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Collection and Handling
of Specimens for
Laboratory Diagnosis
Dr. Milagros R.Mananggit
Chief, Regional Animal Disease Diagnostic Laboratory
Department of Agriculture, Regional Field Unit 3
Purposeof collecting samples
1.Direct examination thru microscopy
Bloodparasite examination
Fecalysis
Impressionsmears for Fluorescent Antibody Test
eg. Rabies and Hog choleSra
2. Isolationofcausative microorganisms
Bacterial Isolation and identification
Tissueculture
Egginoculation
Mice Inoculation
Purposeof collecting samples
3.Serological Investigation
ELISA Test
AGPT
HA-HI Test
Rapid plate test
4.Molecular Test
LAMP
Polymerase Chain Reaction(PCR)
Conventional PCR
Real Time PCR (quantitativePCR)
5.Diagnosis of the disease
Purposeof testing samples
1. Confirmatory diagnosis of suspector
clinical case
2. Demonstration of freedom from
infection in a defined population
3.Eradication of disease or elimination of
infection from a defined population
4. Estimation of prevalence of infection or
exposure to facilitate riskanalysis
Purposeof testing samples
5.Certification of freedom from infection
or presence of the agent in
individual animals or theirproducts
for trade orshipment.
6. Determination of immunestatus of
individual animals orpopulations
7. For specific therapeutic medication
Basics incollecting samples
1.Always protect yourself, other people and
the environment
2. Use clean, preferably sterilizedimplements
3.Collect samples beforetreatment isinitiated
4.Sample volume or quantity must be sufficient
for all necessary tests with enough residual
specimen for archivalpurposes
5.Practice proper restraint of animals during
sample collection
Basics incollecting samples
6.Packagingcontainers for specimens should
be leak-proof andsterile
7.Label all specimen containers and account
for all of them in a sample information sheet
8.Maintain cold chain during transport of
samples
9.Provide sufficient epidemiological information
on the case
10.Notify the receiving laboratory
Checklist for Field SampleCollection
1. Personel Protective Equipment(PPE)
Scrub suit
Face mask
Gloves
Boots
Goggles
Apron
Checklist for Field SampleCollection
2. Necropsy Kit
Knife
Scissors
Bone cutter
Forceps
Scalpel with
blade
Checklist for Field SampleCollection
3. Sample Containers
a. Blood/Serum
1) Vacutainer tubes
Violet or green top –whole
blood
Redtop – serum samples
Glass slides –blood smears
2) Disposable Syringes
3) Cryotubes for serum (2 ml)
4) Vacutainer needle and holder
Checklist for Field SampleCollection
b. Organs/Tissues – each organ
must have separate
container
Screw cap sterile
containers
Zip lock plastic bags
Checklist for Field SampleCollection
c. Swabs - nasal, tracheal,
oro-pharyngeal, cloacal
with viral or bacterial
transport media
Checklist for Field SampleCollection
4. Labelling of Samples
Permanent water proof pen
Masking tape
5. Preserving samples
Ice chest/Styropor box
Gel coolant
10 % buffered formalin
– for histopathology
Slide box
Methanol to fix blood smears
Checklist for Field SampleCollection
6. Recording Forms
Surveillance or disease investigation forms
Sample submission forms
7. Restrainer – rope, nose grip, pig restrainer
8. Disinfectant (hand sprayer)
70 % alcohol
10 % lysol or bleaching agent
9. Documentation –camera, tablet, cell phone
10. Garbage bag
Sample Collection During Necropsy
Tissue samples should be collected
aseptically using rat tooth forceps and
scalpel blade dip in a container with
alcohol.
Cut tissue samples with demarcation
between normal and abnormal with enough
quantity to perform differentialdiagnosis.
Each tissue must have a separate sterile
container. Intestines should be tied with yarn
at both ends.
