Referral Labs – micro june 16 - Barnsley Hospital NHS Foundation .DOC

Referral Lab Sample Type Test Rotherham Serum Anti-DNase B ASOT Aspergillus PPT CMV IgG CMV Avidity CMV IgM EBV serology Helicobacter serology Parvovirus IgM Parvovirus IgG Measles IgG Mumps IgG Mycoplasma serology IgG and IgM Rubella IgM Toxoplasma serology IgG ( not HIV patients) Biopsy Helicobacter culture Nail clippings /skin scrapings Mycology Culture Faeces Helicobacter antigen Sputum/BAL Mycobacterium culture and microscopy Genital Swabs, urine Chlamydia, GC PCR Herpes PCR ( genital site only) Virology, NGH Serum Hep B markers including: HBsAg, e Ag, eAb Hep B core total Ab and Hep B core IgM Hepatitis B viral load HIV Ab/Ag confirmation Hepatitis C Ab confirmation/viral load / genotype Hepatitis E IgM/IgG Syphilis confirmation Measles IgM NB: Measles PCR urine or T/S is preferred sample Mumps IgM NB: Mumps PCR urine or T/S is preferred sample Respiratory serology ( not mycoplasma IGM/IgG ) Rarely used Coxiella now goes to Porton. Faeces/ Viral throat swab Enterovirus PCR EDTA HIV viral load CMV PCR ( Generally EDTA for Adults and Urine for children ) EBV PCR ADENO PCR HSV PCR HIV Resistance Parvovirus PCR Viral Swab Respiratory PCR Ensure clinical details include location for ITU/Birthing Centre/Chemo W24 Herpes PCR – Non genital sites Eye PCR Viral swab VZV PCR CSF VIRAL Panel only (HSV,VZV,Enterovirus) Biochemistry, NGH serum Tobramycin assay Vancomycin assay Teicoplanin assay Immunology, NGH Serum Pneumococcal Abs HiB Ab Tetanus Ab Farmers Lung antibodies Bristol Mycology (Myrtle Road) Serum Cryptococcal Ag Galactomanan/Aspergillus Ag/ B-Glucan Itraconazole level Voriconazole level CSF PCR Both Bacterial viral PCR Bacterial PCR panel 16S RNA Urine/ Viral throat Swabs Measles PCR Mumps PCR BAL/ Sputum Pneumocystis PCR Meningococcal Ref Unit, Manchester. EDTA Meningococcal PCR Pneumococcal PC