Kansas Department of Health and Environment: Laboratory Quick Reference Guide

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Kansas Department of Health & Environment

Info: General Adenovirus information

Adenovirus 14 information

Lab used: KHEL
Test method: Viral culture isolation. Identification by immunofluorescence and/or neutralization.
Specimen requirements: Ship specimens refrigerated as soon as possible after collection.
See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.
Test frequency: M-F
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide
Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
Forms: order Universal Form
Turn around time: Up to 15 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: Amebiasis information
Contact before sending: Call KHEL at 785-296-3718 (for serology, call 785-296-1653)
Lab used: KHEL
Test frequency: As needed
Shipping info: Send slide in dry, crush-proof container
Forms: order Universal Form
Turn around time: 1 to 4 business days unless shipped to CDC

Warning: Prior consultation with CDC recommended. Call the Arbovirus Branch in Ft. Collins, CO at 970-221-6407.
Info: Arbovirus information
Contact before sending: Contact KHEL at 785-296-1644 before sending
Lab used: KHEL forwards specimens to CDC in Ft. Collins, CO
Test method: Serology
Specimen requirements: Whole blood or serum (3 to 5ml), CSF (1 to 3ml). Ship with frozen gel pack – do not freeze specimens.
Test frequency: M-F
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 15 to 45 business days

Info:

Contact before sending: Contact KHEL at 785-296-3718 before sending
Lab used: KHEL
Test frequency: As needed
Shipping info: General requirements: send specimen in dry, crush-proof container or Isopropyl alcohol – Contact KHEL at 785-296-3718 for specific instructions
Forms: order Universal Form
Turn around time: 1 to 4 business days

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Contact before sending: Contact KHEL at 785-296-1620 before sending
Test method: Culture
Specimen requirements: Culture isolates only
Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 5 to 21 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT !!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Anthrax information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL
Test method: Culture and PCR
Specimen requirements: clinical specimens or pure; culture (IDS Shipping required) or Environmental specimens

See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics

Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 1 to 3 business days

Lab used: KHEL
Test method: ICPMS
Specimen requirements: Fill 3 circles one at a time. Let dry before placing in shipping envelope.
Test frequency: M-F
Shipping kit needed: Blood Lead filter paper forms (Category B Biological Substance insulated mailer)
Shipping Info: Blood Lead filter guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: Blood Lead Filter Paper forms
Turn around time: 7 to 14 business days

Lab used: KHEL
Test method: ICPMS
Specimen requirements: Venipuncture EDTA Whole blood (3-5ml)
Test frequency: As needed
Shipping kit needed: Blood Lead Confirmation Kit (Category B Biological Substance insulated mailer)
Shipping Info: Whole Blood lead shipping guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: Blood Lead Filter Paper forms or order Universal Form
Turn around time: 5 to 7 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Pertussis information
Lab used: KHEL
Test method: Real-time PCR
Specimen requirements: Bacterial nasopharyngeal swab or NP swab in sterile test tube

Symptoms compatible with pertussis: prolonged cough (14-30 days), paroxysms, post-tussive vomiting, inspiratory whoop, or apnea.

Must indicate specific symptoms and date of onset on the submission form

Test frequency: 2-3x/week
Shipping kit needed: Pertussis mailer (Category B Biological Substance insulated mailer)
Shipping Info: Pertussis packaging guide specifics

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 2 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Botulism information
Contact before sending: Epidemiologic Services at 877-427-7317 and before shipment to CDC, please contact the National Botulism Surveillance and Reference Laboratory at (404) 639-3867.
Lab used: CDC or LRN MOA lab
Test method: Mouse toxicity and neutralization bioassay
Specimen requirements: See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website AND the CDC guidelines and information [Botulism and Botulism, section C] for specifics
Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

See Botulism, section D on CDC website
See Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 15 to 65 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: Brucella information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL
Test method: Culture and PCR
Specimen requirements: blood culture or reference culture sent in IDS box

See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics

Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 3 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: Brucella information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL
Specimen requirements: Acute and convalescent sera 3-5ml of each

See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics

Test frequency: As needed
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 15 to 45 business days

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Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: Campylobactor information
Lab used: KHEL
Test method: culture
Specimen requirements: fresh stool (marble sized) in Cary-Blair

See Enteric section on KDHE website for specifics

Test frequency: As needed
Shipping kit needed: Enteric (Category B Biological Substance insulated mailer)
Shipping Info: Feces packaging guide specifics

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 3 to 5 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: Chicken pox information
Contact before sending: Contact KHEL at 785-296-1644 before sending
Lab used: KHEL
Test method: Viral culture isolation. Identification by immunofluorescence.
Specimen requirements: DO NOT FREEZE. Ship specimens refrigerated as soon as possible after collection.

