Sample Collection and Transport Techniques

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Questions and Answers

What should be done if small bowel content cannot be delivered to the laboratory on the same day?

  • Freeze the small bowel content until delivery.
  • Add 10 cc of Boric Acid to 100 ml of small bowel content.
  • Dilute the small bowel content with water.
  • Add 5 drops of chloroform to 50 ml of small bowel content. (correct)

When should milk samples taken from a patient's udder for mastitis diagnosis be delivered to the laboratory?

  • Within 1 day.
  • Within 24 to 48 hours. (correct)
  • Within 72 hours.
  • Within 5 days.

Which method is preferred for collecting nasal discharges?

  • Using wire-handled dacron swabs moistened with transport medium. (correct)
  • Using cotton swabs without any medium.
  • Collecting directly with fingers.
  • Suctioning with a syringe.

How should abscess specimens be collected for the best culture results?

<p>From the edges of the abscess wall. (C)</p> Signup and view all the answers

What is the recommended procedure for collecting urine samples?

<p>Use clean catch method from the urethra. (A)</p> Signup and view all the answers

What is the best time of day to collect urine for investigating urinary tract infections?

<p>Fresh morning urine. (B)</p> Signup and view all the answers

How should semen samples be ideally collected?

<p>Using an artificial vagina. (D)</p> Signup and view all the answers

What should be added to milk samples if there is a delay of 2 days in delivery to the laboratory?

<p>Boric Acid. (B)</p> Signup and view all the answers

What is the preferred condition for taking samples from a patient?

<p>During the pyretic period (A)</p> Signup and view all the answers

Which of the following samples should ideally be taken for bacteriological examination?

<p>Samples from freshly deceased cadavers (A)</p> Signup and view all the answers

Why is it important to take samples immediately after the use of alcohol on lesions?

<p>To avoid contamination (A)</p> Signup and view all the answers

What temperature should samples be stored at if not planted on the same day?

<p>At -20 °C (B)</p> Signup and view all the answers

Which of the following is NOT an acceptable condition for sample collection?

<p>Taking samples during chronic infections (D)</p> Signup and view all the answers

Which of the following should be cleaned with 70% alcohol before collecting a skin sample?

<p>The edge of the lesions (C)</p> Signup and view all the answers

What should be done if antibiotics have been administered before taking samples?

<p>Samples should be taken after the expulsion period (C)</p> Signup and view all the answers

Which substances can potentially be excreted from the body for sample collection?

<p>Milk, saliva, semen, and urine (A)</p> Signup and view all the answers

What should be done to a blood sample before transportation to minimize bacterial growth?

<p>Use an anticoagulant. (B)</p> Signup and view all the answers

What is the main purpose of using a centrifuge after obtaining a blood sample?

<p>To separate the serum from the clot. (A)</p> Signup and view all the answers

What is the role of glycerine when transporting organ parts with lesions?

<p>To preserve the sample for short-term delivery. (C)</p> Signup and view all the answers

What characteristic distinguishes serum from plasma?

<p>Serum is derived from clotted blood while plasma is from anticoagulated blood. (B)</p> Signup and view all the answers

What temperature is recommended for transporting stool samples?

<p>At 4 ºC. (C)</p> Signup and view all the answers

What is the correct method for obtaining plasma from a blood sample?

<p>Centrifuge at 3000-3500 rpm for 30 minutes. (C)</p> Signup and view all the answers

Why might blood samples need to be mixed upside down right after collection?

<p>To ensure uniform distribution of anticoagulant. (B)</p> Signup and view all the answers

Which substance is specifically absent in serum?

<p>Fibrinogen. (D)</p> Signup and view all the answers

Flashcards

Sample Collection - Blood (with anticoagulant)

Blood sample collected using anticoagulants like EDTA or heparin. Mixed immediately after collection and placed in gel tubes or allowed to clot at room temperature.

Sample Type - Serum

The clear liquid portion of clotted blood, free of cells and clotting factors.

Sample Type - Plasma

The liquid portion of blood, obtained by taking an anticoagulant sample, free of cells and clotting factors.

Sample Collection - Stool

Stool samples should be collected and placed in transport media, refrigerated at 4°C for microbiological analysis.

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Sample Transport Medium

Material used to maintain the viability and integrity of collected samples, as well as to prevent contamination during transport.

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Anticoagulant

Substance that prevents blood clotting.

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Centrifuge

A machine that spins samples rapidly, separating them by density.

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Transport at 4°C

Maintaining a sample temperature of 4°C to prevent degradation of biological material.

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Small Bowel Content Collection

To preserve small bowel content for lab analysis, add 5 drops of chloroform to 50 ml of the sample if delivery cannot be on the same day.

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Mastitis Sample Collection

Collect the first milk from the udder lobes into a separate container. Use 5-8 ml samples, collected under sterile conditions, and deliver within 24-48 hours in the cold chain.

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Mastitis Sample Preservation

If delivery to the lab is delayed more than 2 days, add 5 cc of 10% Boric Acid to 50 cc milk to prevent bacterial activity during storage.

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Eye/Nasal Discharge Sampling

Use swabs (dacron, cotton, gauze) to collect palpebral conjunctiva and nasal secretions. Place swabs in a transport medium and deliver immediately at 4°C.

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Abscess Sample Collection

Collect samples by scraping the abscess wall, avoiding the center of the abscess, which is usually sterile. Optimal samples come from newly formed abscesses.

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Abortion Sample Collection (Ruminants)

Sample fetal abomasal content, large lung/liver/fetus lesions, and infected placental areas (2+ cotyledons). Collect 20 ml of maternal urine and serum for tests.

