TORCH Serology |
Ordering information: | In EMR- Request individual tests
Toxoplasma, Rubella, CMV and Herpes serology |
Alternate names: | TORCH, TORCH screen |
Laboratory: | Microbiology |
Test Code: | TORCH |
Specimen types: | Serum |
Container types: | | Serum tube with gel |  |
|
Collection Instructions: | Sample haemolysis may make this test unreportable
Transport specimen at Room Temperature to lab
Screen includes - Toxoplasmosis, Rubella, CMV and Herpes Simplex
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Notes: |
| |
Toxoplasmosis |
Rubella |
CMV |
Herpes simplex |
| At risk if: |
Maternal symptoms or IgM positive |
Maternal primary infection or re-infection |
Maternal primary infection (50%)
Maternal reinfection or reactivation (?1%) |
Maternal genital infection in pregnancy (recurrent, acquisition of other type if already infected, initial non-primary, primary) |
| Initial tests - maternal serology |
Maternal IgG positive and IgM negative:
No further action required.
Maternal IgM + IgG positive:
Request neonatal testing. |
Maternal rubella IgG/IgM if
(i) contact with rubella
(ii) rubella-like illness |
Maternal IgG &/or IgM positive:
Request neonatal testing |
Clinical assessment, antenatal serology or viral PCR results if available |
| Neonatal testing if indicated by maternal results and clinical suspicion |
Serology ? IgG & IgM
PCR ? blood*, CSF |
Serology ? rubella IgM
PCR ? urine, throat swab, tears (conjunctival swab), lens tissue (if available) |
Serology ? CMV IgM
PCR ? blood*, urine, saliva |
PCR ? surface swabs (eye, throat, umbilicus, rectum), urine, blood*, CSF if positive surface swabs or infant with clinical illness |
|
Frequency: | Daily |
Result Turnaround Time: | 2-7 days |
Reference Interval: | Toxoplasma, Rubella, CMV performed daily at BHH (adults)
HSV performed weekly at RCH. |
Laboratory Use Only |
Accessing Results
EMR: Pathology results are available via EMR.
Auscare: If EMR is unavailable, results can be accessed through Auscare. Don’t have an Auscare login? Complete the Auscare User Form.
To access Auscare, see instructions.
Forms & Collection Guides
Consent Form – Non-Medicare Tests
For tests not covered by Medicare. Download Form
Pathology Request Form
Printable referral form for submitting pathology requests. Download Form.
Microbiology Swab Collection Guide
Step-by-step instructions for correct swab collection. Download Guide.
Preferred Order of Draw
Instructions to ensure accurate blood collection and results. View Instructions
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