Samplesthat ShouldAlways beCollected
Tissue/Sampl
e
Fresh (Chilled-not frozen) Fixed (10% buffered formalin)
Serum 5 ml
Whole Blood 3 ml in EDTA
Swabs Brain, epicardium, joint
Brain
Lungs 6x6x6 cm, 2 sections 2x2x1 cm
Heart 4x4x4 cm piece 2x2x1 cm w L & R ventricles and
septum
Liver 4x4x4 cm piece 2x2x0.5 cm
Kidney Half of a kidney 0.5 cm slice thru center
Spleen 5 cm piece
Lymph nodes Mandibular, sternal,
tracheobronchial, mesenteric,
inguinal
Mandibular, sternal,
tracheobronchial, mesenteric,
inguinal
Ileum 10 cm segment 2 cm segment
SampleCollection in LiveAnimals
1. Blood:
jugular vein - horses, and small ruminants
tail vein - big ruminants,
wing vein - avian species
lateral saphenous or middle cephalic in dog/cat
Serum: Let stand at room temperature for 12 to 24 hours
then transfer into cryotubes.
BPE: Use violet or green top cryotubes, blood smears
can be prepared, air dry and fix in methanol for 3
minutes.
SampleCollection in LiveAnimals
2. Swabs – collect exudates from abscess and
lesions, oropharyngeal, tracheal and cloacal
swabs for avian influenza
3. Feces – take directly from rectum or just
after defecation
4. Urine collection thru catheterization
SampleCollection in LiveAnimals
5. External parasites
large parasites can be picked off and place in
container with 70% alcohol for identification
smaller parasites such as mites can be scraped
with blade and placed in slide with mineral oil
6. Tissue impression smears in slide
7. Milk – 5 to 10 ml in sterile container
SampleCollection for Toxicology
1. Body fluids –blood and urine
2. Tissues to collect at necropsy – stomach or
rumen contents, feces, brain, liver, kidney,
body fat, skin, and urine
3. Suspected source – feeds and water,
poisonous plants, soil
4. Test for nitrates – best sample is aqueous
fluid from the eye of dead animal
Samplesfor Specific Diseases
Abortion
mid portion of kidney, placenta, adrenal gland,
liver, spleen, tied-off stomach, brain and serum
Store at 2-4 °C and submit under refrigeration
Abscesses
Purulent exudates on a sterile swab or in a sterile
tube collected from the margin of the abscesses
Store and submit under refrigeration
Samplesfor Specific Diseases
Arthritis
Swab or fluid from affected joint or unopened
joint
Send in bacterial transport medium, fluid in
syringe
Anthrax
cotton swab soaked in exuded blood taken from
superficial ear vein or cut surface of hemorrhagic
lymph node placed in tube media.
Submit under refrigeration
Samplesfor Specific Diseases
Blackleg and Malignant Edema
2inches cube of affected muscle
Packed in sterile container and submit under
refrigeration
Brucellosis
Blood and serum sample collected 10 to 20 days
after abortion, aborted fetus, tied off stomach
Shipped in sealed container under refrigeration
Samplesfor Specific Diseases
Caseous Lymphadenitis
affected nymph nodes
place in sealed container and submit under
preserve 2x2 cm in buffered
refrigeration,
formalin
Colibacillosis
package section of small intestine, mesenteric
lymph node, spleen, liver, kidney
ship under refrigeration
Samplesfor Specific Diseases
Haemophilus
large portion of the lung or pleural fluid from
untreated sick animal with respiratory
infection
Keep under refrigeration
Leptospirosis
blood collected at time of clinical signs then
10 to 20 days after,
submit under refrigeration
Samplesfor Specific Diseases
Mastitis
Milk, 5 to 10 ml in sterile container
Keep under refrigeration
Pasteurellosis
3 inches square of affected lung and
mediastinal lymph node, deep nasal or
tracheal swab
Keep under refrigeration
Samplesfor Specific Diseases
Salmonellosis
Sections of liver, spleen, kidney and tied off
section of intestine
Submit under refrigeration
Avian Pest
Brain, lung, trachea, spleen
serum collected on the 4th and 14th days
following onset of the disease
Freeze and submit under refrigeration
Samplesfor Specific Diseases
Pseudorabies
Brain, tonsil, lung, lymph node and serum
Freeze and submit under refrigeration
Rabies
Unopened head of the animal
Freeze and send under refrigeration, don’t
preserve
Samplesfor Specific Diseases
Swine Flu
Lung, trachea, mediastinal lymph node
Freeze and submit under refrigeration
Aflatoxicosis
Suspected feed sample
Keep dry and cool
Tumor
Portion of tumor mass and adjacent normal tissue
Preserve in 10% buffered formalin
Write theReport
No necropsy is complete until all findings have
been recorded in written form. The report should
include the following information:
1. Owner’s name, address and contact number
2. Description of the animal: species, breed, age,
sex
3. Duration and condition of the outbreak
4. Mortality and morbidity rate
5. Animal population and nearby farms
Write theReport
contact
6. Clinical signs observed
7. Treatment given and vaccination
8. Feeds and water given
9.Possible contact with other animals
10.Tentative diagnosis
11.Necropsy report
12.Samples collected and submitted
13.V
eterinarian’s name, address and
number
Handling and Transport ofSamples
samples cool to prevent
and growth of nonspecific
1. Keep tissue
decomposition
bacteria
2. Keep various tissues separated from one
another using ziplock or whirlpack bags, or
sterile screw cap containers.
