General guidelines of patient preparation for bacteriology studies of biological material for idiosyncrasy to antibiotics
- Biological materials must be collected in sterile disposable containers designed for bacteriology tests. Do not wash sterile containers before use!
- Samples shall be collected is such a way as to prevent contamination of the material by normal microflora since the presence of indigenous organisms may result in an erroneous interpretation of results.
- Samples must be collected before the commencement of immunobiological or antifungal pharmaceutical (local or systemic) therapy.
- When monitoring therapy effectiveness, studies shall be performed 14 days after the termination of course of treatment.
- When collecting and transporting samples care shall be taken to prevent contamination of the container's exterior.
- Collected samples shall be delivered to the laboratory as soon as possible after sampling.
Certain specific requirements to tests:
Oropharyngeal cavity samples
- Oropharyngeal cavity smears are performed on an empty stomach, three to four hours after eating.
- General rules for the preparation to bacteriology studies shall be observed. Nasal samples
- Do not flush nasal passages, use spays or nasal drugs before nasal sampling.
Ophtalmic samples
- Six to eight hours prior to the sampling, administration of all pharmaceuticals and performance of procedures (both local and general) shall be suspended.
- Do not wash eyes on the day of sampling. External ear material sampling
- Six to eight hours prior to the sampling, administration of all pharmaceuticals and performance of procedures (both local and general) shall be suspended.
Sputum
- Sputum for the examination shall be collected in the morning. Quality sputum material is material which is mucous or mucopurulent in nature and which contains offwhite matter.
- The quantity of sputum sufficient for examination is 3 to 5 ml.
- Before expectorating sputum, the patient should brush their teeth and rinse mouth with boiled water.
- If the patient does no produce sputum or produces it occasionally and sparsely, an irritating inhalation shall be performed.
Urine tests
- For tests, midstream portion of free-flowing morning urine is used. The sample shall be collected into a sterile container in the volume of no less than 1 ml, following careful washing of external genital organs with warm water and soap. It is advised to refrain from urinating on the evening prior to the day of sampling.
- It is also recommended to refrain from drinking alcoholic beverages and eating spicy and salty food before the day of sampling.
- It is not recommended for women to collect urine samples during menstruation. Before the collection of a sample, it is advisable to insert a gynecological tampon into vagina.
- Before collecting urine samples, wash external genital organs of nursing infants thoroughly; it is preferable to collect sample into a urine bag. Urine squeezed out of a disposable diaper is not a suitable sample. It is not recommended to use urine form a chamber pot.
Attention! Bacteriology studies of urine collected during a day is not allowed.