See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.

Test frequency: M-F
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: Up to 15 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: Chicken pox information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL
Test method: IgG EIA
Specimen requirements: Whole blood or serum (3 to 5ml). NO routine immune status testing; only outbreak and/or high risk contact testing.

See Vaccine-Preventable Disease Serology section on KDHE website.

Test frequency: As needed
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 2 to 3 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: Chlamydia information

Accepted from approved Infertility Prevention Project clinics only – Contact Jennifer VandeVelde, IPP Coordinator, 785-296-6544

Lab used: KHEL
Test method: BD Probetec Nucleic Acid Amplified Test (NAAT)
Specimen requirements: BD specimen collection kits
Test frequency: M-F
Shipping kit needed: Specimen kits are not provided by KHEL – IPP facilities order from Becton Dickinson
Shipping info: Wet swabs/urines sent following Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 3 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: Chlamydia information
Contact before sending: Contact KHEL virology laboratory at 785-296-1644 before sending
Lab used: KHEL
Test method: Isolation in cell culture
Specimen requirements: Urogenital, ocular, rectal, or nasopharyngeal swab on Chlamydia Transport Medium (such as M4), frozen and sent on dry ice (seal specimen in plastic zip-closure bag to prevent absorption of CO 2), to be received by KHEL within 48 hours of collection.
Test frequency: As needed
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer) replace gel pack with dry ice for shipping
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 3 to 7 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: Chlamydia Pneumonia and Psittacosis information
Contact before sending: Contact KHEL at 785-296-1644 before sending
Lab used: KHEL
Test method: serology
Specimen requirements: Paired serum (1-2.5ml for each); must be shipped with frozen gel pack
Test frequency: As needed
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 15 to 60 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Cholera information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL
Test method: Culture
Specimen requirements: Fresh stool or vomitus in Cary-Blair; vibro-cholerae isolate sent on nutrient agar or other growth supporting medium.
Test frequency: As needed
Shipping kit needed: Enteric (Category B Biological Substance insulated mailer) used for the stool or vomitus; IDS (Category A Biological Substance insulated mailer) used for isolate.
Shipping Info: Feces packaging guide specifics for the Enteric kit and Infectious substance packing and shipping guide for the IDS kit

When using the Feces packaging guide, follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website
When using the Infectious substance packing and shipping guide, follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 3 to 7 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: Syphilis, Congenital information
Contact before sending: Contact KHEL at 785-296-1653 before sending
Lab used: CDC
Test method: FTA-ABS-DS - IgM
Specimen requirements: 3-5ml of each serum (antibody) or CSF (antigen)

See Syphilis serology section on KDHE website for specifics

Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 15 to 45 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: Cryptosporidiosis information

See intestinal parasite – performed ONLY when the R/O Cryptosporidium box is checked on the laboratory request form

Contact before sending: Contact KHEL at 785-296-3718 before sending
Lab used: KHEL
Specimen requirements: Feces (marble-sized, mixed well in 10% formalin and PVA bottles)

See Parasitology section for specifics.

Test frequency: As needed
Shipping kit needed: Parasite (Category B Biological Substance insulated mailer)
Shipping Info: Feces (Parasite) packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal For
Turn around time: 1 to 4 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: Cyclospora information

See intestinal parasite – Write “test for Cyclospora” in the Submitter Comments Section of Universal Form
Notify Epidemiologic Services at 877-427-7317 if infection suspected

Contact before sending: Contact KHEL at 785-296-3718 before sending
Lab used: KHEL
Specimen requirements : Feces (marble-sized, mixed well in 10% formalin and PVA bottles)

See Parasitology section for specifics.

Test frequency: As needed
Shipping kit needed: Parasite (Category B Biological Substance insulated mailer)
Shipping Info: Feces (Parasite) packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 4 business days

Info: CMV information
Lab used: KHEL
Test method: Viral culture isolation. Identification by immunofluorescence.
Specimen requirements: Urine preferred. DO NOT FREEZE. Ship specimens refrigerated as soon as possible after collection.

See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.

