Table 2.
Clinically significant specimens collected for the detection of SARS-CoV-2, as of April 22, 2020.
| Type of Specimen | Extraction Method | Who can collect | Transport Container and Medium |
|---|---|---|---|
| Nasopharyngeal (NP) swab | A swab goes through a nostril into the nasopharynx, held, rotated and removed | Healthcare Provider Only | Sterile tubes containing 2–3 ml of viral transport media |
| Oropharyngeal (OP)/throat swab | A swab goes through the mouth to the posterior pharynx, rubbed against the pharynx and tonsillar pillars, then removed | Healthcare Provider Only | Sterile tubes containing 2–3 ml of viral transport media |
| Nasal mid-turbinate (NMT) swab | A swab goes through a nostril to the mid-turbinate, held briefly, then rotated and removed | Healthcare Provider or onsite self-swab | Transport tube containing either viral or Amies transport medium, or sterile saline |
| Anterior nares/nasal swab | A swab goes into one nostril and is rubbed against the nostril wall, then used on the second nostril | Healthcare Provider or onsite self-swab | Transport tube containing either viral or Amies transport medium, or sterile saline |
| Nasopharyngeal wash/aspirate | A tube is guided through the nose to the nasopharynx, where a Saline solution is instilled and immediately aspirated | Healthcare Provider Only | Sterile, leak-proof, screw-cap sputum collection cup or sterile dry container. |
| Sputum | The patient rinses their mouth with water and then expectorates deep cough sputum | Onsite patient collection | Sterile, leak-proof, screw-cap sputum collection cup or sterile dry container. |
| Tracheal aspirate | A catheter goes through the mouth to the trachea, where saline solution is instilled and immediately aspirated | Healthcare Provider Only | 2–3 mL in a sterile, leak-proof, screw-cap sputum collection cup or sterile dry container. |
| Bronchoalveolar lavage (BL) | A bronchoscope goes through the mouth and into the lungs, where saline solution is instilled and immediately aspirated | Healthcare Provider Only | 2–3 mL in a sterile, leak-proof, screw-cap sputum collection cup or sterile dry container. |
| Whole Blood | A needle is used for venipuncture of a viable vein, and blood is drawn out | Healthcare Provider Only | A sterile tube |
| Serum | Whole blood is drawn, left at room temperature until clotting, then centrifuged. Resulting supernatant is collected as serum | Healthcare Provider Only | A sterile tube |
| Plasma | Whole blood is drawn into a tube with anticoagulant and centrifuged; resulting supernatant is collected as plasma | Healthcare Provider Only | A sterile tube containing an anticoagulant |