Client Service Manual
Contents
1. CLIENT SERVICE MANUAL DIAI HERIX Linking Diagnostics to Therapeutics Revised 06 24 15 p TABLE OF CONTENTS About Instructions DIFECIONI caricare tratte 2 Specimen Preparation Instructions 4 About DiatherikK eee eee eee eee 3 Packaging and Shipping Instructions 5 Test Catalog Diatherix Panel List cc cece eee ees 6 HPV High Risk Typing Panel 13 Diatherix Panel List continued 7 Infectious Disease Panel 13 Atypical Pneumonia Panel 8 Influenza Panel L eee 14 Bacterial Pneumonia Panel 8 Pediatric Respiratory Panel 14 Bacterial Vaginosis Panel 9 Pharyngitis Panel ccceceeeeeeeee 15 Bronchitis Panel see eaaa eee gU 9 Respiratory Infection Panel 15 Candidiasis Panel eee eee eee 9 Rhinosinusitis Panel 16 CT NG T vaginalis ses eese 10 Sexually Transmitted Disease Panel 16 Clostridium difficile toxin B gene 10 Staphylococcus Differentiation Panel 17 Ear Nose amp Throat Panel 11 Upper Respiratory Infection Panel 17 Gastrointestinal Panel 11 Urinary Tract Infection Panel2. 2 B 22 Use the ESwab Collection Kit white top tube Do not use the orange top Genital Health tube Remove the swab and transfer tube from the collection kit Do not contaminate Swab the lower vagina vaginal introitus followed by the rectum insert the swab through the anal sphincter using the same swab Move the swab from side to side or rotate the swab at the collection site allowing a few seconds for the organisms to be absorbed by the swab e Cervical specimens and speculum assisted collections are not recommended Without contaminating the swab place the swab in the white top transport tube all the way to the bottom You may either break the swab at the scored breakpoint indication line or rotate the swab 5 times in the solution and discard the swab Screw the top tightly on the transport tube 866 979 4242 www diatherix com SPECIMEN COLLECTION PROCEDURES URINE SPECIMEN FOR STD TESTING MALE OR FEMALE 1 Use the Genital Health Collection Kit orange top tube 2 Patient should not have urinated for at least one hour prior to sample collection First morning specimen is preferred 3 Specimens collected on female patients should be obtained without cleansing the external genitalia 4 Collect approximately 5 10 mL of the first catch urine into a preservative free specimen collection cup Please note that larger volumes will dilute the specimen and yield false negative results After collecting the desire
3. 21 Male Urethral Swab 24 Urine Specimen for STD Testing 23 DISCLAIMER The Diatherix Laboratories Sexually Transmitted Disease Panels are not recommended for evaluation of suspected sexual abuse or for other medico legal indications NOTE When collecting a urethral swab or a urine specimen from a male or female patient the patient should not have urinated for at least an hour before the specimen is collected The first morning urine specimen is preferred due to the large amount of cells usually present ThinPrep pap solution is stable for 30 days Because certain organisms are intracellular there must be enough human cells present to detect the organism Diatherix tests the specimen for human DNA to ensure that an adequate number of cells are present for a valid result 1 Methicillin resistant Staphylococcus aureus 16 866 979 4242 www diatherix com DIATHERIX TEST PANELS STAPHYLOCOCCUS DIFFERENTIATION PANEL This panel utilizes TEM PCR to detect molecular targets that identify MRSA Staphylococcus aureus PVL gene MRCoNS coagulase negative staphylococcus Staphylococcus epidermidis Collection Procedures General Swab wound etc 19 Nasal Swab eee seria 20 Synovial Fluid aee 21 Clean Catch Urine Specimen 22 Antibiotic Resistance Genes Aminoglycoside staphylococcus Cephalosporin staphylococcus Erythromycin Clindamycin Methicillin staphyloc
4. 2 to 4 cm into the urethra Gently rotate the swab for 2 to 3 seconds to ensure adequate sampling Withdraw the swab carefully Handle the cap and tube carefully to avoid contamination N OF UV BR UW Without contaminating the swab place the swab in the orange top transport tube all the way to the bottom Rotate the swab 5 times in the solution and discard the swab 00 Recap the transport tube carefully Ensure the cap seals tightly 9 Label the transport tube with the patient name and date collected using the adhesive label provided or place the barcode label from the requisition on the transport tube 1 A sampling of vaginal vault fluid may improve the detection of bacterial vaginosis pathogens 24 866 979 4242 www diatherix com COLLECTION RECOMMENDATIONS RESPIRATORY SPECIMEN COLLECTIONS Upper Respiratory Tract Otitis Media Rhinitis and Acute Sinusitis To avoid invasive techniques such as tympanocentesis and imaging guided percutaneous aspiration of sinus cavities properly collected nasopharyngeal swabs or aspirates are useful methods of collecting upper respiratory tract infections Proper positioning of the patient prone with head tilted to the posterior will allow the insertion of the collection device catheter for collection of NP washes or a flocked swab into the nasopharyngeal pool that accumulates the drainage of the eustation tube the sinus cavities and to a lesser extent the posterior phary
5. Antibiotic Resisiamoce Prninoghyooskdes nesistan Cephalosporin resistance Staphylococcal ErythromyeniChndarmyein resistance Methicslin resistance Siapitviococcali Tetracycline resistance Testing periere by TELLECR Target Erech Mupi Polymer Chan Remon Paler UG TAS an ET Linking Diagnostics to Therapeutics Courant POE Fe dca 30 866 979 4242 www diatherix com ORDER CODES FOR PANELS Order Code Diatherix Test Panel Atypical Pneumonia Panel G9 O o wW V Bacterial Pneumonia Panel V Bacterial Vaginosis Panel Bronchitis Panel CAND GNT CT 4 NG T vaginalis CDIF Clostridium difficile toxin B gene ENT Ear Nose amp Throat Panel Gastrointestinal Panel Candidiasis Panel Group B Streptococcus HSV Herpes Simplex Virus Panel Ad lt HPV Human Papillomavirus High Risk Typing Panel Infectious Disease Panel FLU Influenza Panel Pediatric Respiratory Panel Pharyngitis Panel Respiratory Infection Panel Rhinosinusitis Panel STD Sexually Transmitted Disease Panel GNTH CT NG T vaginalis Herpes Simplex Virus Panel STD 5 Staphylococcus Differentiation Panel Upper Respiratory Infection c a Urinary Tract Infection Panel lt J Viral Respiratory Panel BVPCAND STDCAND STDH STDHCAND STDMGN Bacterial Vaginosis Candidiasis Panel Sexually Transmitted Disease Candidiasis Panel Sexually Transmitted Disease Herpes Simplex Virus Panel Sexually Transmit
