. Confirm swab is not overloaded or underloaded.                   

 

      5. Insert dual swab into tube and firmly close cap.

  

Ambient - 5 days

  
1 week
  
  • Specimen >5 days old.
  • Swabs other than Copan Dual Swab
  • Swabs heavily soiled with stool.

  
AHL – Microbiology: M
  
Daily
  
24 hours
  

Real-Time Polymerase Chain Reaction (RT-PCR)

  

IMP (Not Detected)

VIM (Not Detected)

NDM (Not Detected)

KPC (Not Detected)

OXA (Not Detected)

  
87798 x 5
  
OXA-48 (LOINC 85827-4)
IMP (LOINC 85498-4)
VIM (LOINC 85501-5)
KPC (LOINC 49617-4 )
NDM (LOINC 73982-1)
  
09/23/2022
  
08/08/2024
  
10/03/2023