| Phase I | Field Sampling | 1. Check macrofoam swab kits (e.g., expiration date, tube leakages, and swab wetness) |
| 2. Swab surface (limit surface area to ≤100 inch2 (645 cm2)) | ||
| 3. Place swabs into the transport tubes, and tighten the caps securely to prevent leaking during shipping | ||
| 4. Place swab kit in a ziplock-bag | ||
| Phase II | Sample transport and storage | 1. Sampled swabs should be stored -70 °C (or -20 °C) |
| 2. Transporting swab samples to laboratory at 0-4 °C (cold-packs) in an insulated container and ship within 48 hr of collecting swabs | ||
| Phase III | RNA etraction | 1. Check lysis buffer (e.g., expiration data) |
| 2. Add MS2 as an internal control into lysis buffer before adding 100% ethanol | ||
| RNA purification and concentration | 3. Clean lab bench and small equipment using RNA RNase removal solution | |
| 4. Change gloves frequently during steps to avoid a RNA cross-contamination | ||
| Phase IV | RT-PCR Assay (QA/QC) | 1. Include quantified norovirus transcript RNAs (GI and GII) for each RT-qPCR assay to control for variations in Ct values for each PCR run |
| 2. Use absence of MS2 signal to monitor presence of PCR inhibitors |