Laboratory Quick Reference Guide
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- A - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Adenovirus
- Info: General Adenovirus information
- Lab used: KHEL
- Test method: Viral culture isolation. Identification by immunofluorescence and/or neutralization.
- Specimen requirements: Ship specimens refrigerated as soon as possible after collection.
- See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.
- Test frequency: M-F
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: Up to 15 business days
African sleeping sicknessAmebiasis, smear
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Info: Amebiasis information
- Contact before sending: Call KHEL at 785-296-3718 (for serology, call 785-296-1653)
- Lab used: KHEL
- Test frequency: As needed
- Shipping info: Send slide in dry, crush-proof container
- Forms: order Universal Form
- Turn around time: 1 to 4 business days unless shipped to CDC
Acquired Immunodeficiency Disease (AIDS)Anthrax
- Info: See B. anthracis
Arbovirus, not including West Nile virus and SLE serology
- Warning: Prior consultation with CDC recommended. Call the Arbovirus Branch in Ft. Collins, CO at 970-221-6407.
- Info: Arbovirus information
- Contact before sending: Contact KHEL at 785-296-1644 before sending
- Lab used: KHEL forwards specimens to CDC in Ft. Collins, CO
- Test method: Serology
- Specimen requirements: Whole blood or serum (3 to 5ml), CSF (1 to 3ml). Ship with frozen gel pack – do not freeze specimens.
- Test frequency: M-F
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 15 to 45 business days
Arbovirus, serology (West Nile virus and SLE serology)
- Info: See West Nile Virus
Arthropods and Insects of Medical Significance
- Info:
- Contact before sending: Contact KHEL at 785-296-3718 before sending
- Lab used: KHEL
- Test frequency: As needed
- Shipping info: General requirements: send specimen in dry, crush-proof container or Isopropyl alcohol – Contact KHEL at 785-296-3718 for specific instructions
- Forms: order Universal Form
- Turn around time: 1 to 4 business days
- B - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Babesiosis
- Info: Babesia information
- Contact before sending: Contact KHEL at 785-296-3718 before sending
- Lab: KHEL
- Test frequency: As needed
- Shipping info: Send slide in dry, crush-proof container
- Forms: order Universal Form
- Turn around time: 1 to 4 business days unless shipped to CDC
Bacterial identification
- Contact before sending: Contact KHEL at 785-296-1620 before sending
- Test method: Culture
- Specimen requirements: Culture isolates only
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 5 to 21 business days
Bacterial serology
- Contact before sending: Contact KHEL at 785-296-1653 or 785-296-1645 before sending
B. anthracis
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT !!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Anthrax information
- Contact before sending: Epidemiologic Services at 877-427-7317
- Lab used: KHEL
- Test method: Culture and PCR
- Specimen requirements: clinical specimens or pure; culture (IDS Shipping required) or Environmental specimens
- See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 1 to 3 business days
Blood Lead Paper Spot
- Lab used: KHEL
- Test method: ICPMS
- Specimen requirements: Fill 3 circles one at a time. Let dry before placing in shipping envelope.
- Test frequency: M-F
- Shipping kit needed: Blood Lead filter paper forms (Category B Biological Substance insulated mailer)
- Shipping Info: Blood Lead filter guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: Blood Lead Filter Paper forms
- Turn around time: 7 to 14 business days
Blood Lead Confirmation
- Lab used: KHEL
- Test method: ICPMS
- Specimen requirements: Venipuncture EDTA Whole blood (3-5ml)
- Test frequency: As needed
- Shipping kit needed: Blood Lead Confirmation Kit (Category B Biological Substance insulated mailer)
- Shipping Info: Whole Blood lead shipping guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: Blood Lead Filter Paper forms or order Universal Form
- Turn around time: 5 to 7 business days
B. pertussis
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Pertussis information
- Lab used: KHEL
- Test method: Real-time PCR
- Specimen requirements: Bacterial nasopharyngeal swab or NP swab in sterile test tube
- Symptoms compatible with pertussis: prolonged cough (14-30 days), paroxysms, post-tussive vomiting, inspiratory whoop, or apnea.
- Must indicate specific symptoms and date of onset on the submission form
- Test frequency: 2-3x/week
- Shipping kit needed: Pertussis mailer (Category B Biological Substance insulated mailer)
- Shipping Info: Pertussis packaging guide specifics
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 2 business days
Botulism
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Botulism information
- Contact before sending: Epidemiologic Services at 877-427-7317 and before shipment to CDC, please contact the National Botulism Surveillance and Reference Laboratory at (404) 639-3867.
- Lab used: CDC or LRN MOA lab
- Test method: Mouse toxicity and neutralization bioassay
- Specimen requirements: See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website AND the CDC guidelines and information [Botulism and Botulism, section C] for specifics
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- See Botulism, section D on CDC website
- See Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 15 to 65 business days
Brucella, culture
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Info: Brucella information
- Contact before sending: Epidemiologic Services at 877-427-7317
- Lab used: KHEL
- Test method: Culture and PCR
- Specimen requirements: blood culture or reference culture sent in IDS box
- See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 3 business days
Brucella, serology
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Info: Brucella information
- Contact before sending: Epidemiologic Services at 877-427-7317
- Lab used: KHEL
- Specimen requirements: Acute and convalescent sera 3-5ml of each
- See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics
- Test frequency: As needed
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 15 to 45 business days
- C - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Calicivirus - like agents
- Info: See Norovirus
Campylobacter
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Info: Campylobacter information
- Lab used: KHEL
- Test method: culture
- Specimen requirements: fresh stool (marble sized) in Cary-Blair
- See Enteric section on KDHE website for specifics
- Test frequency: As needed
- Shipping kit needed: Enteric (Category B Biological Substance insulated mailer)
- Shipping Info: Feces packaging guide specifics
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 3 to 5 business days
Chancroid
- Info: Chancroid information and see Syphilis
Chicken Pox (Varicella Zoster/VZV), culture
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Info: Chicken pox information
- Contact before sending: Contact KHEL at 785-296-1644 before sending
- Lab used: KHEL
- Test method: Viral culture isolation. Identification by immunofluorescence.
