Laboratory Test Reference Guide

For detailed information about MDRO screening requirements please see MDRO Policy found here: Waikato Hospital MDRO Policy

 Sites and Swabs

MRSA

• 1 x Nasal
• 1 x perineum/groin
• Clinical specimens such as wounds, catheter urine, respiratory or others as clinically indicated

MRSA Neonates

• 1 x umbilicus

ESBL/CPE

• 1 x rectal swab or faecal sample

VRE

• 1 x rectal swab (white topped swab preferred in addition to purple topped swab for ESBL/CPE) or faecal sample

C.auris/CRAB

• 1 x axilla
• 1 x groin

Note : swabs are not shared between test types, separate swabs are required for each site.

For example a routine adult screen without wounds etc would require 2 swabs for MRSA screening (Nasal and Groin), 2 swabs (one purple and one white topped liquid amies) for ESBL/VRE (both rectal), and 2 swabs for Candida auris (Axilla and Groin). 6 swabs in total.