GC Culture
PATIENT INFO |
Patient Name: |
Medical Record #: |
BD: / / Sex: F M |
PHYSICIAN INFO |
Physician Name : |
Address: |
Ph: ( ) - Fax: ( ) - |
Additional Report to: |
Ph: ( ) - Fax: ( ) - |
TESTS REQUESTED | |
Test Name: | ICD9 Code: (required) |
1. GC Culture | |
2. | |
3. | |
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SPECIMEN INFO |
Collection Date & Time: |
Collected By: |
Hospital: |
1. Clean the skin around the eye with sterile saline or water on sterile gauze.
2. Pass the mini-tip Eswab over the lower conjunctiva. Avoid the eyelashes and the eyelid margin.
3. Break off swab at the red score line into the transport tube containing 1.0mL liquid media.
Throat Swabs:
NOTE: Do not obtain throat cultures if the epiglottis is inflamed. Sampling may cause serious respiratory obstruction.
1. Collect using a standard tip Eswab
2. Depress tongue gently with tongue depressor.
3. Visualize throat area for obvious purulent areas. Swab between the tonsillar pillars and behind the uvula. Avoid touching the cheeks, tongue, uvula or lips.
4. Swab back and forth across the posterior pharynx, tonsillar area and any inflamed or ulcerated areas to obtain sample.
5. Break off swab at the red score line into the transport tube containing 1.0mL liquid media.
Vaginal Swabs:
1. Collect using a standard tip or mini-tip Eswab
2. Separate the labia and swab high inside vaginal canal.
3. Break off swab at the red score line into the transport tube containing 1.0mL liquid media.
Urethral swabs:
1. Collect using a mini-tip Eswab. Insert into the urethra.
2. Rotate for 3-5 seconds.
3. Break off swab at the red score line into the transport tube containing 1.0mL liquid media.
Rectal Swabs:
1. Collect using a standard tip or mini-tip Eswab
2. Pass the tip of the swab beyond the anal sphincter, anywhere from 1cm in infants to 4cm in larger adolescents.
3. Rotate the swab to sample the anal crypts for 30 seconds.
4. Break the swab at the score line into the transport tube containing 1.0mL liquid media.