- Specimen requirements: DO NOT FREEZE. Ship specimens refrigerated as soon as possible after collection.
- See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.
- Test frequency: M-F
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: Up to 15 business days
Chicken Pox (Varicella Zoster/VZV), serology
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Contact Epidemiologic Services at 877-427-7317
- Warning: Testing no longer offered at KHEL as of July 1, 2010
- Lab used: Not applicable
- Info: Chicken pox information
C. trachomatis or N. gonorrhoeae (CT/GC) NAAT
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Info: Chlamydia information
- Accepted from approved Infertility Prevention Project clinics only – Contact Jennifer VandeVelde, IPP Coordinator, 785-296-6544
- Lab used: KHEL
- Test method: Gen-Probe Aptima Combo 2 Nucleic Acid Amplified Test (NAAT)
- Specimen requirements: Use the proper Gen-Probe Aptima Specimen Collection kit as follows:
- Gen-Probe Aptima Unisex Swab Collection Kit = Male urethral and female endocervical swabs ONLY
- Gen-Probe Aptima Vaginal Swab Collection Kit = Clinician- or self-collected vaginal swabs ONLY
- Gen-Probe Aptima Urine Collection Kit = Male or female urine specimens ONLY
- See Guidelines for Gen-Probe Sample Submission for additional details.
- NOTE: KHEL does not provide specimen collection kits – KIPP facilities order from Gen-Probe, Inc. Call 785-296-6544 for information on obtaining Gen-Probe specimen collection kits.
- Test frequency: M-F
- Shipping kit needed: Order Blood/Chlamydia & Gonorrhea Multi-Mailer shipping kits from KHEL Customer Service.
- Shipping info: Send swab and/or urine specimens using Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf). Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides web page.
- Forms: order Universal Form
- Turn around time: 1 to 3 business days
C. trachomatis (Chlamydia), culture
- [NO LONGER OFFERED AT KHEL]
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
Notice: C. trachomatis culture testing discontinued effective January 1, 2013. - Info: Chlamydia information
- Contact before sending: Not applicable.
- Lab used: Not applicable. Testing is available through commercial laboratories
Chlamydia pneumoniae (Chlamydia pneumonia) and Chlamydia psittaci (Psittacosis)
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Info: Chlamydia Pneumonia and Psittacosis information
- Contact before sending: Contact KHEL at 785-296-1644 before sending
- Lab used: KHEL
- Test method: serology
- Specimen requirements: Paired serum (1-2.5ml for each); must be shipped with frozen gel pack
- Test frequency: As needed
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 15 to 60 business days
Cholera and noncholera vibrios
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Cholera information
- Contact before sending: Epidemiologic Services at 877-427-7317
- Lab used: KHEL
- Test method: Culture
- Specimen requirements: Fresh stool or vomitus in Cary-Blair; vibro-cholerae isolate sent on nutrient agar or other growth supporting medium.
- Test frequency: As needed
- Shipping kit needed: Enteric (Category B Biological Substance insulated mailer) used for the stool or vomitus; IDS (Category A Biological Substance insulated mailer) used for isolate.
- Shipping Info: Feces packaging guide specifics for the Enteric kit and Infectious substance packing and shipping guide for the IDS kit
- When using the Feces packaging guide, follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- When using the Infectious substance packing and shipping guide, follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 3 to 7 business days
Congential syphilis
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Info: Syphilis, Congenital information
- Contact before sending: Contact KHEL at 785-296-1653 before sending
- Lab used: CDC
- Test method: FTA-ABS-DS - IgM
- Specimen requirements: 3-5ml of each serum (antibody) or CSF (antigen)
- See Syphilis serology section on KDHE website for specifics
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 15 to 45 business days
Coxiella burnetii
- Info: See Q Fever
Coxsackie A virus cultureCoxsackie B virus cultureCryptosporidiosis
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Info: Cryptosporidiosis information
- See intestinal parasite – performed ONLY when the R/O Cryptosporidium box is checked on the laboratory request form
- Contact before sending: Contact KHEL at 785-296-3718 before sending
- Lab used: KHEL
- Specimen requirements: Feces (marble-sized, mixed well in 10% formalin and PVA bottles)
- See Parasitology section for specifics.
- Test frequency: As needed
- Shipping kit needed: Parasite (Category B Biological Substance insulated mailer)
- Shipping Info: Feces (Parasite) packaging guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal For
- Turn around time: 1 to 4 business days
Cyclospora infection
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Info: Cyclospora information
- See intestinal parasite – Write “test for Cyclospora” in the Submitter Comments Section of Universal Form
- Notify Epidemiologic Services at 877-427-7317 if infection suspected
- Contact before sending: Contact KHEL at 785-296-3718 before sending
- Lab used: KHEL
- Specimen requirements : Feces (marble-sized, mixed well in 10% formalin and PVA bottles)
- See Parasitology section for specifics.
