Coronavirus
(Microbiology)
Investigations Coronaviruses

Seasonal coronaviruses
Coronoviruses OC43, 229E, NL63 and HKU1 are responsible for a substantial fraction of cases of the common cold, but are not known to cause severe respiratory infections. They are not included in the standard respiratory virus panel in this laboratory, but can be specifically tested upon request.

High consequence coronaviruses
These viruses include Severe Acute Respiratory Syndrome (SARS; no reported cases since 2004), Middle East Respiratory Syndrome (MERS, circulation ongoing in the Middle East) and the 2019 novel coronavirus (COVID-19, SARS-CoV-2, formerly known as "Wuhan" coronavirus). They are characterised by high rates of transmission, particularly in healthcare settings, and higher mortality than seasonal respiratory viruses.

Suspected cases of high consequence coronaviruses should be discussed with the Infectious Diseases or Medical Microbiology service. If clinically stable and not currently in hospital, suspected cases should discouraged from attending hospital until a plan has been made for assessment, sampling and isolation.

For the latest Public Health England guidance on 2019-nCoV, see https://www.gov.uk/government/collections/wuhan-novel-coronavirus

Molecular Tests Coronavirus PCR
Inform lab before sending No for seasonal coronaviruses
Yes for high consequence coronaviruses. Contact the laboratory on 0151 706 4410.
Specimen type Molecular
Swabs: Take a nose and then a throat swab and put both in the single green-topped
Virocult tube before returning it to the Virology laboratory. REMEL swab (RED CAPPED) collection kits are a suitable alternative swab collection kit.
Nasopharyngeal aspirate: Collected in a sterile leak-proof container.
Bronchoalveolar lavage: Collected in a sterile leak-proof container.
Sputum: Collected in a sterile leak-proof container.

Lower respiratory tract samples are not indicated for seasonal coronaviruses.
Ideal time to take specimen  
Labelling requirements click here
How to take the specimen Nose swab - tilt the patient’s head back and gently insert the swab along the medial part of the nasal septum,
as far as possible. Rotate the swab several times and then remove and put it into the Virocult tube – you will need to break the shaft of the swab to fit inside the tube.

Throat swab – vigorously swab only the posterior pharyngeal wall and put it into the Virocult tube.

For high consequence coronaviruses, ensure appropriate personal protective equipment is worn when collecting specimens. The sample must be triple-bagged and hand-delivered to the laboratory in a hard-shell container alongside the appropriate Public Health England request form.
Transport to the laboratory If transport is delayed then store at +4°C
Test Times Seasonal coronaviruses: upon request
High consequence coronaviruses: daily, in the Public Health England reference laboratory.
Turnround 48 hours
Additional information For the latest Public Health England guidance on 2019-nCoV, including case definitions and infection prevention and control advice, see https://www.gov.uk/government/collections/wuhan-novel-coronavirus
Additional Examination Requests click here


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