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Urine Sample Collection

Collect urine for analysis, bacterial microscopy, culture, and bacteriuria checks. Use cystocentesis, catheterization, or midstream clean-catch methods for collection. Use fresh morning urine if possible.

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Urine Sample Handling

Inoculate urine samples within 4 hours for testing, preferably fresh morning urine, for infection diagnosis.

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Genital/Semen Sample Collection

Collect samples via vaginal/preputial washing or swabbing. Use an artificial vagina for semen collection, using specific transport media as needed.

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Skin Sample Collection

Collection of skin samples (biopsy or scraping) from infected skin lesions, skin scrapings, and nails for fungal infections, or from active areas on the lesion's edges.

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Sample Freshness

Samples should be fresh and plentiful, ideally collected during patient's fever (pyretic) period for microorganisms in blood.

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Sample Quantities

Adequate quantities of the sample material are essential for proper examination.

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Pyretic Period

Time during illness when the patient has a fever.

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Sample Timing (Post-mortem)

Samples from a fresh cadaver should be taken within 2 hours of death.

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Aseptic Conditions

Samples should be collected using sterile techniques to avoid contamination.

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Sterile Containers

Containers and tubes used for the examination are expected to be sterile, to avoid contamination during analyses.

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Cold Chain

Maintaining a consistent, cool environment during sample transport to prevent sample deterioration.

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Pre-Antibiotic/Chemotherapy Samples

Samples should be obtained if possible before administering antibiotics or chemotherapeutic agents.

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Storage at -20C

Samples which cannot be analyzed the same day should be stored at -20C.

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Organs/Tissues Examined

A selection of organs/tissues potentially to be sent for examination (e.g., liver, lung, spleen, kidney, brain, lymph nodes, bones, intestine, skin), and various body fluids (blood, milk, urine, semen, CSF, body cavity fluids, etc).

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Study Notes

Collection and Transport of Samples

  • Morphological Substances (Lesioned Organs): Hand-sized lesioned organs are transported in saline with 50% glycerin. Glycerin has a bactericidal effect if delivered over a long period.

  • Blood Samples: Use anticoagulants like EDTA or heparin for serological and biochemical analysis. Collect blood via a venous route. Shave or remove hair and clean the area with 70% alcohol before drawing blood. Mix anticoagulated samples immediately after collection, inverting the tube.

  • Serum Samples (Gel Tubes): Use gel tubes for serum samples. Allow blood to clot at room temperature for 1-2 hours, then seal and refrigerate for several hours or overnight. Centrifuge at 1000 rpm for 10-15 minutes.

  • Serum: Serum is the liquid portion separated from a clot formed by fibrinogen's transformation into fibrin. The serum does not contain fibrinogen as it is the liquid portion that is separated from the clot.

  • Plasma: Plasma is the cell-free liquid component of blood treated with anticoagulants. Collect blood with anticoagulants, centrifuge the blood sample at 3000-3500 rpm for 30 minutes, and use the upper liquid as plasma.

  • Stool and Bowel Content: Transport faecal samples in appropriate medium at 4°C. If same day delivery is impossible, add 5 drops of chloroform to 50ml of small bowel content. For mastitis diagnosis, take 5-8 ml of the first milk from the udder. Deliver samples within 24-48 hours if the laboratory requires cold chain adherence. Add 5cc of 10% Boric Acid if delivery is delayed for 2 days.

  • Eye and Nasal Discharge: Collect samples (saliva, tears) by swabbing the conjunctiva. Place swabs in transport medium; swab should be in contact with secretions for a minute. Deliver to lab immediately at 4°C.

  • Abscesses: Collect scrapings from the abscess wall. Pus from the middle of abscesses is usually sterile. Best results are achieved by collecting samples from newly-formed abscesses.

  • Abortion Samples: Collect fetal abomasal content (ruminants), lesions, and potentially infected placental material (2 or more cotyledons). Collect 20ml of uterine discharge and parent urine for further investigation. Serum samples should be taken for serological tests.

  • Urine Samples: Urine should be delivered for analysis, microscopy, culture, and clinical bacteriuria detection. Collect samples in sterile containers. Do not allow bacteria to come in contact with the samples. Prefer cystocentesis, catheter, or mid-stream urine to collect samples. Samples should be inoculated within 4 hours.

  • Genital Discharge and Semen: Collect samples using vaginal or preputial washing (use swabs to collect). For semen use an artificial vagina. Specific transport medium needs are often required. Deliver biopsy or scraping samples from infected skin lesions in sterile condition to the lab as soon as possible. If for fungal infections, scrape and collect nails or other lesions. Wipe with 70% alcohol, then use forceps, curette or scalpel to collect and place in sterile containers. Seal.

  • Acceptance Criteria: Samples should be very fresh and in sufficient quantities for testing. Ideally, samples should be collected from patients when showing fever (pyretic period) for maximal detection of potential pathogens.

  • Additional Requirements for Samples (Organs, Tissues): If submitting organs or tissues, materials should be suitable for bacteriological examination. Collect from fresh cadavers within 2 hours of death to use for examination. Store and transport under cold chain. Samples should be taken without the use of antibiotics, or before antibiotic administration. Wait for the antibiotic period to end before collecting.

  • Morbid Substance Handling: Collect these under aseptic conditions, place them in sterile containers, and rapidly transport them to the lab under refrigeration (cold chain). Sterilize laboratory equipment if needed. The label information should be complete and accurate for the examination.

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