3. Swabs should be kept moist by using sterile
saline/water or transport media and keep at 4
degrees Centigrade till reach the lab.
Handling and Transport ofSamples
4. Blood samples should be kept at room
temperature for 12 to 24 hours before
separating the serum to avoid hemolysis.
Freeze if can’t reach the lab for a week.
5. Fecal samples should be kept cool but don’t
freeze.
6. Samples for bacteriology should be kept
under 2-4 degrees Centigrade. Those for
virology can be frozen.
Key Conceptsin SendingSpecimensto
the Laboratory
1. Speed in getting the materials to the
laboratory.
2. Keep the samples cool on the way to the
laboratory.
3. Use packaging that will prevent leakage
and crushing.
Key Conceptsin SendingSpecimensto
the Laboratory
4. Be sure that all your samples are well-
labeled.
5. Be sure that appropriate paperwork is
included with all of the samples such as
necropsy report, sample submission form,
disease investigation form.
6. Alert the laboratory on the arrival of your
samples.
Storage and Archives
Future research anddevelopment efforts
Retrospective studies
Epidemiological studies
Providing critical reference materials
used in assay standardization,validation
and proficiencytesting programs
Storage and Archives
System of documentation andstorage
conditions
Biosecurity measures
Back-up plan in case of compromises
to the storageenvironment
Thank You and
God Bless…
RADDL3 (045)961 2934

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editedcollectionandhandlingofsamplesforlabdiagnosis-160519152130.pptx

  • 1. Collection and Handling of Specimens for Laboratory Diagnosis Dr. Milagros R.Mananggit Chief, Regional Animal Disease Diagnostic Laboratory Department of Agriculture, Regional Field Unit 3
  • 2. Purposeof collecting samples 1.Direct examination thru microscopy Bloodparasite examination Fecalysis Impressionsmears for Fluorescent Antibody Test eg. Rabies and Hog choleSra 2. Isolationofcausative microorganisms Bacterial Isolation and identification Tissueculture Egginoculation Mice Inoculation
  • 3. Purposeof collecting samples 3.Serological Investigation ELISA Test AGPT HA-HI Test Rapid plate test 4.Molecular Test LAMP Polymerase Chain Reaction(PCR) Conventional PCR Real Time PCR (quantitativePCR) 5.Diagnosis of the disease
  • 4. Purposeof testing samples 1. Confirmatory diagnosis of suspector clinical case 2. Demonstration of freedom from infection in a defined population 3.Eradication of disease or elimination of infection from a defined population 4. Estimation of prevalence of infection or exposure to facilitate riskanalysis
  • 5. Purposeof testing samples 5.Certification of freedom from infection or presence of the agent in individual animals or theirproducts for trade orshipment. 6. Determination of immunestatus of individual animals orpopulations 7. For specific therapeutic medication
  • 6. Basics incollecting samples 1.Always protect yourself, other people and the environment 2. Use clean, preferably sterilizedimplements 3.Collect samples beforetreatment isinitiated 4.Sample volume or quantity must be sufficient for all necessary tests with enough residual specimen for archivalpurposes 5.Practice proper restraint of animals during sample collection
  • 7. Basics incollecting samples 6.Packagingcontainers for specimens should be leak-proof andsterile 7.Label all specimen containers and account for all of them in a sample information sheet 8.Maintain cold chain during transport of samples 9.Provide sufficient epidemiological information on the case 10.Notify the receiving laboratory
  • 8. Checklist for Field SampleCollection 1. Personel Protective Equipment(PPE) Scrub suit Face mask Gloves Boots Goggles Apron
  • 9. Checklist for Field SampleCollection 2. Necropsy Kit Knife Scissors Bone cutter Forceps Scalpel with blade
  • 10. Checklist for Field SampleCollection 3. Sample Containers a. Blood/Serum 1) Vacutainer tubes Violet or green top –whole blood Redtop – serum samples Glass slides –blood smears 2) Disposable Syringes 3) Cryotubes for serum (2 ml) 4) Vacutainer needle and holder