- Test frequency: As needed
- Shipping kit needed: Parasite (Category B Biological Substance insulated mailer)
- Shipping Info: Feces (Parasite) packaging guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 4 business days
Cytomegalovirus (CMV), culture
- Info: CMV information
- Lab used: KHEL
- Test method: Viral culture isolation. Identification by immunofluorescence.
- Specimen requirements: Urine preferred. DO NOT FREEZE. Ship specimens refrigerated as soon as possible after collection.
- See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.
- Test frequency: As needed
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: Up to 21 business days
- D - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Dengue Fever, serology
- Warning: Prior consultation with CDC recommended. Call the Arbovirus Branch in Ft. Collins, CO at 970-221-6407.
- Info: Dengue Fever information
- Contact before sending: Contact KHEL at 785-296-1644 before sending
- Lab used: KHEL forwards specimens to CDC in Ft. Collins, CO
- Test method: Serology
- Specimen requirements: Whole blood or serum (3 to 5ml), CSF (1 to 3ml). Ship with frozen gel pack – do not freeze specimens.
- Test frequency: M-F
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 15 to 45 business days
Diphtheria, culture
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Warning: Please contact the microbiology lab as a special media is required for isolation
- Info: Diphtheria information
- Contact before sending: Contact KHEL at 785-296-1634 before sending
- Lab used: KHEL
- Test method: culture
- Specimen requirements: culture isolates only:
- Obtain material for culture on a swab (either cotton or polyester-tipped) from the inflamed areas in the nasopharynx.
- If membranes are present and can be removed, swab from beneath the membrane.
- Collect from several areas to increase sensitivity.
- If cutaneous diphtheriae is suspected, collect skin (aspirate/swab), throat (swab), and nasopharnyx (swab) specimens.
- Use routine swab collection systems as the organism is not fastidious.
- It is preferable to ship specimens within 24 hours of collection. If transport is expected to be more than 24 hours after collection, use silica gel transport packages.
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist, and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 2 to 5 business days
Drug susceptibility testing, Enteric and TB only
- Contact before sending: Contact KHEL at 785-296-1633 (Enteric) or 785-296-1635 (TB) before sending - CULTURE ISOLATES ONLY
- E - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Ehrlichiosis
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Info: Ehrlichiosis information
- Contact before sending: Contact KHEL at 785-296-1620 before sending
Encephalitis, viral culture
Not including Enterovirus or West Nile Virus.
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: CDC requires travel history (dates and places), relevant vaccinations, and dates of onset and specimen collection, as well as clinical history and symptoms.
- Info: Encephalitis information
- Contact before sending: Epidemiologic Services at 877-427-7317 before sending to KHEL
- Lab used: KHEL forwards specimens to CDC in Ft. Collins, CO. at 970-221-6407.
- Test method: culture
- Specimen requirements: DO NOT FREEZE. CSF (2ml), throat or rectal swab. Ship as soon as possible after collection with frozen pack
- Test frequency: As needed
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 15 to 45 business days
Encephalitis, serology
- Info: See West Nile
Enteric culture, bacterial
- Info: Intestinal culture
- Lab used: KHEL
- Test method: culture
- Specimen requirements: Marble-sized feces in modified Cary Blair or as a reference culture
- See Enteric section on KDHE website for specifics.
- Test frequency: As needed
- Shipping kit needed: Enteric (Category B Biological Substance insulated mailer)
- Shipping Info: Feces packaging guide specifics
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 2 to 7 business days
Enterovirus (ECHO, Coxsackie and Enterovirus), culture
- Info: Enterovirus information
- Contact before sending: Contact KHEL Virology Laboratory at 785-296-1644 before sending isolate
- Lab used: KHEL
- Test method: Viral culture isolation. Identification by immunofluorescence and/or neutralization.
- Specimen requirements: Ship clinical specimens refrigerated as soon as possible after collection. Ship isolates on cell culture at ambient temperature
- See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.
- Test frequency: As needed
- Shipping kit needed: Viral Culture for clinical specimens (Category B Biological Substance insulated mailer); IDS for isolates on cell culture: (Category A Biological Substance insulated mailer).
- Shipping Info: Virus Shipping Guide for clinical specimens; Infectious substance packing and shipping guide for isolates:
- Follow Category B Biological shipping checklist, Category A Biological shipping checklist and the Shipper’s Declaration checklist (for Cat. A) on the KHEL Packaging and Shipping guides website.
- Forms: order Universal Form
- Turn around time: Up to 21 business days
E. coli 0157:H7
- Warning: Verotoxigenic: must send culture isolate in an IDS (Category A Biological substance insulated mailer)and follow shipping guidelines
- Reportable disease: Complete Kansas Notifiable Disease Form required by law
- Info: See E. coli 0157:H7 information
- See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website
- Lab used: KHEL
- Test method: Culture
- Specimen requirements: cultures isolates only sent to KHEL required by law
- See Enteric section on KDHE website for specifics.
