38 咽拭子采集The Oropharyngeal Swab is easy to complete and affords the best chance (of upper respiratory samples) of isolating avian influenza viruses due to their tendency to bind in the lower respiratory tract .To collect the specimen:Have the patient open his/her mouth wide openThe patient should try to resist gagging and closing the mouth while the swab touches the back of the throat near the tonsilsSlowly remove the swab while slightly rotating itPut tip of swab into vial containing VTM, breaking/cutting applicator’s stick
49 6、防护措施做好防护采集病人标本时应穿戴医用防护/N95口罩(下呼吸道和产生气溶胶较多标本、尸检标本）、隔离衣、手套、帽子、防护镜或面罩。采集环境标本时应穿戴医用防护口罩、隔离衣、手套、帽子采样管不易破损Regardless of the type of specimen that you collect—either respiratory or serological—when you collect clinical specimens from people who might have avian influenza, it will be important to follow safety precautions. Be sure that you wear personal protective equipment such as N-95 or N/P/R-100 face masks, gloves, and protective eye ware. You should also wear hair covers, boot or shoe covers, and protective clothing such as a gown or apron. You will learn more about personal protective equipment in the infection control module.
60 运输的包装 使用三层包装 第一和第二层要防水 每层中间使用吸水材料 标本容量不要超过500ml Just as it is important to keep specimens cold during storage, it is important to keep specimens cold during transportation. Try to keep specimens at 4 ºC. A cooler filled with ice packs can be used for this purpose, but do not use dry ice unless the specimens are double-bagged and airtight; carbon dioxide from the dry ice can inactivate the virus.