Sexually Transmitted Infection Panel, Qualitative, PCR

Supply:

• U02 170551 90mL Sterile w/ Green Lid
• C01/C02 - Thinprep^® with broom, brush, or spatula
• S12 - E-swab, Routine, white cap

Preferred Specimen: Urine collected in sterile container; ThinPrep^® Pap collection device; Vaginal swab collected using Copan eSwab 

Urine Specimen Collection

A “dirty urine” catch, which incorporates the contents of the urethra as well as the “wash-off” of the labia and vaginal introitis, is desired. The patient should not have urinated for at least one hour prior to sample collection. First morning specimen is preferred. Do not use any wipes to cleanse the external genital surfaces before collecting the specimen.

ThinPrep Pap Solution Specimen Collection

Sample collection for the ThinPrep^® Pap Test may be performed with a spatula/brush combo OR a broom-like collection device.

• Spatula/Brush -
  • Insert spatula into the endocervical canal and rotate the contoured end of the spatula 360-degrees, one time. Then, insert brush and rotate in one direction, 1/4 to 1/2.
  • Rinse device(s) immediately into the vial.  For sanitary collection - fingers remain on the handle, not on the spatula or brush.
    • Swirl the spatula vigorously into the vial's solution, 10 times.
    • Rotate the brush while pushing against the vial wall 10 times and swirl vigorously.
  • DO NOT leave device in vial.
  • Tighten the vial cap until the black torque line passes the black line on the vial.
  • Label the vial with the patient's name and date collected
• Broom -
  • Insert broom into the endocervical canal and rotate clockwise, 360-degrees, 5 times.
  • Rince device immediately into vial.
    • For sanitary collection - fingers remain on the handle, not on the spatula or brush.
    • Push broom into bottom of vial forcefully 10 times and swirl vigorously.
  • DO NOT leave device in vial.
  • Tighten the vial cap until the black torque line passes the black line on the vial.
  • Label the vial with the patient's name and date collected 

Vaginal Specimen Collection

A vaginal swab is the appropriate specimen if a characteristic discharge is present. When ulcerations suggestive of Herpes are seen, careful attention should be given to swabbing the base of the ulceration as well as collecting any secretions that are present and representative of the patient’s symptoms.

• Remove the swab from the wrapper being careful not to contaminate the swab by touching it to any surface.
• Insert the tip of the specimen swab about two inches (5 cm) into the opening of the vagina.
• Gently rotate the swab for 15 to 30 seconds against the sides of the vagina to ensure adequate sampling.
• Withdraw the swab carefully. Handle the cap and tube carefully to avoid contamination.
• Without contaminating the swab, place the swab in the transport tube all the way to the bottom of the tube.
• Rotate the swab 5 times in the solution and carefully break the swab at the scored line on the shaft or you may discard the swab in a manner consistent with the practices set out by the physician’s office or clinic.
• Recap the transport tube carefully. Ensure the cap seals tightly.
• Label the transport tube with the patient's name and date collected 

Rejection Criteria: 

• Specimens exceeding stability
• Specimens received in transport media other than those listed as acceptable
• Unlabeled or improperly labeled specimens

Setup Time: 1st Shift, Monday - Saturday

Report available: 24 hours from time of receipt in laboratory (excludes specimens received on Sunday)

For additional supply or collection information, please contact DLO's Customer Service at (800) 891-2917, option 2.

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed.