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  Susceptibility Testing Specimen Type:
  also known as Sensitivity Testing, MIC , Minimum Inhibitory Concentration, Dilution Sensitivities Other

MICROBIOLOGY

Specimen requirements: N/A
Unit of measure: mcg/mL
Ideal sample: See culture for specimen types
Absolute minimum amount: N/A
Method of collection: N/A
Transportation: See culuture or specimen types.
Label instructions: N/A
Request test on form: Multi Labs/Micro/Viro/Serology ( 151-905 )
Order/entry screen(s): Microbiology/Virology
Stat frequency: N/A
Stat turn around time: N/A
Routine frequency: 1/24 hours for routine sensitivies.
Must be in by: N/A
Routine turn around time: 24 to 72 hours for bacterial sens.
For Hillcrest deliver to: Microbiology : Room 2-109
For Thornton deliver to: Microbiology : Processing Desk, 1st floor,
  Hospital, room 1-013
Scheduling requirements : N/A
Method: Minimum Inhibitory Concentration
Special Instructions: ROUTINE SENSITIVITES: Performed on all significant aerobic pathogens, except where indicated for particular isolates. Turnaround time is 24 to 48 hours from when isolate is identified. Antibiotics not included in a panel can be added by special request. ANAEROBE SUSCEPTIBILITY TESTING: All anaerobes isolated from blood cultures or sterile body fluids will be tested for susceptibility to metronidazole/clindamycin. The turnaround time is 48 to 72 hours from when isolate is reported. Anaerobes from other sites will only have susceptibility testing at special request of patient's physician. YEAST or FUNGAL SUSCEPTIBILITY TESTING: All yeast isolated from blood cultures or sterile body fluids will be tested for susceptibility to fluconazole/voriconalole/caspofun will be added for cryptococcus). The turnaround time is 48 to 72 hours from first report. Yeast or fungal isolates from other sites will only have susceptibility testing by special request. Repeat isolates from same patient will only be retested at 2-week interval (based on date of collection). MYCOBACTERIOLOGY SUSCEPTIBILITY TESTING: All mycobacteriology isolates will be tested for susceptibility to various antimicrobial agents. The primary panel for m.tuberculosis will include inh/Rifampin/ethambutol/moxifloxacin/pza. The current susceptibility testing for mycobacterium avium-intracellulare group (mac) includes Clarithromycin. Susceptibility testing panel for rapid growing mycobacteria includes amikacin/septra/clarithromycin/doxycycline/Moxifloxacin/Cifoxitin/Meropenem/Tobramycin. All strains of m. tuberculosis demonstrating multiple resistance will be tested against other antibiotics as determined by lab director or patient's physician. Turnaround time for MGIT susceptibilities is one week; two to three weeks for Plate mic's. Susceptibilities cannot be setup until there is a sufficient amount of growth present, which range from one to six weeks. Repeat isoates from the same patient will only be retested at three months (based on date of collection).
  Results are available on a Chart Copy
  Results are Quantitative
SOFT LAB abbreviation: SNORG
Secondary code: N/A
Lab Processing Instructions: N/A