6. there must be enough human cells present to detect the organism Diatherix tests the specimen for human DNA to ensure that an adequate number of cells are present for a valid result ThinPrep pap solution is stable for 30 days HSV Panel can also be tested with the swab specimen or urine specimen collected with the Diatherix Genital Health Collection Kit to test along with the STD Panel 12 866 979 4242 www diatherix com DIATHERIX TEST PANELS HPV HIGH RISK TYPING PANEL This panel utilizes TEM PCR to detect molecular targets that identify HPV High Risk types 16 18 31 33 35 39 45 51 52 53 56 58 59 67 68 Collection Procedures Endocervical Swab 23 ThinPrep Pap Solution 21 Throat Swab 19 NOTE Urine specimens are not acceptable ThinPrep pap solution is stable for 30 days INFECTIOUS DISEASE PANEL This panel utilizes TEM PCR to detect molecular targets that identify Acinetobacter baumannii Serratia marcescens Antibiotic Resistance Genes Enterobacter aerogenes Streptococcus pyogenes Group A Aminoglycoside staphylococcus Enterobacter cloacae MRSA Cephalosporin staphylococcus Enterococcus faecalis Staphylococcus aureus Erythromycin Clindamycin Enterococcus faecium PVL gene Methicillin staphylococcus Escherichia coli MRCONS Tetracycline staphylococcus Klebsiella pneumoniae coagulase negative staphylococcus Vancomycin enterococcus Proteus mirabil
7. 18 Group B SITEDIOCOLCUS Ls rea o xe miren 12 Viral Respiratory Panel 18 Herpes Simplex Virus Panel 12 Collection Procedures General Swab ccc cece eee cence eens 19 Vaginal Rectal Swab 22 Nasopharyngeal eee eee eee eee 20 Urine Specimen for STD Testing 23 Nasal Sah ae aaa ga UN a tini n aa UI UE 20 Endocervical Swab 23 Fluid Specimen aaa eaaa eea eee 21 Vaginal Swab ved it hera songs ian 24 Sputum or Stool eee quA EET 21 Male Urethral Swab eee eee eee 24 Rectal SWAD or 21 Collection Recommendations 25 Clean Catch Urine Specimen 22 Supplies References Specimen Collection Reference 26 Sample Laboratory Report 30 Client Supplies 0 cece cece eee eee eee 27 Order Codes for Panels 31 Sample Supply Order Form 28 Client Notes eee eee UM ERR 32 Sample Test RequisitioN 29 866 979 4242 www diatherix com DIRECTORY Diatherix Laboratories Inc 601 Genome Way Suite 2100 Huntsville Alabama 35806 CLIA ID Number 01 D1085737 President Dennis Grimaud Sr VP of Operations Randy Ward M T ASCP VP of Operations amp Laboratory Director Donald R Stalons Ph D D ABMM MPH Medical Direct
8. edge of the nare 20 Rub the swab 5 times against the surface of the nare Insert the same swab into the second nostril and roll the swab 5 times against the surface of the nare e Sampling the inside portion of the alar rima is also useful in determining nasal carriage of S aureus Without contaminating the swab place the swab in the white top transport tube all the way to the bottom of the tube You may either break the swab at the scored breakpoint indication line or rotate the swab 5 times in the solution and discard the swab Screw the top tightly on the transport tube 866 979 4242 www diatherix com SPECIMEN COLLECTION PROCEDURES FLUID SPECIMEN Urine not STD Synovial Fluid Bronchial Aspirate or ThinPrep Pap Solution 1 Use the ESwab Collection Kit white top tube 2 Open the collection kit and discard the swab e Add approximately 2 ml of the specimen fluid to the 1 ml of fluid already in the tube Do not fill the tube to the top 3 Screw the top tightly on the transport tube ThinPrep Pap Solution ONLY Pour out all of the media solution in the Eswab tube Then add approximately 2 to 3 ml of the ThinPrep pap solution to the empty tube Do not fill the tube to the top SPUTUM OR STOOL 1 Use the ESwab Collection Kit white top tube 2 Remove the swab and transfer tube from the collection kit Do not contaminate 3 Both soutum and stool samples should be carefully examine
9. transfer tube with two identifiers Preferred identifiers are the patients first and last name and barcode label from the requisition This name and barcode must match the name and barcode on the requisition 4 Fill out all required fields on the requisition Writing must be legible 5 Package and ship the specimen and requisition according to instructions Page 5 Other examples of acceptable identifiers include date of birth hospital number social security number unique random number Each of the two identifiers must match on the tube and the requisition Requirements for Acceptance of Specimen Specimens must be appropriate for the test requested accompanied by a properly completed legible Diatherix Laboratory Request transported to the lab according to packaging and shipping instructions in a properly sealed biohazard specimen bag labeled with two identifiers preferably with the patients name and barcode label which matches the requisition intact in the proper container and not leaking in the appropriate specimen transport media within the specimen transport stability range of 5 days at ambient temperature measured from time of collection to the time of receipt for laboratory testing For ThinPrep pap solution the specimen transport stability range is 30 days Clients will be contacted as soon as possible if any issues need to be resolved Results are typically reported the same day our laboratory r
10. tube Screw the top tightly on the transport tube NP Swab Collection 1 2 Use the ESwab Collection Kit white top tube along with a nasopharyngeal flocked swab packaged separately Open the nasopharyngeal swab Ask the patient to attempt to cough twice if possible Then insert the nasopharyngeal swab through one nostril straight back along the floor of the nasal passage until reaching the posterior wall of the pharynx Rotate the swab for 5 to 10 seconds leave it in place for a few seconds and then Slowly withdraw Open the ESwab kit and remove the transport tube only Without contaminating the swab place the NP swab into the white top transport tube all the way to the bottom and rotate the swab 5 times in the solution Remove and discard the swab Screw the top tightly on the transport tube For a video demonstrating the NP Swab procedure click the Nasopharyngeal Swab Collection Video link at http www diatherix com videos html NASAL SWAB 1 2 Use the ESwab Collection Kit white top tube If the patient has nasal discharge ask the patient to attempt to clear the discharge by blowing his her nose into non scented tissue paper Donot clear the discharge with swabs as this might be excessively traumatic Assist children whenever necessary Remove the swab and transfer tube from the collection kit Do not contaminate 4 Carefully insert the swab into the patients nostril up to 1 inch from the
