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microbial diseases laboratory BranCH

Tes​​t​​ Name 

 ​​Enteric isolation – Fecal specimens with positive Culture-Independent Diagnostic Test (CIDT) results


​Eligible Submitters​​ Test is available to all pre-approved submitters within the state of California. Submissions from clinical laboratories should route through the corresponding county public health laboratories (PHL).​​

T​est M​​​e​th​​o​​d​​​olog​y​​
​Isolation, phenotypic or genotypic identification, subtyping.
Reflex Testing
Criteria

​Recovered bacterial isolates may be routed for molecular characterization using Whole Genome Sequencing (WGS) for public health surveillance and epidemiologic investigations (clinical reports are not issued). ​​

P​​​​​re-​A​pproval Required​

​Prior Approval required for submission of any CIDT positive fecal specimens. 

  • Yersinia species (including Y. enterocolitica)​
  • ​​Plesiomonas shigelloides 
  • Aeromonas species​
  • ​Campylobacter jejuni/coli
  • ​​Salmonella species

Supp​lem​ental Information and Required Form(s)​

​​​​Fecal specimens must be positive by a CIDT

Use MDL Lab Web Portal​ for ordering the test, under Test requested please select Test Requisition for 414.

​Select one of the following test:

  • Yersinia enterocolitica fecal culture 
  • Yersinia species (non-Y. pestis) fecal culture
  • Plesiomonas shigelloides fecal culture
  • Salmonella fecal culture
  • Other Enterobacterales fecal culture
  • ​Multiple agents’ fecal culture


​For submitters who do not have access to the MDL LWP; please contact ​MDL.Submissions@CDPH.ca.gov​ for additional information.​​​

Required Specimen Type(s)

​​​​Human source 

Feces in transport medium (preferably Cary-Blair

Mini​​​mum​​ Volume Required

​​​​Fecal specimen 0.5-1 gram-mL or fecal swab

Specimen Stability

 

​​​Fecal specimens with CIDT results should be submitted within 14 calendar days from date of collection.

​Rejection​ Criteria

 

  • ​​​Submissions with insufficient or conflicting labeling
  • Broken or leaking samples
  • Specimens sent without prior approval
  • ​​Fecal specimens received <2°​C
  • ​Fecal specimens received >8°​​C
  • Fecal specimen in an enrichment broth
  • No fecal material observed in transport medium
  • Frozen specimens
  • Using Buffered Glycerol Saline (BGS) for preservation of Campylobacter

Storage/Transport Conditions ​​​

​​Store specimen in transport medium refrigerated at 2-8°C
Transport Medium,​
if applicable

​Cary-Blair (Preferred)
Buffered Glycerol Saline is unsatisfactory for Campylobacter species.

Specim​en Labeling ​Testing subject to CLIA regulations. Minimum label requirements include a patient’s first and last name and one other identifier (e.g. preferably submitter sample ID, or patient medical record number, or patient date of birth) on the specimen container and test requisition.

Shipping Instructions and Specimen Handling Requirements

 

 

 

​Transport all clinical specimens refrigerated at 2-8°C​ using frozen gel packs ​
Frozen gel packs should not be in direct contact with specimen

Do not use wet or dry ice

Do not freeze specimen

The shipper is responsible for making sure that all samples and specimens are packaged and shipped according to current federal and state packaging and shipping regulations for Category A infectious substance and/or Category B diagnostic samples

Ship to:

California Depart​ment of Public Health​
Microbial Diseases Laboratory ​
ATTN:  Food and Water Diseases Section​
850 Marina Bay Parkway, Specimen Receiving Room B106
Richmond, CA  94804​

Specimen Collection Instructions, if applicable
Not applicable
Turnaround Time 14-30 days

Interfer​ences & Limitations ​Buffered Glycerol Saline is inhibitory to Campylobacter species     ​

Reference Range Not applicable

Additional Information None

MDL ​Point of Contact ​MDL - Foodborne & Waterborne Diseases Section (510) 412-3796
Monday–Friday 8 AM to 5 PM PT
Email: MDL.Submissions@CDPH.ca.gov


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