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 2 to 7 business days
- F - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Food Poisoning
- Contact before sending: call Local Health Department or Epidemiologic Services at 877-427-7317
- Lab used: KHEL
- Shipping kit needed: Please call 785-296-1620 for more information based on suspected diagnosis
- Forms: order Universal Form
FTA-ABS-DS
- Info: See Congential syphilis and Syphilis
Fungal serology
- Contact before sending: Contact KHEL at 785-296-1653 or 785-296-1645 before sending
- G - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
German measles, serology
- Info: See Rubella serology
Giardia Lambia (giardiasis)
- Info: See Intestinal Parasites
Gonorrhoaea, culture
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: >Gonorrhea information
- Contact before sending: Contact KHEL at 785-296-1620 before sending
- Lab used: KHEL
- Test method: culture
- Specimen requirements: Thayer-Martin plates in a CO 2 atmosphere
- Test frequency: As needed
- Shipping kit needed: Gonorrhea (Category B Biological Substance insulated mailer)
- Shipping Info: Chlamydia and Gonorrhea packaging guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 2 to 3 business days
- H - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Haemophilus influenza, culture
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Haemophilus influenza information
- Contact before sending: Contact KHEL at 785-296-1620 before sending
- Lab used: KHEL
- Test method: culture
- Specimen requirements: Culture isolates in IDS shipping box
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 3 business days
Hansen's Disease (Leprosy)
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Hansen’s disease information
- Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL at 785-296-1620
Hantavirus, serology
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: CDC only accepts specimens in cases of unexplained Acute Respiratory Distress Syndrome (ARDS) and travel or residence in endemic area. Prior authorization is required.
- Info: Hantavirus information
- Contact before sending: Epidemiologic Services at 877-427-7317 before sending
- Lab used: KHEL forwards authorized specimens accompanied by required paperwork to CDC
- Test method: Serology
- Specimen requirements: Paired whole blood or serum (3 to 5ml), preferably acute and convalescent phase, but two specimens collected at different times are acceptable.
- Test frequency: As needed
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form, Hantavirus Pulmonary Syndrome Case Report Form, and National Surveillance Laboratory Specimen Form are required.
- Turn around time: 15 to 45 business days
Hantavirus, other assays
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: CDC only accepts specimens in cases of unexplained Acute Respiratory Distress Syndrome (ARDS) and travel or residence in endemic area. Prior authorization is required
- Info: Hantavirus information
- Contact before sending: Epidemiologic Services at 877-427-7317 to obtain authorization to submit specimen before sending to KHEL.
- Lab used: KHEL forwards authorized specimens accompanied by required paperwork to CDC.
- Test method: IHC, Viral Isolation/PCR
- Specimen requirements: See Immunuohistochemistry (IHC) and Virus Isolation/PCR sections of CDC’s Guidelines for Submitting Specimens to the Special Pathogens Branch for detailed specimen information. Do not freeze preserved tissue samples. Ship fresh tissue specimens frozen with dry ice
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer) – ambient for preserved tissue samples; insulated for fresh, frozen tissue specimens (include dry ice).
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form, Hantavirus Pulmonary Syndrome Case Report Form, and National Surveillance Laboratory Specimen Form are required
- Turn around time: 15 to 45 business days
Hepatitis A, serology
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Hepatitis A information
- Contact before sending: Epidemiologic Services at 877-427-7317
- Lab used: KHEL
- Test method: EIA-IgM
- Specimen requirements: whole blood or serum (3-5ml)
- Test frequency: 1-2x/week
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 2 to 5 business days
Hepatitis B antigens (HBsAG) for Prenatal Clients at HD's and for STD Clients at Health Departments
- Reportable disease: Kansas Notifiable Disease Form required by law, especially Hepatitis B during pregnancy
- Info: Hepatitis B information
- Lab used: KHEL
- Test method: ELISA - will be confirmed by CDC
- Specimen requirements: Whole blood or serum (3-5ml)
- Test frequency: 2x/week
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34, Hospital report for perinatal Hepatitis B prevention
- Turn around time: 1 to 7 business days or 1 to 30 business days if sent to CDC
Hepatitis C, serology (with HIV serology request at same time)
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Hepatitis C information
- Lab used: KHEL
- Test method: EIA-IgG
- Specimen requirements: Whole blood or serum (3-5ml)
- Test frequency: 1-2x/week
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 7 business days
Herpes simplex virus (HSV), culture
- Warning: CSF is not accepted for HSV culture. Subtyping of HSV performed on unusual isolates or upon written request by submitter
- Info: Herpes simplex virus information
- Lab used: KHEL
- Test method: Viral culture isolation. Identification by immunofluorescence.
- Specimen requirements: Ship specimens refrigerated as soon as possible after collection
- See Viral Culture Specimen Guides on the Viral Isolation Section of the KDHE website for specifics.
- Test frequency: M-F
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: up to 7 business days
Human Immunodeficiency Virus (HIV-1), serology
- Reportable disease: Kansas Notifiable Disease Form required by law (includes Viral Load Tests)
- Info: HIV information
- Lab used: KHEL
- Test method: EIA-IgG [screening] and IFA-IgG [confirmation]
- Specimen requirements: Whole blood or serum (3-5ml) or oral fluid (use Orasure Kit)
- See Viral Isolation Section on KDHE website for specifics
- Test frequency: 1-3x/week
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 2 to 7 business days
- I - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Influenza virus, culture (isolation and subtype identification)
- Reportable disease: Kansas Notifiable Disease Form required by law if result is death in children <18 years of age
- Warning: Call Epidemiologic Services at 877-427-7317 before sending specimen from suspected Avian Influenza case
- Info: Flu information
- Lab used: KHEL
- Test method: Culture/ HAI/ PCR
- Specimen requirements: Ship specimens refrigerated as soon as possible after collection.
- See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.
