Streptococcus pneumoniae Testing Request Form

Key points

  • Public health laboratories can request testing assistance from ÐÇ¿ÕÓéÀÖ¹ÙÍø to serotype Streptococcus pneumoniae 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

Please enter an email address

(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)

(Patient's age group, culture date, epidemiologic link between multiple cases, etc.)

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

(Please differentiate between pneumococcal conjugate vaccines (PCV))

* 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