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This form is used to request laboratory testing for mycobacteriology, specifically for tuberculosis diagnosis and follow-up. It collects patient information, specimen details, and requested tests.
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How to fill out MYCOBACTERIOLOGY REQUEST

01
Begin by filling in your personal information, including your name, contact details, and insurance information, if applicable.
02
Provide the patient's information, including their name, age, sex, and any relevant medical history.
03
Specify the type of specimen being submitted (e.g., sputum, tissue, etc.).
04
Indicate the specific mycobacterial tests requested on the form.
05
Include information about the clinical history and symptoms related to the request, if available.
06
Ensure that the submission date is clearly mentioned.
07
Review the information for accuracy before submitting the request.

Who needs MYCOBACTERIOLOGY REQUEST?

01
Patients suspected of having tuberculosis or other mycobacterial infections.
02
Healthcare providers requiring diagnostic testing for mycobacterial diseases.
03
Laboratories conducting mycobacterial studies as part of a clinical evaluation.
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Generally, at least three sputum samples are collected and sent to a laboratory for testing. Your health care provider may also collect a sample, take tissue samples, or do other tests. These tests can find TB germs that may be outside your lungs.
Rapid sputum tests are also called nucleic acid amplification tests (NAATs). One of the best ways to diagnose TB is through a sputum culture. A sputum culture is a test to find germs (such as TB bacteria) that can cause an infection. A sample of sputum is added to a substance that promotes the growth of bacteria.
A sample of blood is sent to a lab. One lab test finds out whether certain immune system cells can "recognize" tuberculosis. A positive test shows that you have either a latent TB infection or active TB disease. Other tests of the blood sample can help determine if you have active disease.
There are two tests that are used to determine if a person has been infected with TB bacteria: TB blood test (Interferon Gamma Release Assay [IGRA]) TB skin test (Mantoux tuberculin skin test [TST])
The Mycobacteriology Laboratory identifies Mycobacterium species and other aerobic actinomycetes from submitted clinical specimens and referred isolates. Susceptibility testing for several antimicrobials is performed on Mycobacterium tuberculosis complex (MTBC) and Mycobacterium kansasii.
Detection of drug resistance: The GeneXpert test simultaneously detects TB and determines drug resistance, especially for rifampicin, which can indicate the presence of multi-drug resistant tuberculosis.
What is a TB blood test? The tuberculosis (TB) blood test, also called an Interferon Gamma Release Assay or IGRA, is a way to find out if you have TB germs in your body. The TB blood test can be done instead of a TB skin test (Mantoux).
Mycobacterium is a genus of over 190 species in the phylum Actinomycetota, assigned its own family, Mycobacteriaceae. This genus includes pathogens known to cause serious diseases in mammals, including tuberculosis (M. tuberculosis) and leprosy (M. leprae) in humans.

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MYCOBACTERIOLOGY REQUEST is a formal request for laboratory testing aimed at identifying and analyzing mycobacterial species, primarily focused on those that cause tuberculosis and other mycobacterial infections.
Healthcare providers, such as physicians and medical laboratories, are typically required to file a MYCOBACTERIOLOGY REQUEST when there is a suspicion of a mycobacterial infection in a patient.
To fill out a MYCOBACTERIOLOGY REQUEST, one must provide patient information, clinical history, specimen details, and any specific tests requested. Ensure all fields are accurately completed to facilitate proper laboratory processing.
The purpose of a MYCOBACTERIOLOGY REQUEST is to initiate laboratory tests that help diagnose mycobacterial infections, enabling timely and appropriate treatment for affected individuals.
Information that must be reported includes patient demographics, clinical symptoms, specimen type, date of collection, and any relevant medical history or risk factors associated with mycobacterial infection.
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