This spreadsheet describes the combination of conditions, pathogens, tests, results, and qualifiers that mean a lab should be reported via ELR. Labs Reportable via ELR Note: Rows in bold are immediately reportable. Condition Pathogen Tests Send if results include Also include Qualifier Positive culture results demonstrating intermediate or Acinetobacter (such as resistance (MIC ≥ 8) to Doripenem, Also include antibiotic Carbapenem resistant any Carbapenem resistant Imipenem, or Meropenem; or susceptibility results and Patient is a resident of Acinetobacter spp., Culture Acinetobacter spp demonstrates production of carbapenemase testing Hennepin or Ramsey County residents of Hennepin or carbapenemase by a recognized method and results Ramsey county) (CRA) method (e.g. Modified Hodge Test or PCR) Cultures, PCR, Serology (IgG, African tick bite fever Rickettsia africae Non-negative test results. IgM), total antibody, IHC Positive specimen for Entamoeba Include the Amebiasis (Entamoeba Microscopy, Serology, EIA, Entamoeba histolytica histolytia , or Entaboeba manufacturer/method, via Source: Stool, Serum Histolytica/Dispar) PCR (for example, Biofire) histolytica/dispar ELR. Cultures, PCR, Serology (IgG, IgM) total antibody, blood Anaplasmosis (Anaplasma smears, IHC any Anaplasma sp. Non-negative test results. sp.) Blood smears might be listed as "inclusions/morulae" Bacillus anthracis and Bacillus Culture, PCR, serology, any Report all requests for Anthrax cereus with anthrax toxin, or Bacillus All results other identification method. testing. cereus biovar anthracis Including but not limited to: West Nile Virus (WNV); La Crosse encephalitis and other California serogroup viruses; western equine encephalitis (WEE); eastern equine encephalitis Arboviral Disease Culture, PCR, Serology (IgM, (EEE); St. Louis encephalitis (SLE) virus; Non negative results (endemic) IgG), IHC, PRNT Powassan (POW) virus; Jamestown Canyon virus (JCV); Cache Valley virus; Colorado tick fever; Japanese encephalitis virus; Venezuelan equine encephalitis This spreadsheet describes the combination of conditions, pathogens, tests, results, and qualifiers that mean a lab should be reported via ELR. Labs Reportable via ELR Note: Rows in bold are immediately reportable. Condition Pathogen Tests Send if results include Also include Qualifier Cultures, PCR, Serology (IgG, IgM) total antibody, blood smears, IHC Babesiosis (Babesia sp.) any Babesia sp. Non-negative test results. Blood smears might be listed as "inclusions in erythrocytes" or "parasites in red blood cells" Culture, PCR, Serology (IgG, IgM), histopathology, Source: Blood, Urine, other Blastomycosis Blastomyces dermatitidis cytology/cytopathology, Non negative results body fluid, tissue biopsy or urine, serum or other fluid aspirate antigen Culture, PCR, Serology, any Botulism Clostridium botulinum Non negative results Source: Serum, Stool other identification method. Culture, PCR, Serology, any Brucellosis all Brucella spp. Non negative results other identification method. Report positive antibiotic susceptibility results. Campylobacteriosis Culture, PCR, EIA by any Campylobacter spp. Positive results (Campylobacter spp.) method Include the manufacturer/method, via ELR. Candida auris Candida auris Culture Patient is a resident of Anoka, Candidemia (Candida spp., Include any positive Carver, Dakota, Hennepin, blood isolates only, Ramsey, Scott or Washington Candida spp. Culture Positive results antibiotic suscpetibility residents of 7-County County results Metro) Source: Blood This spreadsheet describes the combination of conditions, pathogens, tests, results, and qualifiers that mean a lab should be reported via ELR. Labs Reportable via ELR Note: Rows in bold are immediately reportable. Condition Pathogen Tests Send if results include Also include Qualifier Culture, PCR, Serology, any Cat Scratch Disease Bartonella spp. Non negative results other identification method. Chancroid (Haemophilus Haemophilus ducreyi Culture Positive results Ducreyi) Culture, PCR, Serology (IgG, Chikungunya virus Chikungunya Non negative results IgM), PRNT, IHC Culture, NAAT, DNA probe, Chlamydia Trachomatis EIA, DFA, direct Chlamydia trachomatis Positive results Infection immunofluorescence, nucleic acid hybridization Include the Culture, PCR, any other Cholera Vibrio cholerae Positive results manufacturer/method, via method ELR. Culture, PCR; C. difficile toxin Patient is a resident of Clostridium difficile or molecular assay Clostridium difficile Positive results Benton, Morrison, Olmsted, Infection performed on stool Stearns and Todd Counties specimen severe acute respiratory syndrome COVID-19 PCR, Serology (IgG, IgM) All results coronavirus 2 (SARS-CoV-2) Include the Cronobacter (infants Cronobacter