Test frequency: As needed
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: Up to 21 business days

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Warning: Prior consultation with CDC recommended. Call the Arbovirus Branch in Ft. Collins, CO at 970-221-6407.
Info: Dengue Fever information
Contact before sending: Contact KHEL at 785-296-1644 before sending
Lab used: KHEL forwards specimens to CDC in Ft. Collins, CO
Test method: Serology
Specimen requirements: Whole blood or serum (3 to 5ml), CSF (1 to 3ml). Ship with frozen gel pack – do not freeze specimens.
Test frequency: M-F
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 15 to 45 business days

Reportable disease: Complete Kansas Notifiable Disease Form required by law
Warning: Please contact the microbiology lab as a special media is required for isolation
Info: Diphtheria information
Contact before sending: Contact KHEL at 785-296-1634 before sending
Lab used: KHEL
Test method: culture
Specimen requirements: culture isolates only:

Obtain material for culture on a swab (either cotton or polyester-tipped) from the inflamed areas in the nasopharynx.
If membranes are present and can be removed, swab from beneath the membrane.
Collect from several areas to increase sensitivity.
If cutaneous diphtheriae is suspected, collect skin (aspirate/swab), throat (swab), and nasopharnyx (swab) specimens.
Use routine swab collection systems as the organism is not fastidious.
It is preferable to ship specimens within 24 hours of collection. If transport is expected to be more than 24 hours after collection, use silica gel transport packages.

Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist, and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 2 to 5 business days

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Not including Enterovirus or West Nile Virus.

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: CDC requires travel history (dates and places), relevant vaccinations, and dates of onset and specimen collection, as well as clinical history and symptoms.
Info: Encephalitis information
Contact before sending: Epidemiologic Services at 877-427-7317 before sending to KHEL
Lab used: KHEL forwards specimens to CDC in Ft. Collins, CO. at 970-221-6407.
Test method: culture
Specimen requirements: DO NOT FREEZE. CSF (2ml), throat or rectal swab. Ship as soon as possible after collection with frozen pack
Test frequency: As needed
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 15 to 45 business days

Info: Intestinal culture
Lab used: KHEL
Test method: culture
Specimen requirements: Marble-sized feces in modified Cary Blair or as a reference culture

See Enteric section on KDHE website for specifics.

Test frequency: As needed
Shipping kit needed: Enteric (Category B Biological Substance insulated mailer)
Shipping Info: Feces packaging guide specifics

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 2 to 7 business days

Info: Enterovirus information
Contact before sending: Contact KHEL Virology Laboratory at 785-296-1644 before sending isolate
Lab used: KHEL
Test method: Viral culture isolation. Identification by immunofluorescence and/or neutralization.
Specimen requirements: Ship clinical specimens refrigerated as soon as possible after collection. Ship isolates on cell culture at ambient temperature
See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.
Test frequency: As needed
Shipping kit needed: Viral Culture for clinical specimens (Category B Biological Substance insulated mailer); IDS for isolates on cell culture: (Category A Biological Substance insulated mailer).
Shipping Info: Virus Shipping Guide for clinical specimens; Infectious substance packing and shipping guide for isolates:

Follow Category B Biological shipping checklist, Category A Biological shipping checklist and the Shipper’s Declaration checklist (for Cat. A) on the KHEL Packaging and Shipping guides website.

Forms: order Universal Form
Turn around time: Up to 21 business days

Warning: Verotoxigenic: must send culture isolate in an IDS (Category A Biological substance insulated mailer)and follow shipping guidelines
Reportable disease: Complete Kansas Notifiable Disease Form required by law
Info: See E. coli 0157:H7 information

See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website

Lab used: KHEL
Test method: Culture
Specimen requirements: cultures isolates only sent to KHEL required by law

See Enteric section on KDHE website for specifics.

Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 2 to 7 business days

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Reportable disease: Kansas Notifiable Disease Form required by law
Info: >Gonorrhea information
Contact before sending: Contact KHEL at 785-296-1620 before sending
Lab used: KHEL
Test method: culture
Specimen requirements: Thayer-Martin plates in a CO 2 atmosphere
Test frequency: As needed
Shipping kit needed: Gonorrhea (Category B Biological Substance insulated mailer)
Shipping Info: Chlamydia and Gonorrhea packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 2 to 3 business days