- Test frequency: M-F, as needed
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: up to 15 business days
Intestinal Parasites, Identification
- Info: Specifics: Giardia Lambia (giardiasis) is reportable by law: Kansas Notifiable Disease Form required by law
- Contact before sending: Contact KHEL at 785-296-3718 before sending
- Lab used: KHEL
- Test method: Light/DFA Microscopy
- Specimen requirements: Feces (marble-sized, mixed well in 10% formalin and PVA bottles)
- See Parasitology section on KDHE website for specifics
- Test frequency: M-F
- Shipping kit needed: Parasite(Category B Biological Substance insulated mailer)
- Shipping Info: Feces Parasite packaging guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 4 business days
- L - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Legionella sp., culture
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Legionella sp. information
- Contact before sending: Contact KHEL at 785-296-1620 before sending
- Lab used: KHEL
- Test method: culture
- Specimen requirements: culture isolates only
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 15 to 65 business days
Legionella sp., serology
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: CDC does not accept specimens without prior clearance through the Respiratory Diseases Branch.
- Info: Legionella sp. information
- Contact before sending: Epidemiologic Services at 877-427-7317 before sending.
- Lab used: Approved specimens are submitted to CDC
- Test method: IFA
- Specimen requirements: Paired serum
- Test frequency: As needed
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 4 to 8 weeks
Leprosy
- Info: See Hansen’s Disease
Leptospirosis, culture
- Info: Leptospirosis information
- Contact before sending: Contact KHEL at 785-296-1620 before sending
- Lab used: KHEL
- Test method: culture
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 15 to 60 business days
Leptospirosis, serology
- Info: Leptospirosis information
- Contact before sending: Contact KHEL at 785-296-1620 before sending
- Lab used: KHEL
- Test method:
- Test frequency: As needed
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 15 to 60 business days
Lice and Mites, humanListeriosis
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Listeriosis information
- Contact before sending: Contact KHEL at 785-296-1620 before sending
- Lab used: KHEL
- Test method: culture
- Specimen requirements: culture isolates in IDS shipping box
- Test frequency: M-F
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 4 to 7 business days
Lyme disease, serology
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: Prior consultation required. CDC does not offer routine testing – illness MUST meet clinical case definition.
- Info: Lyme disease information
- Contact before sending: Contact Epidemiologic Services at 877-427-7317 before sending to KHEL
- Lab used: KHEL forwards authorized specimens accompanied by required forms to CDC in Ft. Collins, CO.
- Test method: Serology
- Specimen requirements: Paired acute and convalescent whole blood or serum (3 to 5ml each).
- Test frequency: As needed
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC Lyme Disease Form
- Turn around time: 4 to 8 weeks
Lymphatic Filariasis
- Info: Lymphatic Filariasis information
- Contact before sending: Contact KHEL at 785-296-3718 before sending
- Lab: KHEL
- Specimen requirements: See Parasitology section on KDHE website for specifics
- Test frequency: As needed
- Shipping info: Send slide in dry, crush-proof container
- Forms: order Universal Form
- Turn around time: 1 to 4 business days unless shipped to CDC
Lymphogranuloma Venereum (LGV); Chlamydia trachomatis (CT), serology
- Warning: CDC will perform serology in conjunction with specimens tested directly for LGV (i.e., rectal swabs).
- Info: LGV information
- Contact before sending: Contact Epidemiologic Services at 877-427-7317 before sending to KHEL.
- Lab used: KHEL forwards specimens to CDC
- Test method: Direct detection in rectal swabs and serovar genotyping of CT-positive specimens.
- Specimen requirements: Acute and convalescent whole blood or sera (3 to 5ml each) and rectal swab. Ship rectal swab frozen with dry ice as soon as possible after collection. DO NOT FREEZE WHOLE BLOOD.
- Test frequency: As needed
- Shipping kit needed: Viral Culture for rectal swab; Serology for blood or serum: (Category B Biological Substance insulated mailers)
- Shipping Info: Virus Shipping Guide for clinical specimens; Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf) for isolates:
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 2 to 8 weeks
- M - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Malaria, serology
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Malaria information
- Contact before sending: Call Epidemiologic Services at 877-427-7317 before sending to KHEL.
- Lab used: KHEL forwards specimens to CDC
- Test method: Serology
- Specimen requirements: Acute and convalescent whole blood or sera (3 to 5ml each) are accepted that meet the following criteria:
- Blood donors whose recipients contracted malaria after transfusion;
- Patients whose blood slides are repeatedly negative for malarial parasites, if febrile illness is strongly suspected to be malaria;
- Specimens obtained as part of a CDC-approved research project;
- Specimens to be standardized as controls in laboratories establishing malaria antibody testing programs; or
- Prior arrangement has been made with the chief of the Malaria Branch, DPD.
- Acute and convalescent whole blood or sera (3-5ml of each)
- Test frequency: As needed
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 2 to 8 weeks
Malaria, smear
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Malaria information
- Contact before sending: Contact KHEL at 785-296-3718 before sending
- Lab used: KHEL
- Specimen requirements: See Parasitology section on KDHE website for specifics
- Test frequency: As needed
- Shipping info: Send slide in dry, crush-proof container
- Forms: order Universal Form
- Turn around time: 1 to 4 business days unless shipped to CDC
Measles, culture
- Info: See Rubeola, culture
Measles, serology
- Info: See Rubeola, serology
Meningoencephalitis, arbovirus
- Info: See West Nile virus
Meningitis, bacterial
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Meningitis information
- Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL at 785-296-1620
- Lab used: KHEL
- Test method: culture
- Specimen requirements: culture isolates in IDS shipping box
- Test frequency: M-F
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 3 business day
Meningococcemia
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Meningococcemia information
- Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL at 785-296-1620
- Lab used: KHEL
- Test method: culture
- Specimen requirements: culture isolates must be sent to KHEL: required by law
- Test frequency: M-F
- Shipping kit needed: IDS
- Shipping Info: Infectious substance packing and shipping guide
- Forms: order Universal Form
- Turn around time: 1 to 2 business days
Meningoencephalitis, amoebic
- Info: Naegleria information
- Contact before sending: Epidemiologic Services at 877-427-7317 before sending
- Lab used: KHEL will forward specimen to CDC
- Specimen requirements: Serum (3-5ml)
- Test frequency: As needed
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34,
- Turn around time: 15 to 65 business days
Mumps, culture
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Mumps information
- Contact before sending: Epidemiologic Services at 877-427-7317
- Lab used: KHEL
- Test method: culture, PCR
- Specimen requirements: Urine is no longer recommended. Collect throat swab or buccal swab on VTM as soon as possible within 3 days of symptom onset. Ship specimens refrigerated as soon as possible after collection.