sakazakii, formerly Culture Positive results manufacturer/method, via Patient under 1 year of age under 1 year of age) Enterobacter sakazakii ELR. Include the Cryptosporidiosis PCR, EIA, DFA, Microscopy, Cryptosporidium spp Positive and equivocal results manufacturer/method, via (Cryptosporidium spp.) rapid test ELR. Include the Cyclosporiasis (Cyclospora Microscopy, PCR (often Cyclospora cayetanensis Positive results manufacturer/method, via cayetanensis) Biofire) ELR. Culture, PCR, Serology (IgG, Dengue Dengue virus Non negative results IgM), PRNT, IHC, Antigen Diphtheria Report all requests for (Corynebacterium Corynebacterium diptheriae Culture Positive results testing. Diphtheriae) This spreadsheet describes the combination of conditions, pathogens, tests, results, and qualifiers that mean a lab should be reported via ELR. Labs Reportable via ELR Note: Rows in bold are immediately reportable. Condition Pathogen Tests Send if results include Also include Qualifier Include the Diphyllobothrium Latum Diphyllobothrium latum Any test Positive results manufacturer/method, via Infection ELR. Cultures, PCR, Serology (IgG, IgM) total antibody, blood Ehrlichiosis (any Ehrlichia smears, IHC any Ehrlichosis sp Non-negative test results. sp.) Blood smears might be listed as "inclusions/morulae" Encephalitis (caused by Various viral pathogens Culture Positive results Source: CSF viral agents) Enteric E. coli Infection Include the (such as EAEC: Enteroaggregative E. coli Culture, PCR by any method Positive results manufacturer/method, via enteroaggregative E. coli) ELR. Culture, PCR; Tests for EIEC Enteric E. coli Infection Include the or EIEC virulence factors (eg (such as enteroinvasive E. EIEC: Enteroinvasive E. coli Positive results manufacturer/method, via ipaH/invasion plasmid coli) ELR. antigen) by any method Culture, PCR; EPEC or EPEC Enteric E. coli Infection virulence factors (e.g., Include the (such as enteropathogenic EPEC: Enteropathogenic E. coli bfp/bundle forming pilus Positive results manufacturer/method, via E. coli) and eae/intimin) by any ELR. method This spreadsheet describes the combination of conditions, pathogens, tests, results, and qualifiers that mean a lab should be reported via ELR. Labs Reportable via ELR Note: Rows in bold are immediately reportable. Condition Pathogen Tests Send if results include Also include Qualifier Culture, PCR; ETEC or ETEC Enteric E. coli Infection virulence factors (e.g., Include the (such as enterotoxigenic E. ETEC: Enterotoxigenic E. coli estA/heat stable enterotoxin Positive results manufacturer/method, via coli) or eltB/heat labile ELR. enterotoxin) by any method Positive tests for Shiga toxin. Enteric E. coli Infection STEC/VTEC/EHEC: Enterohemorrhagic (such as other Culture, PCR; Tests for shiga (Shiga toxin-producing/ Verotoxin- Positive results. Include the enterohemorrhagic (Shiga toxin by any method producing) E. coli manufacturer/method, via toxin-producing) E. coli) ELR. Carbapenem resistant Enterobacteriaceae spp., including but not limited to E. coli , A. baumannii , Enterobacter spp., Klebsiella spp., Serratia spp., Citrobacter spp., Morganella spp., Culture demonstrating Enterobacteriaceae (such Providencia spp., Acinetobacter spp., Positive results; or demonstrates Also include antibiotic intermediate or resistance to as Carbapenemresistant Proteus spp., Pseudomonas spp., production of carbapenemase by a susceptibility results and eratapenem (MIC≥2), Enterobacteriaceae spp.) Escherichia fergusonii, Hafnia alvei, recognized method (e.g. Modified carbapenemase testing doripenem, imipenem, or (CRE) Kluyvera ascorbata, Leclerica Hodge Test or PCR) method and results meropenem (MIC ≥4). adecarboxylata, Pantoea agglomerans, Raoultella ornithinolytic, Raoultella planticola, Chryseobacterium indologenes, Myroides spp., Stenotrophomonas maltophila This spreadsheet describes the combination of conditions, pathogens, tests, results, and qualifiers that mean a lab should be reported via ELR. Labs Reportable via ELR Note: Rows in bold are immediately reportable. Condition Pathogen Tests Send if results include Also include Qualifier Source: CSF, Biopsy including at least Acanthamoeba spp, Include the Free living amebic specimens (brain tissues, Naegleria fowleri , Balamuthia spp, Microscopy, PCR, DFA Positive results manufacturer/method, via infection skin, cornea), Cornea Sappinia spp ELR. scrapings Include the Microscopy, Serology, DFA, Giardiasis (Giardia lamblia) Giardia lamblia Positive results manufacturer/method, via EIA, PCR, rapid test ELR. Culture, PCR, Serology, any Glanders Burkholderia mallei Non negative results other identification method Gonorrhea (Neisseria Culture, NAAT, DNA probe, Antibiotic susceptibility Neisseria gonorrhea Positive results Gonorrhoeae)