11. vaginalis Bacterial Vaginosis Atopobium vaginae Gardnerella vaginalis Mycoplasma genitalium Mycoplasma hominis Ureaplasma urealyticum Herpes Simplex Virus Herpes Simplex Virus type 1 Herpes Simplex Virus type 2 Candidiasis Candida albicans Candida glabrata Candida krusei Candida parapsilosis Candida tropicalis HPV High Risk Typing HPV High Risk types 16 18 31 33 35 39 45 51 52 53 56 58 59 67 68 Group B Streptococcus Infectious Disease Acinetobacter baumannii Enterobacter aerogenes Enterobacter cloacae Enterococcus faecalis Enterococcus faecium Escherichia coli Klebsiella pneumoniae Proteus mirabilis Pseudomonas aeruginosa Serratia marcescens Streptococcus pyogenes Group A MRSA Staphylococcus aureus PVL gene MRCONS coagulase negative staphylococcus Staphylococcus epidermidis Antibiotic resistance genes Vancomycin resistance Staph Differentiation MRSA Staphylococcus aureus PVL gene MRCOoNS coagulase negative staphylococcus Staphylococcus epidermidis Antibiotic resistance genes Urinary Tract Infection Enterobacter cloacae Enterococcus faecalis Escherichia coli Klebsiella pneumoniae Proteus mirabilis Pseudomonas aeruginosa C difficile Clostridium difficile toxin B gene Gastrointestinal Campylobacter jejuni Clostridium difficile toxin B gene Enterohemorrhagic E coli EHEC Shiga like toxin gene stx1 Shiga like toxin gene stx2 Entero
12. virus 1 2 3 4 Respiratory Syncytial Virus Rhinovirus Bordetella pertussis Chlamydophila pneumoniae Haemophilus influenza Haemophilus influenzae type B Moraxella catarrhalis Mycoplasma pneumoniae Neisseria meningitidis Streptococcus pneumoniae Streptococcus pyogenes Group A Pediatric Respiratory Adenovirus types 3 4 7 21 Enterovirus group Human bocavirus Human coronavirus 4 types Human metapneumovirus Influenza A Human influenza Influenza A H1N1 09 Influenza B Parainfluenza virus 1 2 3 4 Respiratory Syncytial Virus Rhinovirus Bordetella pertussis Chlamydophila pneumoniae Haemophilus influenza Haemophilus influenzae type B Moraxella catarrhalis Mycoplasma pneumoniae Neisseria meningitidis Streptococcus pneumoniae Streptococcus pyogenes Group A Pharyngitis Adenovirus types 3 4 7 21 Enterovirus group Human coronavirus 4 types Influenza A Human influenza Influenza A H1N1 09 Influenza B Parainfluenza virus 1 2 3 4 Respiratory Syncytial Virus Rhinovirus Chlamydophila pneumoniae Mycoplasma pneumoniae Streptococcus pyogenes Group A 866 979 4242 www diatherix com DIATHERIX PANEL LIST Sexually Transmitted Disease Atopobium vaginae Chlamydia trachomatis Gardnerella vaginalis Mycoplasma genitalium Mycoplasma hominis Neisseria gonorrhoeae Trichomonas vaginalis Ureaplasma urealyticum CT NG T vaginalis Chlamydia trachomatis Neisseria gonorrhoeae Trichomonas
13. 79 4242 www diatherix com DIATHERIX TEST PANELS EAR NOSE amp THROAT PANEL This panel utilizes TEM PCR to detect molecular targets that identify Acinetobacter baumannii Mycoplasma pneumoniae Chlamydophila pneumoniae Neisseria meningitidis Enterobacter aerogenes Proteus mirabilis Enterobacter cloacae Pseudomonas aeruginosa Haemophilus influenzae Serratia marcescens Haemophilus influenzae type B Staphylococcus aureus Klebsiella pneumoniae Streptococcus pneumoniae Moraxella catarrhalis Streptococcus pyogenes Group A MRSA PVL gene Collection Procedures Throat SWAObD eee 19 Ear SWA sasana a riavere aia 19 Nasopharyngeal Aspirate Wash 20 Nasopharyngeal Swab 20 GASTROINTESTINAL PANEL This panel utilizes TEM PCR to detect molecular targets that identify Campylobacter jejuni Clostridium difficile toxin B gene Enterohemorrhagic E coli EHEC Shiga like toxin gene stx7 Shiga like toxin gene stx2 Enteroinvasive E coli Shigella EIEC Enteropathogenic E coli EPEC Enterotoxigenic E coli ETEC Salmonella enterica Vibrio parahaemolyticus Collection Procedures Stool Specimen Swab 21 Rectal Swab 21 1 Methicillin resistant Staphylococcus aureus 2 Panton Valentine leukocidin PVL gene 866 979 4242 www diatherix com Antibiotic Resistance Genes Aminoglycoside staphylococcus Cephalosporin staphylococcus Erythromycin Clind
14. Methicillin staphylococcus Klebsiella pneumoniae Staphylococcus aureus Tetracycline staphylococcus Legionella pneumophila Streptococcus pneumoniae Moraxella catarrhalis Streptococcus pyogenes Group A Collection Procedures Bronchial Aspirate 21 Sputum Specimen Swab 21 Nasopharyngeal Aspirate Wash 20 Nasopharyngeal Swab 20 1 Methicillin resistant Staphylococcus aureus Panton Valentine leukocidin PVL gene 8 866 979 4242 www diatherix com DIATHERIX TEST PANELS BACTERIAL VAGINOSIS PANEL This panel utilizes TEM PCR to detect molecular targets that identify Atopobium vaginae Mycoplasma hominis Gardnerella vaginalis Ureaplasma urealyticum Mycoplasma genitalium Collection Procedure Vaginal Swab 24 BRONCHITIS PANEL This panel utilizes TEM PCR to detect molecular targets that identify Adenovirus types 3 4 7 21 Parainfluenza virus types 1 2 3 4 Haemophilus influenzae type B Human coronavirus 4 types Respiratory Syncytial Virus Klebsiella pneumoniae Human metapneumovirus Rhinovirus Moraxella catarrhalis Influenza A Human influenza Bordetella pertussis Mycoplasma pneumoniae Influenza A H1N1 09 Chlamydophila pneumoniae Pseudomonas aeruginosa Influenza B Haemophilus influenzae Streptococcus pneumoniae Collection Procedures Bronchial Aspirate 21 Sputum Specimen Swab 21 Nasopharyngeal Aspirate Wash 20 Nasopharyn
15. OLLECTION PROCEDURES VAGINAL SWAB 1 Use the Genital Health Collection Kit orange top tube N Open the Genital Health Collection Kit and discard the plastic disposable pipette Remove the sterile vaginal swab from the wrapper being careful not to contaminate the swab by touching it to any surface Insert the white 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 N OF Vv BR UW Without contaminating the swab place the swab into the orange top transport tube all the way to the bottom Carefully break the swab at the line on the shaft use care to avoid splashing of contents 00 Recap the transport tube carefully Ensure the cap seals tightly 9 Label the transport tube with the patient name and date collected using the adhesive label provided or place the barcode label from the requisition on the transport tube MALE URETHRAL SWAB 1 The patient should not have urinated for at least one hour prior to sample collection Open the Genital Health Collection Kit and discard the plastic disposable pipette Remove the sterile urethral swab from the wrapper being careful not to contaminate the swab by touching it to any surface N Insert the white tip of the specimen swab 34 to 1 inches
