Pathology

Test & Collection Guide

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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

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

If EMR is not available, Pathology results are available from Auscare. If you do not have an Auscare login,please complete attached form. https://pathology.easternhealth.org.au/handbook/downloads/Auscare%20access.pdf

Instruction on how to use Auscare - https://pathology.easternhealth.org.au/handbook/downloads/Auscare%20instructions.pdf

SPECIMEN COLLECTION MODULE (SCM) FAQs - CLICK HERE

CLICK HERE for a consent form to perform tests not covered by Medicare

CLICK HERE for Minimum Labelling Requirements

For Microbiology Swab Collection https://pathology.easternhealth.org.au/handbook/downloads/microbiology/Microbiology%20Swab%20Specimen%20Collection.pdf

CLICK HERE for a printable Pathology request form

"THE ART OF CCCCOLLECTION"

PLEASE CLICK HERE FOR THE PREFERRED ORDER OF DRAW