Collection Instructions

For optimal detection, collect NP swabs for patients with primarily upper respiratory tract infections and BAL for patients with lower respiratory tract infections.

Do not send both a NP swab and BAL fluid to the lab for testing.

Submit only one specimen type:

Specimen Type: Nasopharyngeal Swab (NP)
Container/Tube: 3-mL UTM/Swab or Saline Collection Kit 
Collection Instructions:  

• If possible, obtain specimen during the acute phase of the illness during the greatest amount of viral shedding. 
• Tilt the head of the patient, gently insert the swab through one of the nostrils and into the nasal passage.
• Rotate the swab tip several times across the mucosal surface.
• Remove the swab and insert into the red top tube of viral transport medium (UTM) immediately.
• Push the swab into the tube and break the plastic shaft swab at the break line.
• Replace cap and screw on tightly.
• Label specimen with at least 2 patient identifiers (usually name and date of birth)
• Send to lab immediately
• Refrigerate if there will be a delay in reaching the laboratory.

Note: ESwab is acceptable but not preferred specimen collection container.

Specimen Type: Bronchoalveolar Lavage, BAL
Container/Tube: Sterile container
Volume: 2 mL
Minimum volume: 1 mL

Collection Instructions:

• Label container with patient’s full name and birthdate or Spectrum Health MRN. Also include specimen source.
• Collect the lavage (not less than 1-2 mL of fresh, unfixed material) in a sterile, leak-proof container. 
• Indicate on the order site lobe and pertinent clinical data (i.e. clinical impression, past diagnosis, radiographic findings and history of radiation or chemotherapy should be included in the order.) 
• Refrigerate if there will be a delay in reaching the laboratory.

UNACCEPATABLE Specimen Types: NP washings, Sputum, Tracheal lavage/aspirate