Newcastle Laboratories

CPE Screening

Clinical Background:

Carbapenems are a valuable family of antibiotics normally reserved for serious infections caused by drug-resistant Gram-negative bacteria (including Enterobacteriaceae). They include meropenem, ert...

Carbapenems are a valuable family of antibiotics normally reserved for serious infections caused by drug-resistant Gram-negative bacteria (including Enterobacteriaceae). They include meropenem, ertapenem, imipenem and doripenem. Carbapenemases are enzymes that destroy carbapenem antibiotics, conferring resistance. They are made by a small but growing number of Enterobacteriaceae strains. On admission, all patients are be asked if they have been in hospital overseas or outside the North East of England and Cumbria (in the last 12 months). If so they are screened for CPE by examing faeces samples.

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Test Details

  • Discipline:

    Microbiology

    Microbiology

  • Specimen Container Adult:

    Scoop faeces in to universal container using intergrated spoon. Alternatively, rectal swabs can be used provided faecal material is evident on the swab.

    Scoop faeces in to universal container using intergrated spoon. Alternatively, rectal swabs can be used provided faecal material is evident on the swab.

  • Specimen Container Paediatric:

    Scoop faeces in to universal container using intergrated spoon. Alternatively, rectal swabs can be used provided faecal material is evident on the swab.

    Scoop faeces in to universal container using intergrated spoon. Alternatively, rectal swabs can be used provided faecal material is evident on the swab.

  • Minimum Volume Adult:

    Quarter full (Universal Container)

    Quarter full (Universal Container)

  • Minimum Volume Paediatric:

    Quarter full (Universal Container)

    Quarter full (Universal Container)

  • Special Requirement:

    Send to laboratory as quickly as possible. If delays likely, refrigerate at 2-8 deg C

    Send to laboratory as quickly as possible. If delays likely, refrigerate at 2-8 deg C

  • Sample Stability:

    Stable for up to 24 hours

    Stable for up to 24 hours

  • Transport Requirements:

    Standard

    Standard

  • Add On Test:

    N/A

    N/A

  • Quality Assurance:

    UK National External Quality Assurance Scheme

    UK National External Quality Assurance Scheme

  • Interpretation:

    Interpretative comments are added to reports where applicable

    Interpretative comments are added to reports where applicable

  • Reference Ranges:

    N/A

    N/A

  • Factors Affecting Result:

    If delays likely, refrigerate at 2-8 deg C

    If delays likely, refrigerate at 2-8 deg C

  • Referenced Documents:

    Standards of Microbiology Investigations (SMI P 8)

    Standards of Microbiology Investigations (SMI P 8)

Availability:

Performed daily during core hours

Turn Around:

<2 days Positive result = 1-2 days

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