UK Standards for Investigations2015

Investigation of Specimens for speciesAPRIL

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Issued by the Standards Unit, Microbiology Services, PHE Bacteriology | B 40 | Issue no: dx+ | Issue date: dd.mm.yy | Page: 1 of 46 © Crown copyright 2015 Investigation of Specimens for Mycobacterium species

Acknowledgments

UK Standards for Microbiology Investigations (SMIs) are developed under the auspices of Public Health England (PHE) working in partnership with the National Health Service (NHS), Public Health Wales and with the professional organisations whose logos are displayed below and listed on the website https://www.gov.uk/uk- standards-for-microbiology-investigations-smi-quality-and-consistency-in-clinical- laboratories. SMIs are developed, reviewed and revised by various working groups which are overseen by a steering committee (see https://www.gov.uk/government/groups/standards-for-microbiology-investigations- steering-committee). 2015 The contributions of many individuals in clinical, specialist and reference laboratories who have provided information and comments during the development of thisAPRIL document are acknowledged. We are grateful to the Medical Editors for editing13 the medical content. - For further information please contact us at:

Standards Unit MARCH Microbiology Services 13 Public Health England 61 Colindale Avenue London NW9 5EQ

E-mail: [email protected] BETWEEN Website: https://www.gov.uk/uk-standards-forON-microbiology -investigations-smi-quality- and-consistency-in-clinical-laboratories UK Standards for Microbiology Investigations are produced in association with:

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Logos correct at time of publishing.

Bacteriology | B 40 | Issue no: dx+ | Issue date: dd.mm.yy | Page: 2 of 46 UK Standards for Microbiology Investigations | Issued by the Standards Unit, Public Health England Investigation of Specimens for Mycobacterium species

Contents

ACKNOWLEDGMENTS ...... 2

AMENDMENT TABLE ...... 4

UK SMI: SCOPE AND PURPOSE ...... 5

SCOPE OF DOCUMENT ...... 7

SCOPE ...... 7 2015 INTRODUCTION ...... 7

TECHNICAL INFORMATION/LIMITATIONS ...... APRIL 15 13 1 SAFETY CONSIDERATIONS ...... - 18

2 SPECIMEN COLLECTION ...... 19 MARCH 3 SPECIMEN TRANSPORT AND STORAGE ...... 21 13 4 SPECIMEN PROCESSING/PROCEDURE ...... 22

5 REPORTING PROCEDURE ...... 36 BETWEEN 6 NOTIFICATION TO PHE OR EQUIVALENT IN THE DEVOLVED ADMINISTRATIONS ...... ON 37

APPENDIX: INVESTIGATION OF SPECIMENS FOR MYCOBACTERIUM SPECIES ...... 39

REFERENCES ...... 40

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Amendment Table

Each SMI method has an individual record of amendments. The current amendments are listed on this page. The amendment history is available from [email protected]. New or revised documents should be controlled within the laboratory in accordance with the local quality management system.

Amendment No/Date. 6/dd.mm.yy

Issue no. discarded. 6.1 2015

Insert Issue no. xx APRIL Section(s) involved Amendment 13 -

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Bacteriology | B 40 | Issue no: dx+ | Issue date: dd.mm.yy | Page: 4 of 46 UK Standards for Microbiology Investigations | Issued by the Standards Unit, Public Health England Investigation of Specimens for Mycobacterium species

# UK SMI : Scope a