  • 11. Checklist for Field SampleCollection b. Organs/Tissues – each organ must have separate container Screw cap sterile containers Zip lock plastic bags
  • 12. Checklist for Field SampleCollection c. Swabs - nasal, tracheal, oro-pharyngeal, cloacal with viral or bacterial transport media
  • 13. Checklist for Field SampleCollection 4. Labelling of Samples Permanent water proof pen Masking tape 5. Preserving samples Ice chest/Styropor box Gel coolant 10 % buffered formalin – for histopathology Slide box Methanol to fix blood smears
  • 14. Checklist for Field SampleCollection 6. Recording Forms Surveillance or disease investigation forms Sample submission forms 7. Restrainer – rope, nose grip, pig restrainer 8. Disinfectant (hand sprayer) 70 % alcohol 10 % lysol or bleaching agent 9. Documentation –camera, tablet, cell phone 10. Garbage bag
  • 15. Sample Collection During Necropsy Tissue samples should be collected aseptically using rat tooth forceps and scalpel blade dip in a container with alcohol. Cut tissue samples with demarcation between normal and abnormal with enough quantity to perform differentialdiagnosis. Each tissue must have a separate sterile container. Intestines should be tied with yarn at both ends.
  • 16. Samplesthat ShouldAlways beCollected Tissue/Sampl e Fresh (Chilled-not frozen) Fixed (10% buffered formalin) Serum 5 ml Whole Blood 3 ml in EDTA Swabs Brain, epicardium, joint Brain Lungs 6x6x6 cm, 2 sections 2x2x1 cm Heart 4x4x4 cm piece 2x2x1 cm w L & R ventricles and septum Liver 4x4x4 cm piece 2x2x0.5 cm Kidney Half of a kidney 0.5 cm slice thru center Spleen 5 cm piece Lymph nodes Mandibular, sternal, tracheobronchial, mesenteric, inguinal Mandibular, sternal, tracheobronchial, mesenteric, inguinal Ileum 10 cm segment 2 cm segment
  • 17. SampleCollection in LiveAnimals 1. Blood: jugular vein - horses, and small ruminants tail vein - big ruminants, wing vein - avian species lateral saphenous or middle cephalic in dog/cat Serum: Let stand at room temperature for 12 to 24 hours then transfer into cryotubes. BPE: Use violet or green top cryotubes, blood smears can be prepared, air dry and fix in methanol for 3 minutes.
  • 18. SampleCollection in LiveAnimals 2. Swabs – collect exudates from abscess and lesions, oropharyngeal, tracheal and cloacal swabs for avian influenza 3. Feces – take directly from rectum or just after defecation 4. Urine collection thru catheterization
  • 19. SampleCollection in LiveAnimals 5. External parasites large parasites can be picked off and place in container with 70% alcohol for identification smaller parasites such as mites can be scraped with blade and placed in slide with mineral oil 6. Tissue impression smears in slide 7. Milk – 5 to 10 ml in sterile container
  • 20. SampleCollection for Toxicology 1. Body fluids –blood and urine 2. Tissues to collect at necropsy – stomach or rumen contents, feces, brain, liver, kidney, body fat, skin, and urine 3. Suspected source – feeds and water, poisonous plants, soil 4. Test for nitrates – best sample is aqueous fluid from the eye of dead animal
  • 21. Samplesfor Specific Diseases Abortion mid portion of kidney, placenta, adrenal gland, liver, spleen, tied-off stomach, brain and serum Store at 2-4 °C and submit under refrigeration Abscesses Purulent exudates on a sterile swab or in a sterile tube collected from the margin of the abscesses Store and submit under refrigeration
  • 22. Samplesfor Specific Diseases Arthritis Swab or fluid from affected joint or unopened joint Send in bacterial transport medium, fluid in syringe Anthrax cotton swab soaked in exuded blood taken from superficial ear vein or cut surface of hemorrhagic lymph node placed in tube media. Submit under refrigeration
  • 23. Samplesfor Specific Diseases Blackleg and Malignant Edema 2inches cube of affected muscle Packed in sterile container and submit under refrigeration Brucellosis Blood and serum sample collected 10 to 20 days after abortion, aborted fetus, tied off stomach Shipped in sealed container under refrigeration
