āTest āāāāāMāāāeāāthāoāāāādāāāologāyāā
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āāāCarbapenemase genotypic detection: PCR āābased assay (Xpert Carba-R)
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Reflex Teāsting
Criteria
ā
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āNot Applicable. āā
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āPre-Aāpproval
Requiredāā
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āāāYes, must be approved by CDPH Healthcare Associated Infections (HAI) Program and California Antimicrobial Resistance Laboratory (CARL) Program prior to submission. Please coordinate with
HAIProgram@cdph.ca.gov and
CARLProgram@cdph.ca.gov ā to ensure proper submission.
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āSuppālemental Information and Requiāāred Form(s)ā
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āāāPlease use MDL AST āAntimicrobial susceptibility testingā form for submission and select āCPO Colonization Screeningā on Page 2. Submittal form and instructions for using the MDL Lab Web Portal (LWP can be found are on our website at:
Barcode Submission form and submission instructions.
Detailed instructions for filling out and submitting the AST form can be found here:
AST instructionsā.
For more information on the CPO Swab test, please reference our test announcement āāCarbapenemase-Producing Organism (CPO) Colonization Testing.ā
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āRequired Specimen Type(s)
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āāāRectal swabs collected using Cepheid dual-swab collection device.
ā
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āMinimum Volume Required
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āNot Applicableā
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āSpecimen Stabilityā
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āSwabs in the transport tubes can be stored up to 5 days from collection at room temperature (15-28ā°C).āāā
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āRejection Criteriaāā
ā
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- āāSamples collected with unacceptable swab collection devices
- āāSamples that have not been preapproved for testing
- Samples with insufficient or conflicting labelling
- Leaking samples
- Specimens shipped or stored at other than room temperature
- Specimens received past 5 days from collection date
- āSpecimen/sample types not meeting acceptance criteria (see CPO colonization testing guide)ā
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Storage/Transport Conditions āāāā
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āāSwabs in the transport tubes can be stored up to 5 days from collection at room temperature (15-28ā°C).
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Transport Medium,āā
if applicableā
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āLiquid Stuart transport media included in Cepheid dual swab collection device.āāā
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āSpecimen Labeling
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- āāTwo identifiers, including patient full name, and at least one other identifier (specimen accession number preferred, date of birth, medical record number).
- Collection date and time
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āShipping Instructions and Specimen Handling Requirementsā
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āāShip at ambient temperature using appropriate DOT/IATA approved shipping procedures.
Shipping materials may be provided by CDPHās California Antimicrobial Resistance Laboratory (CARL) Program prior to submission. Please coordinate with CARLProgram@cdph.ca.gov to ensure proper submission.
Ship to: California Departāment of Public Healthā
Microbial Diseases Laboratory ā
ATTN: Bacterial Diseases Section
850 Marina Bay Parkway, Specimen Receiving Room B106
Richmond, CA 94804āā
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āSpecimen Collection Instructions, if applicable
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āāCollection instructions available from Cepheid (Rectal/Perirectal Swab PDFā)
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āTurnaround Time
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ā7 business days
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āInterferences & Limitationsā
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āāThis test is intended for infection control purposes. The PCR assay cannot differentiate between viable and non-viable cells present in the sample.
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āReference Range
ā
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āNot Applicable
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āAdditional
Information
ā
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āNone
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āMDL Point of Contactā
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āFor questions regarding submissions, please email CARLProgram@cdph.ca.govā or MDL.Submissions@cdph.ca.gov or call the MDL Bacterial Diseases Section at 510-412-3903 Monday ā Friday 8 AM to 5 PM PTā
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