- See Mumps Specimen Submission guidance and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.
- Test frequency: M-F, as needed
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: Up to 10 business days
Mumps, serology
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Mumps information
- Contact before sending: Epidemiologic Services at 877-427-7317
- Lab used: KHEL
- Test method: EIA-IgG and IgM
- Specimen requirements: Whole blood or serum (3 to 5ml). Collect acute specimen as soon as possible (within 3 to 7 days) after onset of symptoms. Collect convalescent specimen 2 to 4 weeks after acute.
- See Mumps Specimen Submission guidance, the , the Vaccine-Preventable Disease Serology section on KDHE website.
- Test frequency: M-F, as needed
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 3 business days
Murine typhus
[NO LONGER OFFERED AT KHEL]
- Warning: Testing no longer offered at KHEL as of January 1, 2008.
- Info: Typhus information
- Contact before sending: Contact Epidemiologic Services at 1-877-427-7317 before sending specimens to another laboratory.
- Lab used: Not applicable. Visit Colorado Department of Public Health and Environment and Texas Department of State Health Services - Laboratory Services Section for alternative testing arrangements.
Mycobacterium
- Info: See Tuberculosis
- N - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Naegleria infection
- Info: See Meningoencephalitis, amoebic
Norovirus
- Info: Norovirus information
- Contact before sending: Epidemiologic Services at 877-427-7317
- Lab used: KHEL
- Test method: PCR
- Specimen requirements: fresh stool (marble sized) in Cary-Blair – for calicivirus-like agents, use modified Cary-Blair medium
- See Viral Isolation Section and Enteric section on KDHE website for specifics
- Test frequency: As needed
- Shipping kit needed: Enteric (Category B Biological Substance insulated mailer)
- Shipping Info: Feces packaging guide specifics
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 2 business days
- P - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Parasitic serology
- Contact before sending: Contact KHEL at 785-296-1653 or 785-296-1645 before sending
Paratyphoid fever
- Info: See Enteric culture
Pertussis
- Info: See B. pertussis
Pinworms
- Info: Pinworm information
- Testing available for Health Departments ONLY
- Contact before sending: Contact KHEL at 785-296-3718 before sending
- Lab used: KHEL
- Specimen requirements: See Parasitology section on KDHE website for specifics
- Test frequency: As needed
- Shipping kit needed: Pinworm kit (Category B Biological Substance insulated mailer)
- Shipping Info: Feces Parasite packaging guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 4 business days
Plague (Y. pestis), culture
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Plague information
- Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL at 785-296-1620
- Lab used: KHEL
- Test method: culture
- Specimen requirements: See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 4 business days
Poliovirus (Poliomyelitis), culture
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Polio information
- Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL Virology Laboratory at 785-296-1644
- Lab used: KHEL
- Test method: Viral culture for isolation; neutralization and/or immunofluorescence for identification.
- Specimen requirements: DO NOT FREEZE. Ship specimens refrigerated as soon as possible after collection. Ship isolates on cell culture at ambient temperature.
- See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.
- Test frequency: M-F, as needed
- Shipping kit needed: Viral Culture for clinical specimens; specimens (Category B Biological Substance insulated mailer); IDS for isolates on cell culture: (Category A Biological Substance insulated mailer).
- Shipping Info: Virus Shipping Guide for clinical specimens; Infectious substance packing and shipping guide for isolates:
- Follow Category B Biological shipping checklist, Category A Biological shipping checklist and the Shipper’s Declaration checklist (for Cat. A) on the KHEL Packaging and Shipping guides website.
- Forms: order Universal Form
- Turn around time: Up to 21 business days
Psittacosis, serology- Q - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Q Fever (Coxiella burnetii), serology
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Q Fever information
- Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL at 785-296-1644 before sending
- Lab used: KHEL forwards specimens to CDC in Atlanta
- Test method: serology
- Specimen requirements: KHEL forwards specimens to CDC in Atlanta
- See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics
- Test frequency: As needed
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 15 to 60 business days
- R - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Rabies, human and animal (direct exam and serology)
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Rabies information and KSU Rabies information
- Contact before sending: Epidemiologic Services at 877-427-7317 and Kansas State University Rabies Laboratory at 785-532-4483
- Lab used: KSU-CVM
- Specimen requirements: See KSU Rabies Lab for all necessary information, including shipping, packaging, cost, forms and tests run
Respiratory Syncytial Virus (RSV), culture
- Info: RSV information
- Lab used: KHEL
- Test method: culture
- Specimen requirements: DO NOT FREEZE. Ship specimens refrigerated as soon as possible after collection
- See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.