16. Prepaid Label and provide your address No other information will be needed If your package cannot be picked up it may be placed in a FedEx Drop Box A FedEx Drop Box can be located by calling FedEx or going to FedEx com Do not take this package to a FedEx Office location as they will not accept this type of shipment TIP For your records write the pickup confirmation number in the space provided on the confirmation label 866 979 4242 www diatherix com 5 DIATHERIX PANEL LIST Viral Respiratory Adenovirus types 3 4 7 21 Enterovirus group Human bocavirus Human coronavirus 4 types Human metapneumovirus Influenza A Human influenza Influenza A H1N1 09 Influenza B Parainfluenza virus 1 2 3 4 Respiratory Syncytial Virus Rhinovirus Bacterial Pheumonia Acinetobacter baumannii Bordetella pertussis Chlamydophila pneumoniae Haemophilus influenzae Haemophilus influenzae type B Klebsiella pneumoniae Legionella pneumophila MRSA PVL gene Moraxella catarrhalis Mycoplasma pneumoniae Neisseria meningitidis Pseudomonas aeruginosa Staphylococcus aureus Streptococcus pneumoniae Streptococcus pyogenes Group A Antibiotic resistance genes Atypical Pneumonia Bordetella pertussis Chlamydophila pneumoniae Legionella pneumophila Mycoplasma pneumoniae Influenza Influenza A Human influenza Influenza A H1N1 09 Influenza B Parainfluenza virus 1 2 3 4 1 Methicillin resistant Staphylo
17. amycin Methicillin staphylococcus Tetracycline staphylococcus Adenovirus types 40 41 Norovirus Rotavirus Cryptosporidium parvum Giardia lamblia DIATHERIX TEST PANELS GROUP B STREPTOCOCCUS This assay utilizes TEM PCR to detect molecular targets that identify Group B Streptococcus Streptococcus agalactiae Collection Procedure Vaginal Rectal Swab 22 NOTE It is strongly recommended by CDC that a vaginal rectal swab be collected for pregnant women Cervical specimens are not recommended and a speculum should not be used for swab collection The ESwab transport tube white top must be used Do not use the STD Genital Health Collection Kit orange top tube Antibiotic susceptibility testing is available on GBS by request Susceptibility testing can only be performed when the white top ESwab tube is used for transport Specimen stability for susceptibility is two days at ambient Temperature The GBS sample will be inoculated into a broth supplement overnight if negative on the first day it is tested It will then be tested again the second day after incubation This is a CDC recommendation HERPES SIMPLEX VIRUS PANEL This panel utilizes TEM PCR to detect molecular targets that identify Herpes Simplex Virus type 1 Herpes Simplex Virus type 2 Collection Procedures General swab eye lesion etc 19 ThinPrep Pap Solution 21 NOTE Because certain organisms are intracellular
18. atarrhalis Mycoplasma pneumoniae Neisseria meningitidis Streptococcus pneumoniae Streptococcus pyogenes Group A 866 979 4242 www diatherix com DIATHERIX TEST PANELS PHARYNGITIS PANEL This panel utilizes TEM PCR to detect molecular targets that identify Adenovirus types 3 4 7 21 Enterovirus group Human coronavirus 4 types Influenza A Human influenza Collection Procedures Throat Swab eee 19 Nasopharyngeal Aspirate Wash 20 Nasopharyngeal Swab 20 Influenza A H1N1 09 Influenza B Parainfluenza virus types 1 2 3 4 Respiratory Syncytial Virus RESPIRATORY INFECTION PANEL This panel utilizes TEM PCR to detect molecular targets that identify Adenovirus types 3 4 7 21 Enterovirus group Human bocavirus Human coronavirus 4 types Human metapneumovirus Influenza A Human influenza Influenza A H1N1 09 Influenza B Parainfluenza virus types 1 2 3 4 Respiratory Syncytial Virus Rhinovirus Acinetobacter baumannii Collection Procedures Nasopharyngeal Aspirate Wash 20 Nasopharyngeal Swab 20 Bronchial Aspirate 21 Sputum Specimen Swab 21 1 Methicillin resistant Staphylococcus aureus 2 Panton Valentine leukocidin PVL gene 866 979 4242 www diatherix com Bordetella pertussis Chlamydophila pneumoniae Haemophilus influenzae Haemophilus influenzae type B Klebsiella pneumoniae Legionella pneumophila Moraxella catarrhal
19. coccus aureus 2 Panton Valentine leukocidin PVL gene Respiratory Infection Adenovirus types 3 4 7 21 Enterovirus group Human bocavirus Human coronavirus 4 types Human metapneumovirus Influenza A Human influenza Influenza A H1N1 09 Influenza B Parainfluenza virus 1 2 3 4 Respiratory Syncytial Virus Rhinovirus Acinetobacter baumannii Bordetella pertussis Chlamydophila pneumoniae Haemophilus influenzae Haemophilus influenzae type B Klebsiella pneumoniae Legionella pneumophila MRSA PVL gene Moraxella catarrhalis Mycoplasma pneumoniae Neisseria meningitidis Pseudomonas aeruginosa Staphylococcus aureus Streptococcus pneumoniae Streptococcus pyogenes Group A Antibiotic resistance genes Ear Nose amp Throat Acinetobacter baumannii Chlamydophila pneumoniae Enterobacter aerogenes Enterobacter cloacae Haemophilus influenzae Haemophilus influenzae type B Klebsiella pneumoniae MRSA PVL gene Moraxella catarrhalis Mycoplasma pneumoniae Neisseria meningitidis Proteus mirabilis Pseudomonas aeruginosa Serratia marcescens Staphylococcus aureus Stenotrophomonas maltophilia Streptococcus pneumoniae Streptococcus pyogenes Group A Antibiotic resistance genes Upper Respiratory Infection Adenovirus types 3 4 7 21 Enterovirus group Human bocavirus Human coronavirus 4 types Human metapneumovirus Influenza A Human influenza Influenza A H1N1 09 Influenza B Parainfluenza
20. d amount of urine the specimen container can be removed from the stream so that the void can be completed 5 Open the Genital Health Collection Kit and discard the collection swabs 6 Transfer the urine 2 3 mL into an orange top transport tube using the plastic transfer pipette 7 Recap the transport tube carefully ensuring that the cap seals tightly 8 Label the transport tube with the patient name and date collected using the adhesive label provided or place the barcode label from the requisition on the transport tube ENDOCERVICAL SWAB 1 Use the Genital Health Collection Kit orange top tube 2 Open the collection kit and discard the plastic disposable pipette Remove the sterile endocervical swab from the wrapper being careful not to contaminate the swab 3 Insert the white tip of the specimen swab into the endocervix canal with minimal contact with the vaginal wall 4 Gently rotate the swab for 15 seconds to ensure adequate sampling 5 Withdraw the swab carefully avoiding unnecessary contact with the vaginal wall 6 Place the swab into the orange top transport tube rotate the swab 5 times in the solution and discard the swab 7 Recap the transport tube carefully ensuring that the cap seals tightly 8 Label the transport tube with the patient name and date collected using the adhesive label provided or place the barcode label from the requisition on the transport tube 866 979 4242 www diatherix com 23 SPECIMEN C