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Reportable disease: Kansas Notifiable Disease Form required by law
Info: Haemophilus influenza information
Contact before sending: Contact KHEL at 785-296-1620 before sending
Lab used: KHEL
Test method: culture
Specimen requirements: Culture isolates in IDS shipping box
Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 3 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: CDC only accepts specimens in cases of unexplained Acute Respiratory Distress Syndrome (ARDS) and travel or residence in endemic area. Prior authorization is required.
Info: Hantavirus information
Contact before sending: Epidemiologic Services at 877-427-7317 before sending
Lab used: KHEL forwards authorized specimens accompanied by required paperwork to CDC
Test method: Serology
Specimen requirements: Paired whole blood or serum (3 to 5ml), preferably acute and convalescent phase, but two specimens collected at different times are acceptable.
Test frequency: As needed
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form, Hantavirus Pulmonary Syndrome Case Report Form, and National Surveillance Laboratory Specimen Form are required.
Turn around time: 15 to 45 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: CDC only accepts specimens in cases of unexplained Acute Respiratory Distress Syndrome (ARDS) and travel or residence in endemic area. Prior authorization is required
Info: Hantavirus information
Contact before sending: Epidemiologic Services at 877-427-7317 to obtain authorization to submit specimen before sending to KHEL.
Lab used: KHEL forwards authorized specimens accompanied by required paperwork to CDC.
Test method: IHC, Viral Isolation/PCR
Specimen requirements: See Immunuohistochemistry (IHC) and Virus Isolation/PCR sections of CDC’s Guidelines for Submitting Specimens to the Special Pathogens Branch for detailed specimen information. Do not freeze preserved tissue samples. Ship fresh tissue specimens frozen with dry ice
Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer) – ambient for preserved tissue samples; insulated for fresh, frozen tissue specimens (include dry ice).
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form, Hantavirus Pulmonary Syndrome Case Report Form, and National Surveillance Laboratory Specimen Form are required
Turn around time: 15 to 45 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Info: Hepatitis A information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL
Test method: EIA-IgM
Specimen requirements: whole blood or serum (3-5ml)
Test frequency: 1-2x/week
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 2 to 5 business days

Reportable disease: Kansas Notifiable Disease Form required by law, especially Hepatitis B during pregnancy
Info: Hepatitis B information
Lab used: KHEL
Test method: ELISA - will be confirmed by CDC
Specimen requirements: Whole blood or serum (3-5ml)
Test frequency: 2x/week
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34, Hospital report for perinatal Hepatitis B prevention
Turn around time: 1 to 7 business days or 1 to 30 business days if sent to CDC

Reportable disease: Kansas Notifiable Disease Form required by law
Info: Hepatitis C information
Lab used: KHEL
Test method: EIA-IgG
Specimen requirements: Whole blood or serum (3-5ml)
Test frequency: 1-2x/week
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 7 business days

Warning: CSF is not accepted for HSV culture. Subtyping of HSV performed on unusual isolates or upon written request by submitter
Info: Herpes simplex virus information
Lab used: KHEL
Test method: Viral culture isolation. Identification by immunofluorescence.
Specimen requirements: Ship specimens refrigerated as soon as possible after collection

See Viral Culture Specimen Guides on the Viral Isolation Section of the KDHE website for specifics.

Test frequency: M-F
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: up to 7 business days

Reportable disease: Kansas Notifiable Disease Form required by law (includes Viral Load Tests)
Info: HIV information
Lab used: KHEL
Test method: EIA-IgG [screening] and IFA-IgG [confirmation]
Specimen requirements: Whole blood or serum (3-5ml) or oral fluid (use Orasure Kit)

See Viral Isolation Section on KDHE website for specifics

Test frequency: 1-3x/week
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 2 to 7 business days

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Reportable disease: Kansas Notifiable Disease Form required by law if result is death in children <18 years of age
Warning: Call Epidemiologic Services at 877-427-7317 before sending specimen from suspected Avian Influenza case
Info: Flu information
Lab used: KHEL
Test method: Culture/ HAI/ PCR
Specimen requirements: Ship specimens refrigerated as soon as possible after collection.

See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.

Test frequency: M-F, as needed
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: up to 15 business days

Info: Specifics: Giardia Lambia (giardiasis) is reportable by law: Kansas Notifiable Disease Form required by law
Contact before sending: Contact KHEL at 785-296-3718 before sending
Lab used: KHEL
Test method: Light/DFA Microscopy
Specimen requirements: Feces (marble-sized, mixed well in 10% formalin and PVA bottles)

See Parasitology section on KDHE website for specifics

Test frequency: M-F
Shipping kit needed: Parasite(Category B Biological Substance insulated mailer)
Shipping Info: Feces Parasite packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 4 business days

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Reportable disease: Kansas Notifiable Disease Form required by law
Info: Legionella sp. information
Contact before sending: Contact KHEL at 785-296-1620 before sending
Lab used: KHEL
Test method: culture
Specimen requirements: culture isolates only
Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 15 to 65 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: CDC does not accept specimens without prior clearance through the Respiratory Diseases Branch.
Info: Legionella sp. information
Contact before sending: Epidemiologic Services at 877-427-7317 before sending.
Lab used: Approved specimens are submitted to CDC
Test method: IFA
Specimen requirements: Paired serum
Test frequency: As needed
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 4 to 8 weeks

