Bacteriology - webapps.cap.org

1 Bacteriology 1232008 Surveys & Anatomic Pathology Education BacteriologyDo you perform extensive microbiology procedures including:nidentification of aerobes and anaerobesnisolation from multiplesites antimicrobial susceptibility testing nGram stain nantigen detectionDo you perform limited Microbiology procedures which may include:nthroat, urine, blood, and GC cultures nantimicrobial susceptibility testingnGram stain nantigen detectionDo you performcultures, antigen detec-tion, and Gram stains?Perform Gram stain only.

2 Select Survey D5,Gram StainSelect Survey D6 RapidStrep Antigen Detectionor Survey D9 RapidStrep Antigen Detection,WaivedDo you perform Group A StreptococcusAntigen testing?Do you perform Bacteriology antigen detection only?Do you perform Chlamydia Antigen Detection?Select Survey DComprehensiveBacteriologySelect from among Surveys:nD1 Throat CulturenD2 Urine CulturenD3GC CulturenD4 Limited Bacteriology Survey (Throat, Urine, and GCCultures)nD7 Urine and Throat CulturenBCSB lood CultureConsider Survey BASfor Bacterial Antigens.

3 This Survey is not designed to meet CLIA requirementsSelect from:nHC1 Chlamydia Antigen (DFA) Detection nHC3 Chlamydia EIAnHC5 Chlamydia Antigen Detection by DNA ProbenHC6 Chlamydia Antigen Detection by Nucleic Acid AmplificationConsider enrollment in LPXL aboratory Preparedness Exercise. This Survey is not designed to meet CLIA requirements NoNoNoYesYesYesYesYesYesYesYesThis flowchart is provided as a guide for ordering the appropriate Bacteriology Surveys for your laboratory s testing menu. In order to meet CLIA requirements for the subspecialty of Bacteriology , five specimens must be reported for each mailing.

4 If you have any questions, please contact the CAP Customer Contact Center at 800-323-4040 option you perform Group B StreptococcusAntigen testing?NoSelect Survey D8 Group B Rapid StreptococcusAntigen DetectionYes124 BacteriologyCollege of American Pathologists800-323-4040 Option 1 for Customer Contact CenterHandle with CareSpecimens included in the Bacteriology Surveys may contain pathogens and must be handledwith extreme care. These specimens must be dealt with and disposed of only by trained laboratory InformationSurvey D is designed for laboratories performing extensive microbiology procedures (bacterial identification of aerobes and anaerobes, isolation from multiple sites, antimicrobial susceptibility testing, Gram stain, and antigendetection).

5 Laboratories offering a more limited range of testing should consider enrolling in Bacteriology (Limited)Survey D4 or individual Surveys D1, D2, D3, D5, D6, D7, D8, and D9. Note: Concurrent enrollment in Survey Dwith Surveys D1-D9 is not recommended due to the duplication of some shipment will include five specimens, in duplicate, and two specimens for antigen detection. Antigen detectionchallenges will be offered in the following shipments: A -Clostridium difficiletoxin/antigen and Spinal Fluid Meningitis Panel B - Clostridium difficiletoxin/antigen and Group A Streptococcus C - Group A Streptococcusand Spinal Fluid Meningitis Panel An education activity is planned that includes reading material found in the Participant Summary/Final Critique andonline learning assessment questions.

6 All laboratory staff can participate individually and earn free CME/CE creditwithout leaving the per ShipmentAntimicrobial susceptibility testing z1-graded, 1-ungradedBacterial antigen detection z2 Bacterial identification z5 Gram stain z1 Bacteriology DCategory1 CMECEB acteriologyAnalytes/procedures in boldtype are regulated for proficiency testing by the Centers for Medicare & Medicaid Services (CMS). Bacteriology 1252008 Surveys & Anatomic Pathology Education Analytes BCSC hallenges per ShipmentBlood culture bacterial identification z2 Product InformationSurvey BCS is designed for laboratories performing microbiology procedures for the detection and identification oforganisms in blood cultures.

7 Each shipment will contain two challenges for inoculation of blood culture : Since 5 specimens must be reported for each mailing for the subspecialty of Bacteriology , participation inthis Survey only will not meet CLIA regulatory Culture BCSP rocedureD1D2D3D7 Challenges per ShipmentAntimicrobial susceptibility testingzz1 Bacterial identification zzzz5 Gram stain zzz1 Culture source:ThroatUrine Various sources Throat/urineMicrobiologic level:Presence orPathogensPresence or Combination absence ofand/orabsence of of two throatGroup AcontaminantsNeisseriaand threeStreptococcusidentified to thegonorrhoeaeurine culturedetermination extent of your determinationspecimenslaboratory sprotocolThroat, Urine, GC Cultures D1, D2, D3, D7 Product InformationSurveys D1, D2, D3, and D7 are designed for the laboratory performing a limited menu of microbiology shipment of Surveys D1, D2, D3, and D7 will contain five specimens in duplicate.

8 Survey D7 will contain twothroat and three urine culture of American Pathologists800-323-4040 Option 1 for Customer Contact CenterProcedureD4 Challenges per ShipmentAntimicrobial susceptibility testingz1 Bacterial antigen detectionz1 Bacterial identification z5 Gram stain z1 Culture types:Microbiologic level:Throat culturePresence or absence of Group AStreptococcusdeterminedUrine culturePathogens and/or contaminantsidentified to the extentof your laboratory s protocolGC culturePresence or absence ofNeisseria gonorrhoeae determinedBacteriology (Limited) D4 Product InformationSurvey D4 is designed for the laboratory performing moderately comprehensive microbiology procedures.

9 Each shipment of Survey D4 will contain five inoculated loop specimens, in duplicate, and one swab specimen for Group A Streptococcusantigen per ShipmentGram stain z5 Product InformationSurvey D5 includes two purulent smear challenges per shipment. Each shipment will contain five air-dried, methanol-fixed, unstained glass Stain D5 Bacteriology 1272008 Surveys & Anatomic Pathology Education ProcedureD6 Challenges per ShipmentGroup A Streptococcusantigen detectionz5 Product InformationEach shipment will contain five swab Strep Antigen Detection D6 AnalyteD8 Challenges per ShipmentGroup B Streptococcusantigen detectionz5 Product InformationEach shipment will contain five swab B Strep Antigen Detection D8 AnalyteST Challenges per ShipmentShiga toxinz2 Product InformationEach shipment will

10 Include two liquid simulated stool specimens for direct shiga toxin Toxin STAnalyteMRS Challenges per ShipmentMRSA detectionz2 Product InformationSurvey MRS is designed for laboratories performing screening testing for the detection of Methicillin ResistantStaphylococcus aureusfrom a swab. Methicillin Resistant Staphylococcus aureusScreen MRSNewNew128 BacteriologyCollege of American Pathologists800-323-4040 Option 1 for Customer Contact CenterProcedureD9 Challenges per ShipmentGroup A Streptococcusantigen detectionz2 Product InformationSurvey D9 is designed for laboratories performing testing for the detection of Group AStreptococcusantigen using awaived Strep A Antigen Detection.