Acinetobacter species, Carbapenem Resistant

• Isolate submission REQUIRED from EIP sites
• Submissions should include susceptibility test results with MIC values

• None

• Report Acinetobacter calcoaceticus-baumannii complex with one or more of the following:

Intermediate or resistant interpretation to at least one carbapenem antibiotic (excluding ertapenem)

Detection of carbapenemase production

Detection of at least one carbapenemase-producing gene

• If detected via NAAT, perform culture to obtain an isolate for subsequent testing to determine the antibiotic susceptibility profile
• Submit isolates to the TDH Division of Laboratory Services within 3 days of detection/isolation 

• Specimen must be labeled with at least two unique patient identifiers and match the accompanying TNDOH ARLN Lab Web Portal.

• None

• Store specimens at ambient temperature prior to shipping.

• Ship specimens at ambient temperature.
• All infectious substance shipments must conform to U.S. Department of Transportation (DOT) Hazardous Materials Regulations (HMR 49 C.F.R. Parts 171-180). 

• Only pure cultures will be accepted for testing. 
• Mixed cultures will be rejected.
• Specimens that are mislabeled will be rejected.
• Specimens that are broken in transit will be rejected.
• Specimens received that do not meet the specimen requirements outlined in the Directory of Services or that deviate from the special instructions will not be acceptable for testing. 

• Nashville