Test Detail

Carbapenem Resistant or Carbapenemase Producing Isolate Panel

Panel Components
Test Description		Contact: Reference Microbiology (319) 335-4335 Test Request Form: Antibiotic Resistance Surveillance SHL OpenELIS Code: 1126, 1125
Phenotypic screen of suspected isolates for Carbapenemase production. Identification of unknown bacterial isolate. Identification may include biochemical and spectrometry methods. Antimicrobial Drug Susceptibility testing of suspected isolate. Drug susceptibility determined by broth microdilution testing.
Reference Bacteriology, Bacterial Identification
Reflex Test(s)
Carbapenemase Production by Modified Carbapenem Inactivation Method (mCIM), Carbapenemase Resistance Gene Sequences by Nucleic Acid Amplification, (Antimicrobial Susceptibility Testing by Broth Microdilution: results not reported to facility but will be reported to IHHS; EZ1 Extraction by Next Generation Sequencing: results not reported to facility; Organism Sequencing by Next Generation Sequencing: results not reported to facility).
Performed	Avg. Turnaround Time	Method
Coralville, M - F, 8 a.m. - 5 p.m., Sat. 9 a.m. - noon	10 - 30 business days	Bacterial Culture, MALDI-TOF Spectrometry
Fee	CPT Code(s)
No Charge	87184, 87077, 87077
Specimen Requirements
Specimen Type:	Carbapenem resistant or Carbapenemase producing bacterial isolate
Collection Instructions:	Actively growing organism in pure culture in a sealed agar plate or slant. Specimen source required. Indicate suspected pathogen.
Shipping:
Wrap specimen container in absorbent material and place each specimen inside an individually sealed biohazard bag. Transport specimen overnight at room temperature. Ship to the Coralville location.
Temperature and Stability:	Room Temperature (15-30°C); Refrigerated (2-8°C); Stable for 3 days.
Rejection Criteria:	Specimens will be rejected if received under these conditions: Frozen specimens. Non-viable organisms.
Expected Results:
Organism identification. Carbapenemase: Detected, Not Detected, Inconclusive.
Comments
Required submission per Iowa Administrative Code {641} Chapter 1.