Microbiology is concerned with the detection, isolation and identification of microbes in clinical samples.<\/p>\n\n\n\n
Further information on our service can be found at: Microbiology | Edinburgh and Lothians Laboratory Medicine<\/a>.\u00a0<\/p>\n\n\n\n To discuss with the microbiology laboratory team<\/strong>, including results,<\/p>\n\n\n\n Mon-Fri 09:00-17:00 Sat-Sun 09:00-16:00:<\/p>\n\n\n\n For clinical microbiology advice<\/strong>, please use the GP advice email:<\/p>\n\n\n\n URGENT clinical microbiology advice<\/strong> is available via telephone:<\/p>\n\n\n\n Note for virological queries there is an email inbox: loth.virologyadvice@nhs.scot<\/a>.<\/p>\n\n\n\n Infection Prevention Control<\/strong> advice – Infection Prevention and Control<\/a><\/p>\n\n\n\n Virology<\/strong> contact information and advice – Virology \u2013 RefHelp<\/a>.<\/p>\n\n\n\n Specific guidance<\/strong>:<\/p>\n\n\n\n Please see useful guidelines about common infections under the speciality sections:<\/p>\n\n\n\n NICE CKS<\/strong>:<\/p>\n\n\n\n 1.How should chronic ulcers\/wounds be assessed for signs of infection?<\/strong><\/p>\n\n\n\n a.The ERF has a series of resources, including the Ropper ladder, on managing suspected infection in chronic wounds here: East Region Formulary – Wound Management<\/a><\/p>\n\n\n\n 2. Mixed growth urines in symptomatic patients<\/strong><\/p>\n\n\n\n a.If the patient has symptoms consistent with a UTI, treat empirically as per formulary guidance<\/span><\/p>\n\n\n\n b.“Mixed growth” usually indicates contamination with vaginal, skin or bowel organisms. Suggest repeat sample if clinically indicated e.g. in pregnancy. Samples in boric acid containers (red top) are preferred to reduce overgrowth of contaminants before the samples arrive in the laboratory.<\/span><\/p>\n\n\n\n c.If the patient does not have symptoms or signs of a UTI then treatment is not recommended, regardless of the amount of growth, unless the patient is a pregnant woman.<\/p>\n\n\n\n 3.Can I use oral flucloxacillin for a mixture of flucloxacillin sensitive Staph aureus and Beta haemolytic streps in a swab?<\/strong><\/p>\n\n\n\n a.Oral flucloxacillin alone is expected to be effective for mild infections caused by Streptococcus pyogenes (Group A Streptococcus) and Streptococcus dysgalactiae (Groups C and G Streptococcus).<\/span><\/p>\n\n\n\n b.However, Streptococcus agalactiae (Group B Strep) often is less susceptible to flucloxacillin. Amoxicillin would be a better choice for Streptococcus agalactiae. Amoxicillin can be added to flucloxacillin in cases of mixed infections of Streptococcus agalactiae and Staphylococcus aureus.<\/p>\n\n\n\n 4.How should I manage a patient with H. pylori whose symptoms have not responded to first- and second-line therapy, or in whom there are contraindications to usual care?<\/strong><\/p>\n\n\n\n a.Gastroenterology leads on providing advice for Helicobacter infection. <\/span><\/p>\n\n\n\n b.Please see <\/span>Helicobacter Pylori \u2013 RefHelp<\/a><\/p>\n\n\n\n c.The formulary has prescribing information here: East Region Formulary – H. pylori<\/a><\/p>\n\n\n\n If your H Pylori query is not answered by the above, then please contact Gastroenterology by email for advice.<\/em><\/p>\n\n\n\n <\/p>\n","protected":false},"excerpt":{"rendered":" Microbiology is concerned with the detection, isolation and identification of microbes in clinical samples. Further information on our service can be found at: Microbiology | Edinburgh and Lothians Laboratory Medicine. To contact the laboratory To discuss with the microbiology laboratory team, including results, Mon-Fri 09:00-17:00 Sat-Sun 09:00-16:00: To contact for clinical advice For clinical microbiology<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[288],"class_list":["post-25623","page","type-page","status-publish","hentry","category-laboratoryservices"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"aparnaamanna","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/aparnaamanna\/"},"rttpg_comment":0,"rttpg_category":" Laboratory Services<\/a>","rttpg_excerpt":"Microbiology is concerned with the detection, isolation and identification of microbes in clinical samples. Further information on our service can be found at: Microbiology | Edinburgh and Lothians Laboratory Medicine. To contact the laboratory To discuss with the microbiology laboratory team, including results, Mon-Fri 09:00-17:00 Sat-Sun 09:00-16:00: To contact for clinical advice For clinical microbiology","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/25623","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=25623"}],"version-history":[{"count":3,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/25623\/revisions"}],"predecessor-version":[{"id":25626,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/25623\/revisions\/25626"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=25623"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=25623"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}To contact the laboratory<\/u><\/strong><\/u><\/strong><\/h2>\n\n\n\n
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To contact for clinical advice<\/u><\/strong><\/h2>\n\n\n\n
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Guidance is available for<\/u><\/strong>:<\/h2>\n\n\n\n
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FAQs<\/u><\/strong>:<\/h2>\n\n\n\n