Page 69 - The Veterinary Laboratory and Field Manual 3rd Edition
P. 69

38  Susan C. Cork, Roy Halliwell and Willy Schauwers

            collection of material for laboratory      to be sampled, contamination can be mini-
            examination                                mized by swabbing the outside of the bone
                                                       with disinfectant, splitting the bone open
            The quality of diagnostic service offered by the   and then aseptic extraction of the marrow by
            laboratory is determined, to a large extent, by   using a sterile swab.
            the quality and suitability of the specimens or   2  Never freeze samples for bacteriology.
            samples that are submitted and the information   3  Samples for bacteriology should preferably
            on the case(s) that is provided. The laboratory   be: delivered to the laboratory in a cool box/
            cannot be expected to assist with making an   chiller within 8 h in summer and within 12 h
            accurate diagnosis without relevant information   in winter (although this will depend on the
            and properly selected and submitted samples. It   local climatic conditions).
            is the responsibility of the veterinarian, if pres-  4  Try to keep the various tissues separated from
            ent, to select specimens but in his/her absence,   one another. If tissue samples are grouped
            especially in rural areas, it is often the livestock   together, bacteria from one sample can con-
            or animal health extension worker who has to be   taminate another. This is especially true if
            aware of the criteria used to select good samples.  intestinal samples or faeces are included.
                                                     5  Samples should be kept moist. If the sample
                                                       dries out, any pathogens present might die,
            Sampling and laboratory diagnosis
                                                       therefore culture will not be possible.
            To test or not to test? This is the first question   6  For histopathology, 10% buffered formalin
            to ask. Is a laboratory test desirable, necessary   preservative should be added to the tissue
            or possible? A number of factors, including fea-  (add as a 10 : 1 proportion of formalin to tis-
            sibility and cost need to be considered. However,   sue volume).
            once the decision is made to collect samples it is
            important to ensure that they reach the labora-  B: Key concepts for handling and preserving
            tory in a timely manner and in good condition.   other samples
            Some general guidelines on how to collect, pre-
            serve and submit samples are provided below.  1  For swabs, immerse the swab in transport
                                                       media and keep at 4°C until it can be sent to
            GEnEraL ruLES on HoW to bESt PrESErvE      the laboratory. Different transport media are
            SaMPLES For SubMISSIon to tHE              required for specific pathogens.
            Laboratory                               2  For blood samples, keep the EDTA tube at
            A: Some key concepts to keep in mind for tissue   4°C and mix the tube gently after sampling.
            samples include:                           If the EDTA blood cannot be examined the
                                                       same day, a thin blood smear should be
            1  Keep the tissues cool (for example, in a cool   prepared and fixed directly after taking the
              box at 4°C). Bacterial contaminants will be   blood. This can then be stained for examina-
              present in ANY sample unless they have   tion at the laboratory.
              been collected aseptically. Unfortunately, the   3  For serum samples, let the blood sit in a
              contaminants often replicate faster than the   holding rack until it has coagulated. This
              disease-causing bacteria of interest. Keeping   is  best done by collecting  the sample in a
              the samples chilled will slow down bacterial   plain vacutainer (that is, red topped without
              growth and enhance the chances of culturing   anticoagulant) and leaving for 12–24 h (in
              the pathogen. If marrow from a long bone is   summertime the samples can often be left on







       Vet Lab.indb   38                                                                   26/03/2019   10:25
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