Info: Leptospirosis information
Contact before sending: Contact KHEL at 785-296-1620 before sending
Lab used: KHEL
Test method: culture
Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 15 to 60 business days

Info: Leptospirosis information
Contact before sending: Contact KHEL at 785-296-1620 before sending
Lab used: KHEL
Test method:
Test frequency: As needed
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 15 to 60 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Info: Listeriosis information
Contact before sending: Contact KHEL at 785-296-1620 before sending
Lab used: KHEL
Test method: culture
Specimen requirements: culture isolates in IDS shipping box
Test frequency: M-F
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 4 to 7 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: Prior consultation required. CDC does not offer routine testing – illness MUST meet clinical case definition.
Info: Lyme disease information
Contact before sending: Contact Epidemiologic Services at 877-427-7317 before sending to KHEL
Lab used: KHEL forwards authorized specimens accompanied by required forms to CDC in Ft. Collins, CO.
Test method: Serology
Specimen requirements: Paired acute and convalescent whole blood or serum (3 to 5ml each).
Test frequency: As needed
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC Lyme Disease Form
Turn around time: 4 to 8 weeks

Info: Lymphatic Filariasis information
Contact before sending: Contact KHEL at 785-296-3718 before sending
Lab: KHEL
Specimen requirements: See Parasitology section on KDHE website for specifics
Test frequency: As needed
Shipping info: Send slide in dry, crush-proof container
Forms: order Universal Form
Turn around time: 1 to 4 business days unless shipped to CDC

Warning: CDC will perform serology in conjunction with specimens tested directly for LGV (i.e., rectal swabs).
Info: LGV information
Contact before sending: Contact Epidemiologic Services at 877-427-7317 before sending to KHEL.
Lab used: KHEL forwards specimens to CDC
Test method: Direct detection in rectal swabs and serovar genotyping of CT-positive specimens.
Specimen requirements: Acute and convalescent whole blood or sera (3 to 5ml each) and rectal swab. Ship rectal swab frozen with dry ice as soon as possible after collection. DO NOT FREEZE WHOLE BLOOD.
Test frequency: As needed
Shipping kit needed: Viral Culture for rectal swab; Serology for blood or serum: (Category B Biological Substance insulated mailers)
Shipping Info: Virus Shipping Guide for clinical specimens; Diagnostic blood packaging guide for isolates:

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 2 to 8 weeks

- M - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Reportable disease: Kansas Notifiable Disease Form required by law
Info: Malaria information
Contact before sending: Call Epidemiologic Services at 877-427-7317 before sending to KHEL.
Lab used: KHEL forwards specimens to CDC
Test method: Serology
Specimen requirements: Acute and convalescent whole blood or sera (3 to 5ml each) are accepted that meet the following criteria:

Blood donors whose recipients contracted malaria after transfusion;
Patients whose blood slides are repeatedly negative for malarial parasites, if febrile illness is strongly suspected to be malaria;
Specimens obtained as part of a CDC-approved research project;
Specimens to be standardized as controls in laboratories establishing malaria antibody testing programs; or
Prior arrangement has been made with the chief of the Malaria Branch, DPD.
Acute and convalescent whole blood or sera (3-5ml of each)

Test frequency: As needed
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 2 to 8 weeks

Reportable disease: Kansas Notifiable Disease Form required by law
Info: Malaria information
Contact before sending: Contact KHEL at 785-296-3718 before sending
Lab used: KHEL
Specimen requirements: See Parasitology section on KDHE website for specifics
Test frequency: As needed
Shipping info: Send slide in dry, crush-proof container
Forms: order Universal Form
Turn around time: 1 to 4 business days unless shipped to CDC

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Meningitis information
Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL at 785-296-1620
Lab used: KHEL
Test method: culture
Specimen requirements: culture isolates in IDS shipping box
Test frequency: M-F
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 3 business day

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Meningococcemia information
Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL at 785-296-1620
Lab used: KHEL
Test method: culture
Specimen requirements: culture isolates must be sent to KHEL: required by law
Test frequency: M-F
Shipping kit needed: IDS
Shipping Info: Infectious substance packing and shipping guide
Forms: order Universal Form
Turn around time: 1 to 2 business days

Info: Naegleria information
Contact before sending: Epidemiologic Services at 877-427-7317 before sending
Lab used: KHEL will forward specimen to CDC
Specimen requirements: Serum (3-5ml)
Test frequency: As needed
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34, Free Living Ameba Case report, and Primary Amebic Meningoencephalitis Case Report Form,
Turn around time: 15 to 65 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Mumps information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL
Test method: culture, PCR
Specimen requirements: Urine is no longer recommended. Collect throat swab or buccal swab on VTM as soon as possible within 3 days of symptom onset. Ship specimens refrigerated as soon as possible after collection.