- Test frequency: M-F, as needed
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: Up to 15 business days
Rocky Mountain Spotted Fever (RMSF), serology
[NO LONGER OFFERED AT KHEL]
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: Testing no longer offered at KHEL as of January 1, 2008.
- Info: RMSF information
- Contact before sending: Contact Epidemiologic Services at 1-877-427-7317before sending specimens to another laboratory
- Lab used: Not applicable. Visit Colorado Department of Public Health and Environment, Oklahoma State Department of Health Laboratory Services, and Texas Department of State Health Services - Laboratory Services Section for alternative testing arrangements.
Rubella serology, diagnosis
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law (including congenital rubella syndrome)
- Info: Rubella information
- Lab used: KHEL
- Test method: EIA-IgM
- Specimen requirements: Acute whole blood or serum (3-5ml)
- See Viral Isolation Section on KDHE website for specifics
- Test frequency: 2x/week
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 15 to 65 business days
Rubella serology, Immune status
- Info: Rubella information
- Lab used: KHEL
- Test method: EIA-IgG
- Specimen requirements: Acute whole blood or serum (3-5ml)
- Test frequency: 2x/week
- Shipping kit needed: Rubella (Category B Biological Substance insulated mailer)
- Shipping Info: Rubella Packaging Guide
- Ship Specimen cold with cool packs; Lab must receive specimen within 48hrs
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 2 to 5 business days
Rubeola (Measles), serology
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Measles information
- Contact before sending: Epidemiologic Services at 877-427-7317
- Lab used: KHEL
- Test method: EIA-IgG and IgM
- Specimen requirements: Whole blood or serum (3 to 5ml). Collect acute specimen as soon as possible (within 3 to 7 days) after onset of symptoms. Collect convalescent specimen 1 to 3 weeks after acute.
- See the Vaccine-Preventable Disease Serology section on KDHE website .
- Test frequency: M-F, as needed
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 3 business days
Rubeola (Measles), culture
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Measles information
- Contact before sending: Epidemiologic Services at 877-427-7317
- Lab used: KHEL
- Test method: culture
- Specimen requirements: Collect specimen as soon as possible within 3 days of symptom onset. Ship specimens refrigerated as soon as possible after collection.
- See Mumps Specimen Submission guidance and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.
- Test frequency: M-F, as needed
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: Up to 15 business days
- S - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Salmonellosis (Salmonella culture or serotyping)
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Salmonellosis information
- Contact before sending: Contact KHEL at 785-296-1634 before sending
- Lab used: KHEL
- Test method: Culture
- Specimen requirements: cultures isolates only sent to KHEL required by law
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 3 to 14 business days
Scarlet Fever
- Info: See Streptococcus
Severe Acute Respiratory Syndrome (SARS)
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: SARS information
- Contact before sending: Epidemiologic Services at 877-427-7317
- Lab used: KHEL will forward specimens to CDC
- Test method: PCR
- Specimen requirements: See CDC suspected SARS guidelines
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer) MUST BE SHIPPED COLD
- Shipping Info: Infectious substance packing and shipping guide: se e CDC suspected SARS guidelines
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 15 to 65 business days
Shigellellosis (Shigella culture or serotyping)
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Shigellellosis information
- Contact before sending: Contact KHEL at 785-296-1634 before sending
- Lab used: KHEL
- Test method: Culture
- Specimen requirements: culture isolates send to KHEL required by law
- See Enteric section on KDHE website for specifics
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 3 to 7 business days
Smallpox
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
- Info: Smallpox information
- Contact before sending: Epidemiologic Services at 877-427-7317
- Lab used: KHEL, LRN MOA Lab, CDC (Lab used depends on risk evaluation)
- Test method: PCR
- Specimen requirements: vesicle scab or fluid
- See CDC specimen collection guide as well as the Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer) MUST BE SHIPPED COLD
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 15 to 65 business days
Staphylococcus (MRSA, VISA and VRSA)
- Reportable disease: Kansas Notifiable Disease Form required by law if Toxic Shock Syndrome
- Info: Staphylococcus information overview , MRSA information, VISA/VRSA information, and Algorithm for Testing S. aureus with VA,
- Contact before sending: Contact KHEL at 785-296-1620 before sending
- Lab used: KHEL
- Test method: Culture ID
- Specimen requirements: culture isolate only sent to KHEL required by law
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 2 to 4 business days
Stool culture
- Info: See Enteric culture
Streptococcus (Streptococcus invasive disease or pneumonia)
- Reportable disease: Kansas Notifiable Disease Form required by law for Streptococcal invasive, drug-resistant disease from Group A Streptococcus or Streptococcus Pneumoniea and Toxic Shock Syndrome
- Info: Streptococcus information
- Contact before sending: Contact KHEL at 785-296-1620 before sending
- Lab used: KHEL
- Test method: Culture ID
- Specimen requirements: culture isolate only sent to KHEL required by law for Streptococcal invasive, drug-resistant disease from Group A Streptococcus or Streptococcus Pneumoniea
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 5 business days
Syphilis, serology
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Syphilis information
- Lab used: KHEL
- Test method: RPR [screening assay]
- CSF testing by FTA-ABS-DS
- CSF positive by FTA-ABS-DS testing will be forwarded to CDC for further testing
- Specimen requirements: Whole blood or serum (3-5ml); CSF (2-3ml)
- See Syphilis serology section on KDHE website for specifics
- Test frequency: M-F
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 2 business days
Syphilis, confirmation assay
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Syphilis information
- Lab used: KHEL
- Test method: FTA-ABS-DS
- Specimen requirements: Whole blood or serum (3-5ml); CSF (2-3ml)
- See Syphilis serology section on KDHE website for specifics
- Test frequency: 1-2x/week
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 7 business days
- T - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Tetanus
- Reportable disease: Kansas Notifiable Disease Form required by law
- Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL at 785-296-1634
Toxic Shock Syndrome
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: See Streptococcus or Staphylococcus
Trichinosis (Trichinella spiralis)
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Trichinosis information
- Contact before sending: Contact KHEL at 785-296-3718 (smear) or 785-296-1653 (serology)
Trypanosomiasis (Trypanosoma sp.), serology
- Info: African sleeping sickness information
- Contact before sending: Contact KHEL at 785-296-1653 (serology)
- Lab used: KHEL forwards specimens to the Division of Parasitic Diseases (DPD) at CDC.
