Table 2.
Common types of clinical specimens and their application.
| Type of infection | Specimen type | Examples of pathogens | Main purpose |
|---|---|---|---|
| Multi-drug-resistant bacteria | Sputum, stool, anal swab, nasal swab | Carbapenem resistance gene (CRE), Methicillin-resistant Staphylococcus aureus (MRSA) | Multi-drug-resistant bacteria control |
| Gastrointestinal tract infection | Stool, anal swab | Clostridium difficile | Detection of Clostridium difficile infection |
| Respiratory tract infection | Throat swab | Group A Streptococcus | Detection and identification of the aetiology of pharyngitis |
| Nasopharyngeal swab | Acute respiratory viruses (influenza A virus, influenza B virus respiratory syncytial virus, SARS-CoV-2) | Used for the diagnosis of acute respiratory infections, guiding treatment, and assisting infection control | |
| Sputum/alveolar lavage fluid/tissue |
Mycobacterium tuberculosis and rifampicin resistance Viruses, fungi, atypical pathogens |
Screening and diagnosis of lower respiratory tract infections, guiding medication | |
| Genitourinary tract infection | Urine, pus, cervical specimen, swab | Chlamydia trachomatis, Mycoplasma, Neisseria gonorrhoeae, HPV, GBS* | Screening and diagnosis of sexually transmitted diseases |
| Blood-borne infection | Blood | HIV, HBV, HCV* | Surgery/blood transfusion/haemodialysis/endoscopy preparation |
| Central nervous system infection | Cerebrospinal fluid | EV71, Japanese encephalitis virus, cryptococci, Mycobacterium tuberculosis | Diagnosis of central nervous system infection |
*GBS, group B Streptococcus; HBV, hepatitis B virus; HCV, hepatitis C virus; HIV, human immunodeficiency virus; HPV, human papilloma virus.