North Carolina Department of Health and Human Services North Carolina Public Health
Division of Public Health (DPH) Site Navigation
Other Important NC Public Health Links
NC Publich Health Partnerships
Centers for Disease Control and Prevention Links

Get Adobe Reader to Access PDF files -- It's free
 

Virology / Serology - CDC Referral

Serologic tests for antibodies to some bacterial, fungal, parasitic, chlamydial, rickettsial, and viral agents not performed at this laboratory are available from the Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.

Specimen Acceptance Policy

Services are available to all health care providers. Only serum may be submitted for serologic testing. Specimens must be submitted through the State Laboratory of Public Health, Virology/Serology Unit in the same manner as those for special serology specimens. Specific requirements for specimen submission vary depending upon the nature of the infectious agent involved and the assay requested. In general, all specimens submitted to the State Laboratory to be forwarded to the CDC must include the patient's age, sex, the date of the onset of illness, pertinent history, and clinical information.

Specimens submitted for diagnostic testing labeled with incorrect patient identification information will not be tested. Patient identification includes full first and last name and either SSN or date of birth. Specimens which, for any reason, are deemed unsuitable or inappropriate for diagnostic testing will not be tested. Rejected specimens will be properly stored for seven days pending verbal and/or written notification of the submitter. Unless alternate arrangements are initiated by the submitter upon notification of specimen rejection, the specimen will be discarded at the end of the holding period.

Specimen Collection

To collect serum, draw blood into a red top vacuum tube allowing the tube to fill completely. Let stand for 30 minutes to ensure complete clotting of the blood. Centrifuge for 5-10 minutes at 1000-1500 x g. Transfer 3 mL of serum to a plastic screw capped vial. Hemolyzed, icteric, or lipemic serum may be unacceptable for certain serologic assays. Clearly label each vial of serum with the patient's name (first and last), either SSN or date of birth, and the date collected if paired sera are submitted. Complete a DHHS Serology Form #3445 (PDF, 385 KB) specifying all required patient information and which infectious agents are suspected. Specimens sent to the CDC for testing also require a fully completed CDC 50.34 DASH Form external link.

Specimen Shipping

Properly identified vials of patient sera along with the completed submission forms should be sent in the blue colored specimen mailers labeled SPECIAL SEROLOGY. For detailed shipping instructions using the double mailers, see Packing Instructions Using Outer Baggie (PDF, 4.6 MB). Ship at ambient temperature by the State Courier or U.S. Mail. Specimens should be shipped immediately and should arrive in the laboratory within 48 hours of collection. Specimens may be shipped refrigerated or at ambient temperature. If transport to the laboratory is to be delayed, specimens can be refrigerated up to seven days or frozen.

Serum transport tubes and blue colored specimen mailers are available through the NCSLPH online supply ordering system at this website. DHHS Serology Form #3445 (PDF, 385 KB) and CDC 50.34 DASH Form external link may be downloaded and printed from this website.

Specimen Reporting

The average turn-around-time in which results can be expected back from the CDC is about three weeks. Interpretation of test results is included in the report, if sufficient clinical information was included on the submission form.

See also:

Back to Top

Last Modified: February 18, 2013 9:28 AM