Carbapenem Resistant Organism Colonization Screening by Culture

Alphabetical Test listing

Carbapenem Resistant Organism Colonization Screening by Culture-994

  
Carbapenem Resistant Organism Colonization Screening by Culture
  
994
  
LAB994
  
MSO
  
CPOCX CRAB culture
  
Swab of skin (axilla and groin) or Wound
  

eSwab Flocked

  

Axilla/Groin

  1. Open the eSwab™ package by grasping the plastic at the opposite end from the soft tip.
  2. Pull the swab from its package, being careful not to touch the soft tip. Firmly rub the soft end of the collection swab across the indicated site at least 3-5 times.

Single swab axilla and groin composite collection method:

  1. Rub both sides of the swab tip over the left axilla skin surface and then the right, targeting the crease in the skin where the arm meets the body (i.e., swab both armpits, swiping back and forth ~5 times per armpit).
  2. With the same swab used on each axilla, rub both sides of the swab tip over the left groin skin surface, targeting the inguinal crease in the skin where the leg meets the pelvic region and repeat with the right side (i.e., swab the skin of both hip creases swiping back and forth ~5 times per hip crease).
  3. Place the soft end of the collection swab into the tube. Be careful to keep the cap from touching any materials that may contaminate the sample.
  4. Snap off the end of the swab at the marked line by bending the plastic handle against the edge of the transport media container.
  5. Screw on the tube cap.

Wound

  1. Open the eSwab™ package by grasping the plastic at the opposite end from the soft tip.
  2. Pull the swab from its package, being careful not to touch the soft tip. Firmly rub the soft end of the collection swab across the indicated site at least 3-5 times.
  3. Specify source.
  
Rectal (Copan Dual Swab)
  

Copan Transystem™ Sterile Transport Swab

  

Rectal 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.

  

Prior approval from AR Lab Network Central Region Lab is required before collection of specimens. arlnmn@state.mn.us

  

Refrigerated - 5 days

Ambient (OK) - 5 days

Note: If rectal swabs will be tested for both CP-CRO and CRAB culture, Ambient is preferred.

  

  
MN Department of Health (MDH): R-NX
  
Varies
  
10 days
  

Culture

  
10/02/2023
  
08/08/2024
  
10/02/2023