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Test Code C Gonorrhoeae CULTURE, GONORRHOEAE

Aliasis

GC Screen

Patient Preparation

See Collection Instructions

Special Collection Instructions

Amniotic fluid:

Aspirate via amniocentesis, cesarean section, or intrauterine catheter. NOTE: Swabbing or aspiration of vaginal membrane is not acceptable due to vaginal contamination.

Bartholin gland (cyst):

Disinfect skin with 2% lidocaine tincture

Cervix:

Do not use lubricant. Remove mucus from cervix with swab and discard. Sample endocervical canal with sterile swab.

Endometrium:

Collect transcervical aspirate via telescoping catheter.

IUD:

Place IUD in sterile container. Do not allow to dry out. Transport to lab immediately

Penis:

Remove surface exudate. Sample the base of the lesion or abscess wall. If an open lesion, aspirate if possible or pass a swab deep into the lesion. If a closed lesion, aspirate abscess material with needle & syringe; remove needle and cap the syringe.

Prostrate:

Cleanse glands with soap & water. Massage prostrate through rectum. Collect fluid on sterile swab or in sterile container

Throat:

Sample posterior pharynx, tonsils and inflamed areas with double swab from culturette transport tube or eSwab.

Urethra or Penile discharge:

 Female-remove exudates from urethral orifice. Collect discharge material on swab. If no discharge can be obtained, wash external urethra with betadine soap & rinse with water. Insert urethrogenital swab 2-4 cm into urethra & rotate swab for 2 seconds.

Male-Insert urethrogenital swab 2-4 cm into urethra lumen, rotate swab. Leave in place 2 seconds.

Vagina:

Wipe away excessive sections or discharge. Obtain sections from mucosal membrane of vaginal vault with sterile swab.

Collection Method

Follow appropriate collection procedures

Minimum Volume

Varies by specimen type

Container

eSwab, Sterile specimen container

Preferred Specimen

  • Cervix
  • Bartholin Gland
  • Endometrium
  • Vagina
  • Urethral or penile discharge
  • Prostrate
  • Penis

Acceptable Specimen(s)

  • Cervix
  • Bartholin Gland
  • Endometrium
  • Vagina
  • Urethral or penile discharge
  • Prostrate
  • Penis
  • Amniotic fluid
  • IUD

Reference or Target Ranges

Negative- No Growth

Reportable Units

Positive-Growth
Negative-No Growth

Critical Value

Neisseria gonorrhoeae

Reasons for Rejection

Other:                           

QNS, contaminated, Improperly labeled, Improper specimen type

Specimen Stability

Ambient: Amniotic fluid/IUD:  15 minutes

eSWAB:

  • Transport directly to the laboratory, preferably within 2 hours of collection to maintain optimum organism viability. 
  • If immediate delivery or processing is delayed, then specimens should be refrigerated at 4-8 C or stored at room temperature (20-25 C) and processed within 48 hours
  • If looking for Neisseria gonorrhoeae, cultures should be processed within 24 hours.

Performance Information

Days and Time Performed

Daily

Expected Turn Around Time

3-5 Days

Stat Availability

No

Performing Bench

CRMC Microbiology

Additional Information / Important Notes

Culture includes Gram Stain

Methodology/Method Description

Culture

CPT Codes

87081