- Test method: Serology
- Specimen requirements: Paired whole blood or serum (3 to 5ml each) is preferred, but single serum is accepted. Include relevant travel history (dates and places) and dates of onset and specimen collection, as well as clinical history and symptoms, on CDC form.
- Test frequency: As needed
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 15 to 60 days
Trypanosomiasis (Trypanosoma sp.), smear
- Info: African sleeping sickness information
- Contact before sending: Contact KHEL at 785-296-3718 before sending
- Lab used: KHEL
- Specimen requirements: See Parasitology section on KDHE website for specifics
- Test frequency: As needed
- Shipping info: Send slide in dry, crush-proof container
- Forms: order Universal Form
- Turn around time: 1 to 4 business days unless shipped to CDC
Tuberculosis, active or suspected active
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed ACTIVE disease: toll-free 1-877-427-7317: required by law
- Info: Tuberculosis information
- Contact before sending: Contact TB Control at 785-296-0739
- Lab used: KHEL
- Test method and Specimen requirements: Refrigerate until shipping DO NOT FREEZE: See Tuberculosis section on KDHE website.
- Test frequency: M-F
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide: Do not ship via USPS – UPS, carrier, and FedEx only
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: See Tuberculosis section on KDHE website
Tuberculosis, latent
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: for suspected active TB, please see Tuberculosis, active or suspected active
- Info: Tuberculosis information
- Contact before sending: Contact TB Control at 785-296-0739
- Lab used: KHEL
- Test method and Specimen requirements: Refrigerate until shipping DO NOT FREEZE: See Tuberculosis section on KDHE website.
- Test frequency: M-F
- Shipping kit needed: TB(Category B Biological Substance insulated mailer)
- Shipping Info: Diagnostic Sputum (TB) packaging guide: Do not ship via USPS: UPS, carrier, and FedEx only
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: See Tuberculosis section on KDHE website
Tularemia
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: Tularemia information
- Contact before sending: contact KHEL at 785-296-1620 before sending
- Lab used: KHEL
- Test method: culture PCR/DFA
- Specimen requirements: culture isolate only
- See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics
- Test frequency: as needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 3 business days (4-8 weeks for serology)
- V - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Varicella zoster
- Info: See Chicken pox (VZV) serology and culture
Viral hemorrhagic fever (VHF)
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law. These are among the most highly pathogenic viruses known. Infections (and death) may occur in medical and support staff through close contact with patients and their exudates. Because of the hazard associated with handling specimens, TESTING IS DONE ONLY WITH PRIOR CONSULTATION. Consultation is available 24 hours a day at 404-639- 2888. During business hours ( 8:00-4:30 EST) call SPB at 404-639-1115; FAX 404-639- 1118 or 404-639-1509.
- Info: VHF information
- Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL Virology Laboratory at 785-296-1644 before sending to KHEL. Do not send specimens to KHEL without notification of laboratory staff.
- Lab used: KHEL forwards specimens to CDC.
- Specimen requirements: See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics
- Test frequency: As needed
- Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
- Shipping Info: Infectious substance packing and shipping guide
- Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 15 to 65 business days
- W - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
West Nile virus and SLE, serology (other arbovirus testing done at CDC)
- Reportable disease: Kansas Notifiable Disease Form required by law
- Info: West Nile information
- Contact before sending: Epidemiologic Services at 877-427-7317 (approval required)
- Lab used: KHEL
- Test method: EIA-IgM
- Specimen requirements: Acute and convalescent whole blood or serum (3-5ml) or CSF (1ml) obtained <30 days after the onset of symptoms
- Test frequency: T-F
- Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
- Shipping Info: Blood / Chlamydia & Gonorrhea Packaging Guide (.pdf)
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form
- Turn around time: 1 to 7 business days
Whooping Cough
- Info: See B. pertussis
- Y - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Y. pestis
- Info: See Plague
Yellow Fever, serlolgy
- Reportable disease: Kansas Notifiable Disease Form required by law
- Warning: Prior consultation with CDC recommended. Call the Arbovirus Branch in Ft. Collins, CO at 970-221-6407.
- Info: Yellow Virus Fever information
- Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL at 785-296-1644 before sending to KHEL.
- Lab used: KHEL forwards specimens to CDC in Ft. Collins, CO
- Test method: serology
- Specimen requirements: DO NOT FREEZE. Whole blood or serum (3 to 5ml), CSF (1 to 3ml). Ship with frozen gel pack.
- Test frequency: As needed
- Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
- Shipping Info: Virus Shipping Guide
- Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
- Forms: order Universal Form and CDC 50.34
- Turn around time: 15 to 65 business days