Organisms/specimens to be sent to the Public Health Laboratory

(1) Pure bacterial isolates of the following organisms shall be sent to the OSDH Public Health Laboratory for additional characterization, typing or confirmation within two (2) working days (Monday through Friday, state holidays excepted) of final identification or diagnosis. (A) Bacillus anthracis. (B) Brucella spp. (C) Carbapenem-resistant Enterobacteriaceae. (D) Carbapenem-resistant Pseudomonas aeruginosa. (E) Carbapenem-resistant Acinetobacter spp. (F) E. coli O157, O157:H7, or a Shiga toxin producing E. coli. (G) Francisella tularensis. (H) Haemophilus influenzae (sterile site). (I) Listeria monocytogenes (sterile site). (J) Mycobacterium tuberculosis. (K) Neisseria meningitidis (sterile site). (L) Salmonella spp. (M) Vibrionaceae family (Vibrio spp., Grimontia spp., Photobacterium spp. and other genera in the family). (N) Yersinia spp. (2) Following consultation with an OSDH epidemiologist, clinical specimens from suspected cases of botulism must be sent to the OSDH Public Health Laboratory for referral and testing. (3) When Plasmodium spp. is suspected by a healthcare provider, a Giemsa-stained (or other suitable stain) thin and thick, peripheral blood smear prepared from EDTA should be submitted in addition to the EDTA purple top blood tube. (4) Laboratories unable to perform reflex culture to isolate/recover the following bacterial pathogens detected by CIDT assays shall submit positive CIDT stool samples in Cary Blair or modified Cary Blair transport media to the OSDH Public Health Laboratory within two (2) working days (Monday through Friday, state holidays excepted) of final CIDT result. (A) E. coli O157, O157:H7, or a Shiga toxin-producing E. coli. (STEC) (B) Salmonella spp. (C) Vibrio spp. (D) Yersinia spp. SUBCHAPTER 3. DISCLOSURES AND USES OF DISEASE PREVENTION AND CONTROL INFORMATION