See Mumps Specimen Submission guidance and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.

Test frequency: M-F, as needed
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: Up to 10 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Mumps information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL
Test method: EIA-IgG and IgM
Specimen requirements: Whole blood or serum (3 to 5ml). Collect acute specimen as soon as possible (within 3 to 7 days) after onset of symptoms. Collect convalescent specimen 2 to 4 weeks after acute.

See Mumps Specimen Submission guidance, the , the Vaccine-Preventable Disease Serology section on KDHE website.

Test frequency: M-F, as needed
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 3 business days

[NO LONGER OFFERED AT KHEL]

Warning: Testing no longer offered at KHEL as of January 1, 2008.
Info: Typhus information
Contact before sending: Contact Epidemiologic Services at 1-877-427-7317 before sending specimens to another laboratory.
Lab used: Not applicable. Visit Colorado Department of Public Health and Environment and Texas Department of State Health Services - Laboratory Services Section for alternative testing arrangements.

- N - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Info: Norovirus information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL
Test method: PCR
Specimen requirements: fresh stool (marble sized) in Cary-Blair – for calicivirus-like agents, use modified Cary-Blair medium

See Viral Isolation Section and Enteric section on KDHE website for specifics

Test frequency: As needed
Shipping kit needed: Enteric (Category B Biological Substance insulated mailer)
Shipping Info: Feces packaging guide specifics

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 2 business days

- P - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Info: Pinworm information

Testing available for Health Departments ONLY

Contact before sending: Contact KHEL at 785-296-3718 before sending
Lab used: KHEL
Specimen requirements: See Parasitology section on KDHE website for specifics
Test frequency: As needed
Shipping kit needed: Pinworm kit (Category B Biological Substance insulated mailer)
Shipping Info: Feces Parasite packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 4 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Plague information
Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL at 785-296-1620
Lab used: KHEL
Test method: culture
Specimen requirements: See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics
Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 4 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Polio information
Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL Virology Laboratory at 785-296-1644
Lab used: KHEL
Test method: Viral culture for isolation; neutralization and/or immunofluorescence for identification.
Specimen requirements: DO NOT FREEZE. Ship specimens refrigerated as soon as possible after collection. Ship isolates on cell culture at ambient temperature.

See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.

Test frequency: M-F, as needed
Shipping kit needed: Viral Culture for clinical specimens; specimens (Category B Biological Substance insulated mailer); IDS for isolates on cell culture: (Category A Biological Substance insulated mailer).
Shipping Info: Virus Shipping Guide for clinical specimens; Infectious substance packing and shipping guide for isolates:

Follow Category B Biological shipping checklist, Category A Biological shipping checklist and the Shipper’s Declaration checklist (for Cat. A) on the KHEL Packaging and Shipping guides website.

Forms: order Universal Form
Turn around time: Up to 21 business days

- Q - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Q Fever information
Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL at 785-296-1644 before sending
Lab used: KHEL forwards specimens to CDC in Atlanta
Test method: serology
Specimen requirements: KHEL forwards specimens to CDC in Atlanta

See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics

Test frequency: As needed
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 15 to 60 business days

- R - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Rabies information and KSU Rabies information
Contact before sending: Epidemiologic Services at 877-427-7317 and Kansas State University Rabies Laboratory at 785-532-4483
Lab used: KSU-CVM
Specimen requirements: See KSU Rabies Lab for all necessary information, including shipping, packaging, cost, forms and tests run

Info: RSV information
Lab used: KHEL
Test method: culture
Specimen requirements: DO NOT FREEZE. Ship specimens refrigerated as soon as possible after collection

See Viral Culture Specimen Selection Guide and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.

Test frequency: M-F, as needed
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: Up to 15 business days

[NO LONGER OFFERED AT KHEL]

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: Testing no longer offered at KHEL as of January 1, 2008.
Info: RMSF information
Contact before sending: Contact Epidemiologic Services at 1-877-427-7317before sending specimens to another laboratory
Lab used: Not applicable. Visit Colorado Department of Public Health and Environment, Oklahoma State Department of Health Laboratory Services, and Texas Department of State Health Services - Laboratory Services Section for alternative testing arrangements.