21. d to identify portions of the specimen e g blood and mucous flecks that often contain infectious pathogens These areas of the specimen should be carefully collected by placing the ESwab tip directly into the representative area identified 4 Without contaminating the swab place the swab in the Eswab transport tube all the way to the bottom of the tube You may either break the swab at the scored breakpoint indication line or rotate the swab 5 times in the solution and discard the swab 5 Screw the top tightly on the transport tube RECTAL SWAB GASTROINTESTINAL ILLNESS Use the ESwab Collection Kit white top tube Remove the swab and transfer tube from the collection kit Do not contaminate Insert the tip of the sterile flocked swab approximately 1 inch beyond the anal sphincter Carefully rotate the swab to sample the anal crypts then withdraw the swab Without contaminating the swab place the swab in the white top transport tube all the way to the bottom You may either break the swab at the scored breakpoint indication line or rotate the swab 5 times in the solution and discard the swab 6 Screw the top tightly on the transport tube U BP WN gt 866 979 4242 www diatherix com DI SPECIMEN COLLECTION PROCEDURES CLEAN CATCH URINE SPECIMEN NOT FOR STD TESTING 1 2 Instruct the patient with the instructions provided below Follow the Fluid Specimen Collection Procedure page 21 after obtainin
22. e or female patient the patient should not have urinated for at least an hour before the specimen is collected VIRAL RESPIRATORY PANEL This panel utilizes TEM PCR to detect molecular targets that identify Adenovirus types 3 4 7 21 Human metapneumovirus Parainfluenza virus types 1 2 3 4 Enterovirus group Influenza A Human influenza Respiratory Syncytial Virus Human bocavirus Influenza A H1N1 09 Rhinovirus Human coronavirus 4 types Influenza B Collection Procedures Nasopharyngeal Aspirate Wash 20 Nasopharyngeal Swab 20 Throat Swab esceraens veas vete smds 19 Bronchial Aspirate 21 Sputum Specimen Swab 21 18 866 979 4242 www diatherix com SPECIMEN COLLECTION PROCEDURES GENERAL SWAB Wound Abscess Syringe aspiration of purulent material from a loculated palpable lesion is preferred 1 The surface of the wound abscess should be carefully cleansed and debrided using sterile gauze and saline before attempting to aspirate the specimen 2 Aspirate the specimen and place 0 5 to 1 0 mL of the aspirate directly into an ESwab white top transfer tube and screw the top on tightly Open Draining Wounds and Decubitus Ulcers 1 Use the ESwab Collection Kit white top tube 2 Cleanse and debride the wound with sterile gauze and saline 3 Exudate and brushings of the wound base including advancing margins should be collected using the swab from an ESwab collect
23. eceives the specimen 4 866 979 4242 www diatherix com PACKAGING SHIPPING INSTRUCTIONS Specimens for all test panels should be shipped at ambient temperature Each biohazard bag must contain only one patient sample GD Place the labeled transport tube in the zippered pouch in the front of the biohazard bag with the absorbent pad Seal the bag e Fold and place the completed Diatherix Test Requisition in the flap pocket no zipper in the back of the biohazard transport bag Verify that the sample tube and the requisition are in the correct pouch e Requisition is located in the pouch on the back side of the bag Specimen sample is located in the front side in the zippered pouch Place the biohazard specimen bag s each containing only one sample in the Diatherix specimen shipping box More than one specimen bag may be shipped in the same box Ed Place the Diatherix specimen shipping box s into the FedEx UN 3373 Clinical Pak and seal it More than one box may be placed in the Clinical Pak oan e e Apply the barcoded shipping label to the FedEx UN 3373 Clinical Pak Detach and retain the top portion of the shipping label for your records Q Call 1 800 463 3339 1 800 GOFEDEX to schedule a pickup Listen to the automated system until after it states in a few words please describe what you are calling about Then press 0 for the next three prompts to be connected to an operator State that you have an Express
24. g the specimen Patient Instructions 1 2 5 Wash hands with soap and warm water Follow gender specific instructions e Females Spread the labia folds of skin apart with one hand and wipe with a towelette Wipe from front to back Repeat this process the second time with a fresh towelette e Males If uncircumcised retract the foreskin Follow gender specific instructions e Females Continue holding the labia apart As you start to urinate allow a small amount of urine to fall into the toilet bowl This clears the urethra of contaminants Do not touch the inside of the collection cup e Males Wipe the end of the penis with a towelette As you start to urinate allow a small amount of urine to fall into the toilet bowl This clears the urethra of contaminants Do not touch the inside of the collection cup After the urine stream is well established pass the collection cup into the urine stream and after the cup is 1 2 full remove the cup from the urine stream and finish urinating into the toilet bowl Screw the lid on the cup tightly do not touch inside of cup or lid Give the sealed cup to the nurse or attendant For a video demonstrating the clean catch urine procedure click the Clean Catch Urine Collection Video link at http www diatherix com videos html VAGINAL RECTAL SWAB PREGNANCY RELATED GBS COLONIZATION Vaginal Rectal swab is the specimen of choice for pregnancy related GBS colonization 1
25. geal Swab 20 CANDIDIASIS PANEL This panel utilizes TEM PCR to detect molecular targets that identify Candida albicans Candida parapsilosis Candida glabrata Candida tropicalis Candida krusei Collection Procedures Vaginal Swab eee 24 ThinPrep Pap Solution 21 Endocervical Swab 23 866 979 4242 www diatherix com DIATHERIX TEST PANELS CT NG 7 VAGINALIS PANEL This panel utilizes TEM PCR to detect molecular targets that identify Chlamydia trachomatis Neisseria gonorrhoeae Trichomonas vaginalis Collection Procedures Endocervical Swab 23 Vaginal Swab 24 ThinPrep Pap Solution 21 Male Urethral Swab 24 Urine Specimen for STD Testing 23 DISCLAIMER The Diatherix Laboratories Sexually Transmitted Disease Panels are not recommended for evaluation of suspected sexual abuse or for other medico legal indications NOTE Because certain organisms are intracellular there must be enough human cells present to detect the organism Diatherix tests the specimen for human DNA to ensure that an adequate number of cells are present for a valid result CLOSTRIDIUM DIFFICILE TOXIN B GENE This assay utilizes TEM PCR to detect a molecular target that identifies Clostridium difficile toxin B gene Collection Procedures Stool Specimen Swab 21 Rectal Swab 21 10 866 9
