ESBL/CPE

ESBL/CPE Culture

Test Name:   ESBL/CPE Surveillence Culture
Alternate Name (s):    
Laboratory Module:   Microbiology
Ordering Mnemonic:   ESBL- Extended Beta Lactamase Producer

Once ESB is selected as the source. A further description can be entered using the source dictionary. For instance:

Rectal

Ostomy

Sputum

Specimen Type:   

Swab of any area of the body that may be of concern.

Sputum

Collection Container:   Amies Transport Media or Sterile Container
Container Information
Amies Transport MediaAmies Transport Media
Collection Information:   The nurse or physician will take a swab of the area in question. The swab is then quickly transferred to the transport media.

Swab: Moisten the sterile swab in the transport media, Swab around the rectal area, Insert the swab into rectum enough to fecally stain the swab, Place swab into transport media tube and label with the lab-generated label containing patient information and marked rectal.

Sputum is collected into a sterile container.

The labeled specimen is then sent to the laboratory.

Test Schedule:  

Daily

Turnaround Time:   Routine

Preliminary: 24 hours

Final: 72 hours

Stat / Urgent

Preliminary: 24 hours

Final: 72 hours

Reference Interval:  

 

Critical Values:   As growth is detected and identified the information is made available to the health care provider.
Lab Process Notes :   If an ESBL or CPE is detected notify immediately the ward that the patient is on (if an in-patient), patient registration (so a flag may be created) and infection control.
Storage & Transport:   The swab should be maintained at room temperature until transport to the lab. Once in the lab the specimen will be stored at room temperature in the microbiology rack.

Urine should be transported to laboratory as soon as possible where it is to be stored in the refrigerator.

Test Referred to :    On site, BGH laboratory

                 

Updated: June 2013

 
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