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law (including congenital rubella syndrome)
Info: Rubella information
Lab used: KHEL
Test method: EIA-IgM
Specimen requirements: Acute whole blood or serum (3-5ml)

See Viral Isolation Section on KDHE website for specifics

Test frequency: 2x/week
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 15 to 65 business days

Info: Rubella information
Lab used: KHEL
Test method: EIA-IgG
Specimen requirements: Acute whole blood or serum (3-5ml)
Test frequency: 2x/week
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 2 to 5 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Measles information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL
Test method: EIA-IgG and IgM
Specimen requirements: Whole blood or serum (3 to 5ml). Collect acute specimen as soon as possible (within 3 to 7 days) after onset of symptoms. Collect convalescent specimen 1 to 3 weeks after acute.

See the Vaccine-Preventable Disease Serology section on KDHE website .

Test frequency: M-F, as needed
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 3 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Measles information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL
Test method: culture
Specimen requirements: Collect specimen as soon as possible within 3 days of symptom onset. Ship specimens refrigerated as soon as possible after collection.

See Mumps Specimen Submission guidance and Viral Culture Specimen Collection Guide on the Viral Isolation Section of the KDHE website for specifics.

Test frequency: M-F, as needed
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: Up to 15 business days

- S - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Reportable disease: Kansas Notifiable Disease Form required by law
Info: Salmonellosis information
Contact before sending: Contact KHEL at 785-296-1634 before sending
Lab used: KHEL
Test method: Culture
Specimen requirements: cultures isolates only sent to KHEL required by law
Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 3 to 14 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: SARS information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL will forward specimens to CDC
Test method: PCR

Specimen requirements: See CDC suspected SARS guidelines

Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer) MUST BE SHIPPED COLD
Shipping Info: Infectious substance packing and shipping guide: se e CDC suspected SARS guidelines

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 15 to 65 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Info: Shigellellosis information
Contact before sending: Contact KHEL at 785-296-1634 before sending
Lab used: KHEL
Test method: Culture
Specimen requirements: culture isolates send to KHEL required by law

See Enteric section on KDHE website for specifics

Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 3 to 7 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law
Info: Smallpox information
Contact before sending: Epidemiologic Services at 877-427-7317
Lab used: KHEL, LRN MOA Lab, CDC (Lab used depends on risk evaluation)
Test method: PCR
Specimen requirements: vesicle scab or fluid

See CDC specimen collection guide as well as the Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics

Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer) MUST BE SHIPPED COLD
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 15 to 65 business days

Reportable disease: Kansas Notifiable Disease Form required by law if Toxic Shock Syndrome
Info: Staphylococcus information overview , MRSA information, VISA/VRSA information, and Algorithm for Testing S. aureus with VA,
Contact before sending: Contact KHEL at 785-296-1620 before sending
Lab used: KHEL
Test method: Culture ID
Specimen requirements: culture isolate only sent to KHEL required by law
Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 2 to 4 business days

Reportable disease: Kansas Notifiable Disease Form required by law for Streptococcal invasive, drug-resistant disease from Group A Streptococcus or Streptococcus Pneumoniea and Toxic Shock Syndrome
Info: Streptococcus information
Contact before sending: Contact KHEL at 785-296-1620 before sending
Lab used: KHEL
Test method: Culture ID
Specimen requirements: culture isolate only sent to KHEL required by law for Streptococcal invasive, drug-resistant disease from Group A Streptococcus or Streptococcus Pneumoniea
Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 5 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Info: Syphilis information
Lab used: KHEL
Test method: RPR [screening assay]

CSF testing by FTA-ABS-DS
CSF positive by FTA-ABS-DS testing will be forwarded to CDC for further testing

Specimen requirements: Whole blood or serum (3-5ml); CSF (2-3ml)

See Syphilis serology section on KDHE website for specifics

Test frequency: M-F
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 2 business days

Reportable disease: Kansas Notifiable Disease Form required by law
Info: Syphilis information
Lab used: KHEL
Test method: FTA-ABS-DS
Specimen requirements: Whole blood or serum (3-5ml); CSF (2-3ml)

See Syphilis serology section on KDHE website for specifics

Test frequency: 1-2x/week
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 7 business days

- T - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Info: African sleeping sickness information
Contact before sending: Contact KHEL at 785-296-1653 (serology)
Lab used: KHEL forwards specimens to the Division of Parasitic Diseases (DPD) at CDC.
Test method: Serology
Specimen requirements: Paired whole blood or serum (3 to 5ml each) is preferred, but single serum is accepted. Include relevant travel history (dates and places) and dates of onset and specimen collection, as well as clinical history and symptoms, on CDC form.
Test frequency: As needed
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 15 to 60 days