26. invasive E coli Shigella EIEC Enteropathogenic E coli EPEC Enterotoxigenic E coli ETEC Salmonella enterica Vibrio parahaemolyticus Adenovirus types 40 41 Norovirus Rotavirus Cryptosporidium parvum Giardia lamblia Antibiotic Resistance Genes Aminoglycoside staphylococcus Cephalosporin staphylococcus Erythromycin Clindamycin Methicillin staphylococcus Tetracycline staphylococcus 1 Methicillin resistant Staphylococcus aureus 2 Panton Valentine leukocidin PVL gene 3 coagulase negative staphylococcus methicillin resistant Group B Streptococcus Streptococcus agalactiae 866 979 4242 www diatherix com 7 DIATHERIX TEST PANELS ATYPICAL PNEUMONIA PANEL This panel utilizes TEM PCR to detect molecular targets that identify Bordetella pertussis Legionella pneumophila Chlamydophila pneumoniae Mycoplasma pneumoniae Collection Procedures Bronchial Aspirate 21 Sputum Specimen Swab 21 Nasopharyngeal Aspirate Wash 20 Nasopharyngeal Swab 20 BACTERIAL PNEUMONIA PANEL This panel utilizes TEM PCR to detect molecular targets that identify Acinetobacter baumannii MRSA Antibiotic Resistance Genes Bordetella pertussis PVL gene Aminoglycoside staphylococcus Chlamydophila pneumoniae Mycoplasma pneumoniae Cephalosporin staphylococcus Haemophilus influenzae Neisseria meningitidis Erythromycin Clindamycin Haemophilus influenzae type B Pseudomonas aeruginosa
27. ion Bag FedEx Clinical Pak FedEx Shipping Label Genital Health Collection Tube Orange Top Tube Genital Health Collection Bag Other Supplies QTY ITEM Patient Stool Collection Kit Preprinted Requisition Form 5 JU UU LL Patient Stool Collection Device Nasopharyngeal Swab See Client Service Manual for list of items in each kit at www diatherix com Client Service Manual html Click to email this order to supplies diatherix com SUBMIT i 866 979 4242 www diatherix com DIATHERIX 2015 Diatherix Laboratories Inc All rights reserved 011215 28 866 979 4242 www diatherix com SAMPLE TEST REQUISITION DIRECTIONS Complete each section following any instructions given to the right of the section header Note At least one checkbox must be selected in the Test Panel Selection section Certain panels may be combined on the same specimen provided the specimen is acceptable for each panel requested In the Billing Information section either attach a face sheet or complete the form with the applicable information am A a Diatherix Laboratories Inc AY DIATHERIX LABORATORY REQUEST 601 Genome Way Suite 2100 Huntsville AL 35806 v J Phone 866 979 4242 Fax 256 327 0984 CLIA ID 0101085737 SPECIMEN INFORMATION _ laetus HE Peel and apply the label along the length of specimen tube and print the patient s name on the tube Two identifiers are required Peel label M F Patie
28. ion kit 4 Without contaminating the swab place the swab into the white top transport tube all the way to the bottom You may either break the swab at the scored breakpoint indication line or rotate the swab 5 times in the solution and discard the swab 5 Screw the top tightly on the transport tube Throat Ear Eye and Dermal other than Wound Ulcer and Abscess 1 Use the ESwab Collection Kit white top tube 2 Open the ESwab Collection Kit and remove the swab and transfer tube being careful to prevent contamination 3 Rub the swab on the area to be tested Any infectious site can be swabbed with the ESwab for the appropriate panel 4 Without contaminating the swab place the swab into the white top transport tube all the way to the bottom You may either break the swab at the scored breakpoint indication line or rotate the swab 5 times in the solution and discard the swab 5 Screw the top tightly on the transport tube For general video instructions on using the Eswab Collection Kit click the Copan ESwab Training Video link at http www diatherix com videos html 866 979 4242 www diatherix com 19 SPECIMEN COLLECTION PROCEDURES NASOPHARYNGEAL NP NP Aspirate Wash Collection The diagnosis of otitis media sinusitis and infections of the upper respiratory tract in general is best achieved using a properly collected NP wash aspirate 1 2 Place the aspirate directly into an Eswab transport
29. is MRSA PVL gene Mycoplasma pneumoniae Neisseria meningitidis Pseudomonas aeruginosa Rhinovirus Chlamydophila pneumoniae Mycoplasma pneumoniae Streptococcus pyogenes Group A Staphylococcus aureus Streptococcus pneumoniae Streptococcus pyogenes Group A Antibiotic Resistance Genes Aminoglycoside staphylococcus Cephalosporin staphylococcus Erythromycin Clindamycin Methicillin staphylococcus Tetracycline staphylococcus DIATHERIX TEST PANELS RHINOSINUSITIS PANEL This panel utilizes TEM PCR to detect molecular targets that identify Adenovirus types 3 4 7 21 Parainfluenza virus types 1 2 3 4 MRSA Human coronavirus 4 types Respiratory Syncytial Virus Staphylococcus aureus Human metapneumovirus Rhinovirus Streptococcus pneumoniae Influenza A Human influenza Haemophilus influenzae Streptococcus pyogenes Group A Influenza A H1N1 09 Haemophilus influenzae type B Influenza B Moraxella catarrhalis Collection Procedures Nasopharyngeal Aspirate Wash 20 Nasopharyngeal Swab 20 SEXUALLY TRANSMITTED DISEASE PANEL This panel utilizes TEM PCR to detect molecular targets that identify Atopobium vaginae Mycoplasma genitalium Trichomonas vaginalis Chlamydia trachomatis Mycoplasma hominis Ureaplasma urealyticum Gardnerella vaginalis Neisseria gonorrhoeae Collection Procedures Endocervical Swab 23 Vaginal Swab 24 ThinPrep Pap Solution
30. is Staphylococcus epidermidis Pseudomonas aeruginosa Collection Procedures General Swab wound etc 19 Clean Catch Urine Specimen 22 Synovial Fluid 21 Methicillin resistant Staphylococcus aureus 2 Panton Valentine leukocidin PVL gene 3 coagulase negative staphylococcus methicillin resistant 866 979 4242 www diatherix com DIATHERIX TEST PANELS INFLUENZA PANEL This panel utilizes TEM PCR to detect molecular targets that identify Influenza A Human influenza Influenza A H1N1 09 Collection Procedures Nasopharyngeal Aspirate Wash 20 Nasopharyngeal Swab 20 Throat Swab eee ese 19 Bronchial Aspirate 21 Sputum Specimen Swab 21 Influenza B Parainfluenza virus types 1 2 3 4 PEDIATRIC RESPIRATORY PANEL This panel utilizes TEM PCR to detect molecular targets that identify Adenovirus types 3 4 7 21 Enterovirus group Human bocavirus Human coronavirus 4 types Human metapneumovirus Influenza A Human influenza Influenza A H1N1 09 Collection Procedures Nasopharyngeal Aspirate Wash 20 Nasopharyngeal Swab 20 Bronchial Aspirate 21 Sputum Specimen Swab 21 Influenza B Parainfluenza virus types 1 2 3 4 Respiratory Syncytial Virus Rhinovirus Bordetella pertussis Chlamydophila pneumoniae Haemophilus influenzae Haemophilus influenzae type B Moraxella c
