Test ID: Legionella culture
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Legionella culture
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Selective culture for isolation of Legionella spp from lower respiratory tract specimens
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Useful For
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Detection of Legionella bacteria in suspected Legionnaire's disease
Isolation of the Legionella bacteria for epidemiological typing in patients with positive legionella antigen in urine
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Method name and description
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Selective culture on buffered charcoal yeast extract agar
Identification by matrix assisted laser desorption ionisation time of flight detection mass spectrometry (MALDI-TOF MS)
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Specimen type / Specimen volume / Specimen container
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Lower respiratory specimens such as broncheoalveolar lavage and sputum
Minimum 0.5 ml
In sterile container
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Collection instructions / Special Precautions / Timing of collection
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Collect in accordance with your organisations' policies and protocols
Avoid contamination with normal respiratory flora
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Relevant clinical information to be provided
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State if urinary legionella antigen test was positive
Any risk factors for Legionella infection
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Storage and transport instructions
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Transport to laboratory at room temperature within 2 hours
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Specimen Rejection Criteria
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Mislabelled or unlabelled specimen
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Biological reference intervals and clinical decision values
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Negative result:
Legionella not isolated.
Positive result:
Legionella isolated. Identification on MALDI-TOF will be reported.
Result will be phoned to physicians.
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Factors affecting test performance and result interpretation
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Specimen contaminated with normal respiratory flora
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Turnaround time / Days and times test performed / Specimen retention time
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Turnaround time: 12 days. Culture plates will be checked at regular intervals and if positive, a result will be issued on the same day. If negative, a final report will be issued at 12 days.
Days and times test performed: Daily 7am to 3pm
Specimen retention time: 48 hours after release of final report
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