Info: African sleeping sickness information
Contact before sending: Contact KHEL at 785-296-3718 before sending
Lab used: KHEL
Specimen requirements: See Parasitology section on KDHE website for specifics
Test frequency: As needed
Shipping info: Send slide in dry, crush-proof container
Forms: order Universal Form
Turn around time: 1 to 4 business days unless shipped to CDC

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed ACTIVE disease: toll-free 1-877-427-7317: required by law
Info: Tuberculosis information
Contact before sending: Contact TB Control at 785-296-0739
Lab used: KHEL
Test method and Specimen requirements: Refrigerate until shipping DO NOT FREEZE: See Tuberculosis section on KDHE website.
Test frequency: M-F
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide: Do not ship via USPS – UPS, carrier, and FedEx only

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: See Tuberculosis section on KDHE website

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: for suspected active TB, please see Tuberculosis, active or suspected active
Info: Tuberculosis information
Contact before sending: Contact TB Control at 785-296-0739
Lab used: KHEL
Test method and Specimen requirements: Refrigerate until shipping DO NOT FREEZE: See Tuberculosis section on KDHE website.
Test frequency: M-F
Shipping kit needed: TB(Category B Biological Substance insulated mailer)

Shipping Info: Diagnostic Sputum (TB) packaging guide: Do not ship via USPS: UPS, carrier, and FedEx only
Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: See Tuberculosis section on KDHE website

Reportable disease: Kansas Notifiable Disease Form required by law
Info: Tularemia information
Contact before sending: contact KHEL at 785-296-1620 before sending
Lab used: KHEL
Test method: culture PCR/DFA
Specimen requirements: culture isolate only

See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics

Test frequency: as needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 3 business days (4-8 weeks for serology)

- V - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: !!!! URGENT!!!! Telephone report within 4 hours of suspect or confirmed cases: toll-free 1-877-427-7317: required by law. These are among the most highly pathogenic viruses known. Infections (and death) may occur in medical and support staff through close contact with patients and their exudates. Because of the hazard associated with handling specimens, TESTING IS DONE ONLY WITH PRIOR CONSULTATION. Consultation is available 24 hours a day at 404-639- 2888. During business hours ( 8:00-4:30 EST) call SPB at 404-639-1115; FAX 404-639- 1118 or 404-639-1509.
Info: VHF information
Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL Virology Laboratory at 785-296-1644 before sending to KHEL. Do not send specimens to KHEL without notification of laboratory staff.
Lab used: KHEL forwards specimens to CDC.
Specimen requirements: See Bioterrorism agents, required CDC forms, packing and shipping, contact and Statpack information sections on KDHE website for specifics
Test frequency: As needed
Shipping kit needed: IDS (Category A Biological Substance insulated mailer)
Shipping Info: Infectious substance packing and shipping guide

Follow Category A Biological shipping checklist and the Shipper’s Declaration checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 15 to 65 business days

- W - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Reportable disease: Kansas Notifiable Disease Form required by law
Info: West Nile information
Contact before sending: Epidemiologic Services at 877-427-7317 (approval required)
Lab used: KHEL
Test method: EIA-IgM
Specimen requirements: Acute and convalescent whole blood or serum (3-5ml) or CSF (1ml) obtained <30 days after the onset of symptoms
Test frequency: T-F
Shipping kit needed: Serology (Category B Biological Substance insulated mailer)
Shipping Info: Diagnostic blood packaging guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form
Turn around time: 1 to 7 business days

- Y - A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Reportable disease: Kansas Notifiable Disease Form required by law
Warning: Prior consultation with CDC recommended. Call the Arbovirus Branch in Ft. Collins, CO at 970-221-6407.
Info: Yellow Virus Fever information
Contact before sending: Epidemiologic Services at 877-427-7317 and KHEL at 785-296-1644 before sending to KHEL.
Lab used: KHEL forwards specimens to CDC in Ft. Collins, CO
Test method: serology
Specimen requirements: DO NOT FREEZE. Whole blood or serum (3 to 5ml), CSF (1 to 3ml). Ship with frozen gel pack.
Test frequency: As needed
Shipping kit needed: Viral Culture (Category B Biological Substance insulated mailer)
Shipping Info: Virus Shipping Guide

Follow Category B Biological shipping checklist on the KHEL Packaging and Shipping guides website

Forms: order Universal Form and CDC 50.34
Turn around time: 15 to 65 business days