31. nt a UL DOE First Name MI Last Name Gender mm dd yyyy am pm Specimen Source Date Collected i Time Collected mm dd yyyy Time Chief Complaint or Diagnosis Code s EEN E Optional Patient ID Client specimen ID Ethnic origin _ _ PROVIDER INFORMATION Ordering Provider First Name Last Name NPI Number Supervising Physician If Applicable First Name Last Name NPI Number TEST PANEL SELECTION Multiple panels may be selected for a specimen provided there is sufficient quantity and the specimen is appropriate for each panel _ Respiratory Infection Panel Atypical Pneumonia Panel Sexually Transmitted Disease Panel Bacterial Vaginosis Panel Upper Respiratory Infection Panel Bronchitis Panel CT NG 7 vaginalis Panel C Candidiasis Panel Pediatric Respiratory Panel Rhinosinusitis Panel Herpes Simplex Virus Panel Group B Streptococcus Pharyngitis Panel HPV High Risk Typing Panel L 1 yng i _ Infectious Disease Panel L 9 yping _ Urinary Tract Infection Panel L_ Viral Respiratory Panel _ Staphylococcus Differentiation Panel L STD 5 Panel Bacterial Pneumonia Panel STD HSV Panel L Ear Nose amp Throat Panel _ Clostridium difficile Toxin B Gene STD Candidiasis Panel L Influenza Panel Gastrointestinal Panel C Comment ___ _ ir BILLING INFORMATION After selecting bill class you may attach a face shee
32. nx Swabs should be left in contact with the NP pooled secretions to absorb as much diagnostic material as possible Lower Respiratory Tract Bronchitis and Pneumonitis The accurate diagnosis of lower respiratory tract infection is totally dependent upon the quality of the soecimen collected Several methods have been employed to screen soutum specimens and to improve the reliability of lower airway collections using bronchial washing or specimens obtained via bronchoscopy It suffices to say that lower respiratory secretions obtained via sputum collection bronchial alveolar lavage bronchoscopy or transtracheal aspiration that are optimized to reduce the likelihood of oropharyngeal contamination are preferred The diagnostic yield of soutum specimen collections can be improved by thoroughly rinsing the oropharyngeal cavity with water before instructing the patient a produce a deep cough specimen Many patients are unable to provide a proper sputum specimen and induction techniques with the assistance of respiratory therapists may be required Suctioning of lower airway secretions can also be considered Pharyngitis The sensitivity of any test used to rule out the presence of Group A Streptococcal Pharyngitis is dependent upon a properly collected swab obtained from the posterior pharynx and tonsils Although the majority of pharyngitis cases are viral in origin ruling out the presence of Group A Strep is essential Proper visualization of the
33. occus Tetracycline staphylococcus UPPER RESPIRATORY INFECTION PANEL This panel utilizes TEM PCR to detect molecular targets that identify Adenovirus types 3 4 7 21 Enterovirus group Human bocavirus Human coronavirus 4 types Human metapneumovirus Influenza A Human influenza Influenza A H1N1 09 Collection Procedures Nasopharyngeal Aspirate Wash 20 Nasopharyngeal Swab 20 Throat Swab tria 19 Bronchial Aspirate 21 Sputum Specimen Swab 21 1 Methicillin resistant Staphylococcus aureus 2 Panton Valentine leukocidin PVL gene 3 coagulase negative staphylococcus methicillin resistant Influenza B Parainfluenza virus types 1 2 3 4 Respiratory Syncytial Virus Rhinovirus Bordetella pertussis Chlamydophila pneumoniae Haemophilus influenzae Axillary and perineal areas are also useful in detecting MRSA colonization 866 979 4242 www diatherix com Haemophilus influenzae type B Moraxella catarrhalis Mycoplasma pneumoniae Neisseria meningitidis Streptococcus pneumoniae Streptococcus pyogenes Group A DIATHERIX TEST PANELS URINARY TRACT INFECTION PANEL This panel utilizes TEM PCR to detect molecular targets that identify Enterobacter cloacae Klebsiella pneumoniae Enterococcus faecalis Proteus mirabilis Escherichia coli Pseudomonas aeruginosa Collection Procedure Clean Catch Urine Specimen 22 NOTE When collecting a urine specimen from a mal
34. ods and real time PCR applications Improved speed and accuracy of laboratory results lead to e Improved patient outcomes Cost reduction and avoidance e Reduced antibiotic utilization Increased patient satisfaction e Greater clinical value Billing Billing for laboratory services has become complicated and unpredictable due to the increased number of plans with different co pays and deductibles Much like your business it is difficult to know in advance what a specific insurance plan will cover for a patient and therefore what may be the patient s responsibility Diatherix is dedicated to assisting patients with billing questions If a patient requires assistance please ask them to call our Billing Department at 866 829 1854 866 979 4242 www diatherix com 2 SPECIMEN PREPARATION INSTRUCTIONS Please read all instructions for collecting and shipping of specimens before beginning the collection process 1 Choose the appropriate Diatherix test panel Pages 8 18 2 Follow the appropriate specimen collection procedure Pages 19 24 Specimen collection protocols in this manual are those that are recommended for each of the panels that Diatherix offers Substitution of collection kit components or specimen types must be preapproved by Diatherix before the specimen is submitted for testing 3 Prevent specimen rejection Make sure the top is seated properly and screwed down tightly on the tube Label the specimen
35. or Frank Honkanen M D Diatherix Laboratories is located in the HudsonAlpha Institute for Biotechnology in Cummings Research Park Huntsville AL Client Services Toll free 866 979 4242 Fax 256 327 0984 Hours 8 00 5 30 CST Monday Friday 8 30 5 00 CST Saturday Compliance Hotline anonymous 256 327 5222 Billing Department Toll free 866 829 1854 Fax 256 327 5259 Hours 8 00 4 30 CST Monday Friday Supplies amp Shipping Toll free 877 820 8047 voice mail monitoring until 8 00pm CST Fax 256 327 9858 Email supplies diatherix com FedEx 1 800 463 3339 Press 0 for the first three prompts to reach an operator 2 866 979 4242 www diatherix com ABOUT DIATHERIX Diatherix is an innovative CLIA certified molecular diagnostic laboratory utilizing proprietary TEM PCR Target Enriched Multiplex Polymerase Chain Reaction technology for precise detection of infectious diseases linking diagnostics to therapeutics Diatherix Distinctions e Simultaneous identification of bacteria viruses parasites Candida and selected antibiotic resistance genes e Detection of bacteria in the presence of antibiotics e Increased sensitivity and specificity e Simplicity of single sample collection One day results Determined by sample receipt TEM PCR Benefits TEM PCR technology is a unique multiplex amplification platform designed to overcome the challenges that exist with conventional laboratory meth
