Other Streptococcus?Testing Request Form

Including Catalase-negative, Gram-positive Cocci

Key points

  • Public health laboratories can request typing or other characterization assistance from ÐÇ¿ÕÓéÀÖ¹ÙÍø for other streptococci, including catalase-negative, Gram-positive cocci, isolates.
  • Complete the form below in as much detail as possible.
  • ÐÇ¿ÕÓéÀÖ¹ÙÍø will respond within 5 business days.

Request testing

See ÐÇ¿ÕÓéÀÖ¹ÙÍø's specimen acceptance criteria prior to completing the following request form.

Note: * indicates a required field.

Please enter your email address.

Contact Information:

Please enter name

Please enter a phone number

(E.g., state health department, skilled nursing facility, etc. with which you are affiliated)

Impact:
Case(s) Description (Enter 'N/A' if information unavailable):

(Please include all tests and results)

(Organism genus and species, patient’s age group, culture date, epidemiologic link between multiple cases, resident of skilled nursing facility, etc.)

(For examples of sterile sites, see the ABCs Case Definition page at http://www.cdc.gov/abcs/methodology/index.html)

* Required field

Send additional questions to [email protected].

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Content Source:
National Center for Immunization and Respiratory Diseases; Division of Bacterial Diseases