  • 24. Samplesfor Specific Diseases Caseous Lymphadenitis affected nymph nodes place in sealed container and submit under preserve 2x2 cm in buffered refrigeration, formalin Colibacillosis package section of small intestine, mesenteric lymph node, spleen, liver, kidney ship under refrigeration
  • 25. Samplesfor Specific Diseases Haemophilus large portion of the lung or pleural fluid from untreated sick animal with respiratory infection Keep under refrigeration Leptospirosis blood collected at time of clinical signs then 10 to 20 days after, submit under refrigeration
  • 26. Samplesfor Specific Diseases Mastitis Milk, 5 to 10 ml in sterile container Keep under refrigeration Pasteurellosis 3 inches square of affected lung and mediastinal lymph node, deep nasal or tracheal swab Keep under refrigeration
  • 27. Samplesfor Specific Diseases Salmonellosis Sections of liver, spleen, kidney and tied off section of intestine Submit under refrigeration Avian Pest Brain, lung, trachea, spleen serum collected on the 4th and 14th days following onset of the disease Freeze and submit under refrigeration
  • 28. Samplesfor Specific Diseases Pseudorabies Brain, tonsil, lung, lymph node and serum Freeze and submit under refrigeration Rabies Unopened head of the animal Freeze and send under refrigeration, don’t preserve
  • 29. Samplesfor Specific Diseases Swine Flu Lung, trachea, mediastinal lymph node Freeze and submit under refrigeration Aflatoxicosis Suspected feed sample Keep dry and cool Tumor Portion of tumor mass and adjacent normal tissue Preserve in 10% buffered formalin
  • 30. Write theReport No necropsy is complete until all findings have been recorded in written form. The report should include the following information: 1. Owner’s name, address and contact number 2. Description of the animal: species, breed, age, sex 3. Duration and condition of the outbreak 4. Mortality and morbidity rate 5. Animal population and nearby farms
  • 31. Write theReport contact 6. Clinical signs observed 7. Treatment given and vaccination 8. Feeds and water given 9.Possible contact with other animals 10.Tentative diagnosis 11.Necropsy report 12.Samples collected and submitted 13.V eterinarian’s name, address and number
  • 32. Handling and Transport ofSamples samples cool to prevent and growth of nonspecific 1. Keep tissue decomposition bacteria 2. Keep various tissues separated from one another using ziplock or whirlpack bags, or sterile screw cap containers. 3. Swabs should be kept moist by using sterile saline/water or transport media and keep at 4 degrees Centigrade till reach the lab.
  • 33. Handling and Transport ofSamples 4. Blood samples should be kept at room temperature for 12 to 24 hours before separating the serum to avoid hemolysis. Freeze if can’t reach the lab for a week. 5. Fecal samples should be kept cool but don’t freeze. 6. Samples for bacteriology should be kept under 2-4 degrees Centigrade. Those for virology can be frozen.
  • 34. Key Conceptsin SendingSpecimensto the Laboratory 1. Speed in getting the materials to the laboratory. 2. Keep the samples cool on the way to the laboratory. 3. Use packaging that will prevent leakage and crushing.
  • 35. Key Conceptsin SendingSpecimensto the Laboratory 4. Be sure that all your samples are well- labeled. 5. Be sure that appropriate paperwork is included with all of the samples such as necropsy report, sample submission form, disease investigation form. 6. Alert the laboratory on the arrival of your samples.
  • 36. Storage and Archives Future research anddevelopment efforts Retrospective studies Epidemiological studies Providing critical reference materials used in assay standardization,validation and proficiencytesting programs
  • 37. Storage and Archives System of documentation andstorage conditions Biosecurity measures Back-up plan in case of compromises to the storageenvironment
  • 38. Thank You and God Bless… RADDL3 (045)961 2934