36. posterior oropharynx is required to identify areas of inflammation and exudate that may be present Depression of the tongue and careful introduction of the swab to the site of inflammation is an important part of the collection technique that avoids contamination of the specimen with oral secretions 866 979 4242 www diatherix com J5 TUBE SELECTION REFERENCE Panel Specimen Containers Copan ESwab Genital Health Atypical Pneumonia Bacterial Pneumonia Bacterial Vaginosis C difficile Toxin B gene Candidiasis CT NG T vaginalis Ear Nose amp Throat Gastrointestinal Group B Streptococcus Herpes Simplex Virus HPV High Risk Typing Infectious Disease Pediatric Respiratory B Pharyngitis G Respiratory Infection STD 5 Sexually Transmitted Disease Staphylococcus Differentiation Upper Respiratory Infection Urinary Tract Infection Viral Respiratory c un gt O un c S 3 zi CO S gt D 3 T 9 gt G 0 9 S gt o O kj Q 3 3 Q a D 3 CY O 3 C 3 a gt O 3 gt a 3 o gt go gt e 6 866 979 4242 www diatherix com N CLIENT SUPPLIES ESwab Collection Kit Supplies ESwab White Top Tube with Standard Flocked Swab prp 9 Biohazard Bag DIATHEPIX Nasopharyngeal Flocked swab is available by request Re Genital Health Collection Kit Supplies Diatherix O
37. range Top Tube or e Standard Nylon Flocked Swab 2 e Male Urethral or Endocervical Nylon Flocked Swab d o NS o e Urine Pipette 9 Biohazard Bag Patient Take Home Stool Collection Kit English Spanish Patient Instructions Lo ecc ngg Latex Free Glove o e Biohazard Bag DIATHERIX e Absorbent Pad e H e ESwab White Top Tube With Standard Flocked Swab mM p pom Stool Collection Device FedEx UN3373 Clinical Pak o had Ba e rn Prepaid FedEx Label Laboratory Request Form LIEDILL I Specimen Shipping Box 866 979 4242 www diatherix com 27 SAMPLE SUPPLY ORDER FORM NOTES Supplies can be ordered via phone fax or email The order form can be filled out electronically using Adobe Reader it can then be saved printed faxed or emailed by clicking the submit button at the bottom A current PDF of this form can always be found at diatherix com Phone 877 820 8047 Fax 256 327 9858 CLIENT SUPPLY ORDER FORM Email supplies diatherix com All supply orders are shipped via FedEx Ground Orders received after 3 00 PM CST may be shipped the following business day Client Number Client Name Address City State Zip Contact Name Phone Email Comments Specimen Collection Supplies Shipping Supplies QTY KIT QTY ITEM ESwab Collection Tube Specimen Shipping Boxes White Top Tube ESwab Collect
38. s Panel STD 5 HPV Human Papilloma virus High Risk Typing Panel Specimen Source 34 Specimen Source Herpes Simplex Virus Panel Infectious Disease Panel Infant Gastrointestinal Stool Panel Nasopharyngeal Throat Nasal Bronchial Aspirate Nasopharyngeal Pediatric Respiratory Panel Throat Nasal 866 979 4242 www diatherix com SPECIMEN SOURCE Specimen Source ka Infection Rhinosinusitis Panel Staphylococcus Differentiation Panel Sexually Transmitted Disease Panel Sexually Transmitted Disease Candidiasis 866 979 4242 www diatherix com Specimen Source Sexually Transmitted Disease Panel Herpes Simplex Virus Panel Sexually Transmitted Disease Panel Herpes i Urine Simplex Virus Panel Candidiasis Panel Nasopharyngeal Infection Panel Throat Nasal Urinary Tract Infection Panel Nasopharyngeal Viral Respiratory Panel Throat Nasal 35 CLIENT NOTES WEBCLIENT ACCESS INFORMATION Username Click Client Log In to enter WebClient from any page on diatherix com Password During the first login please change the password to ensure privacy ADDITIONAL NOTES 36 866 979 4242 www diatherix com
39. t and insurance card copy containing the patient and insurance information requested below Bill Class Insurance Medicare _ Medicaid _ Patient SelfPay Client Bill Other ocial Security Number Phone Number Address Street City State Zip rimane e TTT_ Policy ID Group Subscriber Name if other than patient Insurance company Name _ Phone Address where claims are submitted a _ NN EN Street City State Zip Is this a Worker s Comp claim Yes No Date of Injury i _ Adjuster s name phone Secondary Insurance Insurance Policy ID Group Subscriber Name if other than patient Insurance company Name Phone Address where claims are submitted _ Street City State Zip Physicians or other individuals authorized by law to order tests should only order tests that are medically necessary for the diagnosis or treatment of a patient Document FO 110601 Rev 4 072215 866 979 4242 www diatherix com 29 SAMPLE LABORATORY REPORT NOTES A Laboratory Report is generated for each individual panel ordered Reports can be received via fax email Web Client online portal and direct computer interface To review examples of other panel specific reports visit www diatherix com test catalog html and select the desired panel amp DIATHERIX LABORATORY REPORT SZ Panton V alerting leukocidin PVL gene aureus Stineptococeus pyogenes Group A Strep
40. ted Disease Herpes Simplex Virus Candidiasis CT NG T vaginalis M genitalium 866 979 4242 www diatherix com 31 SPECIMEN SOURCE Specimen Source Specimen Source Bronchial Aspirate Atypical Pneumonia Nasopharyngeal Chlamydia trachomatis Bronchial Aspirate Neisseria gonorrhoeae Atypical Pneumonia Viral Nasopharyngeal Neisseria gonorrhoeae Trichomonas vaginalis Bronchial Aspirate Herpes Simplex Virus asa STD 5 agina Bacterial Pneumonia Nasopharyngeal Clostridium difficile Toxin B Other Stool Gene Panel onal Apt Bronchitis Panel Nasopharyngeal Ear Nose amp Throat Panel Bacterial Vaginosis Panel Bacterial Vaginosis Panel Candidiasis Panel 32 866 979 4242 www diatherix com SPECIMEN SOURCE Specimen Source Ear Nose amp Throat Panel and Pharyngitis Panel Ear Nose amp Throat Panel and Pediatric Respiratory Panel Ear Nose amp Throat Panel and Respiratory Panel 866 979 4242 www diatherix com Ear Nose amp Throat Panel and Rhinosinusitis Panel Ear Nose amp Throat Panel and Upper Respiratory Infection Panel Ear Nose amp Throat Panel and Viral Respiratory Panel Specimen Source E ar Bronchial Aspirate 33 SPECIMEN SOURCE Influenza Panel Group B Streptococcus Gastrointestinal Panel Chlamydia trachomatis Neisseria gonorrhoeae Trichomonas vaginalis Chlamydia trachomatis Neisseria gonorrhoeae Trichomonas vaginalis Herpes Simplex Viru
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