{"id":9945,"date":"2025-03-01T14:01:37","date_gmt":"2025-03-01T19:01:37","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/alltests\/"},"modified":"2025-03-02T00:41:08","modified_gmt":"2025-03-02T05:41:08","slug":"alltests","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/lab\/alltests\/","title":{"rendered":"lab\/alltests ~  Tests Performed by DPHL  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n\n\n  <br>\n\n\n  \n\n\n  <div class=\"container\" id=\"main_header\">\n\n\n    <!-- BEGIN readspeaker div -->\n\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dph\/lab\/alltests.html\" title=\"Listen to this page using ReadSpeaker\">\n\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n\n      <\/a>\n\n\n    <\/div>\n\n\n    <!-- END readspeaker div -->\n\n\n\n\n\n    \n\n\n    <header class=\"pull-left\">\n\n\n      <h1><!--[type=EDIT name=\"Page Title\"]-->Infectious Disease Testing at the Delaware Public Health Laboratory<!--[END]--><\/h1>\n\n\n    <\/header>\n\n\n  <\/div><br>\n\n\n \n\n\n  <div class=\"container\">\n\n\n    <div class=\"row\">\n\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n\n          <div class=\"panel sectionmenu_panel\">\n\n\n            <div class=\"panel-heading\">\n\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Public Health Menu<\/strong><\/a><\/p>\n\n\n            <\/div>\n\n\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dph\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n        <li><a href=\"\/dph\/about.html\">About DPH<\/a><\/li>\n        <li><a href=\"\/dph\/sections.html\">Sections &#038; 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IgG qualitative antibody detection<\/li>\n\n\n\n<li>RPR screening test, qualitative\n\n\n\n     and quantitative (special requests only)<\/li>\n\n\n\n<li>TPPA confirmatory test<\/li>\n\n\n\n<li>VDRL, qualitative and\n\n\n\n     quantitative (cerebral spinal fluids only)<\/li>\n\n\n\n<\/ul>\n\n\n\n<p><b>Chlamydia, Gonorrhea\n\n\n\nand Trichomonas:<\/b><\/p>\n\n\n\n<ul>\n\n\n\n<li>Nucleic acid amplification\n\n\n\n     testing (NAAT)<\/li>\n\n\n\n<li>Gonorrhea culture<\/li>\n\n\n\n<\/ul>\n\n\n\n<p><b>Human Immunodeficiency\n\n\n\nVirus (HIV):<\/b><\/p>\n\n\n\n<ul>\n\n\n\n<li>4th Generation Antigen\/Antibody\n\n\n\n     Immunoassay detection<\/li>\n\n\n\n<li>HIV 1 and 2 differentiation\n\n\n\n     Immunoassay confirmation<\/li>\n\n\n\n<li>Geenius Confirmation<\/li>\n\n\n\n<\/ul>\n\n\n\n<p><b>Hepatitis C Virus\n\n\n\n(HCV):<\/b><\/p>\n\n\n\n<ul>\n\n\n\n<li>HCV Antibody Immunoassay\n\n\n\n     Detection<\/li>\n\n\n\n<li>HCV Viral Load \u2013 quantitative<\/li>\n\n\n\n<\/ul>\n\n\n\n<p><b>Herpes Simplex Virus I\n\n\n\n&#038; II (HSV) and Varicella Zoster Virus (VZV):<\/b><\/p>\n\n\n\n<ul>\n\n\n\n<li>Multiplex PCR Assay<\/li>\n\n\n\n<\/ul>\n\n\n\n<ul>\n\n\n\n<\/ul><br>\n\n\n\n<h2>\n\n\n\n  Molecular Testing \n\n\n\n<\/h2>\n\n\n\n<p><b>Molecular Assays by Real Time Polymerase Chain Reaction (PCR):<\/b><\/p>\n\n\n\n<ul>\n\n\n\n<li><i>Bordetella pertussis,\n\n\n\n     parapertussis,<\/i>\u00a0or\u00a0<i>holmseii<\/i>\u00a0Multiplex\n\n\n\n     Assay<\/li>\n\n\n\n<li> <i>Mycobacterium tuberculosis<\/i> and <i>Mycobacterium avium<\/i> complex Multiplex Assay<\/li>\n\n\n\n<li>Carbapenemase Resistant\n\n\n\n     Organism Testing \u2013 multiple assays for resistance mechanisms (NDM, KPC, VIM, OXA-48, and IMP)<\/li>\n\n\n\n<li>Suspected biothreat agents (See our\u00a0<a href=\"\/dph\/lab\/labprep.html\">Laboratory Preparedness page<\/a>)<\/li>\n\n\n\n<li>Chikungunya, Dengue, Zika Virus\n\n\n\n     Multiplex Assay (requires consultation with Office of Infectious Disease\n\n\n\n     Epidemiology \u2013 OIDE)<\/li>\n\n\n\n<li>Eastern Equine Encephalitis\n\n\n\n     (EEE) and West Nile Virus (WNV) (animal organs and\/or mosquitoes)<\/li>\n\n\n\n<li>Molecular detection of Shigatoxin-producing <i>E. coli<\/i>  (stx1, stx2, and wzy (0157))<\/li>\n\n\n\n<li>Influenza A and B typing,\n\n\n\n     Influenza A subtyping (H1N1 pandemic, H3N2); Influenza B genotyping\n\n\n\n     (B\/Yamagata, B\/Victoria). Detection of avian strains (H5N1 and H7N9)\n\n\n\n     (requires consultation with OIDE)<\/li>\n\n\n\n<li>CDC Respiratory Virus Panel\n\n\n\n     with respiratory targets (Panel 1-Respiratory Syncytial Virus (RSV), Human\n\n\n\n     Metapneumovirus, Rhinovirus, Parainfluenza 1 &#038; 3, and Adenovirus. Panel\n\n\n\n     2- Parainfluenza virus 2 &#038; 4, Human coronaviruses 229E, Oc43, HKU1,\n\n\n\n     NL63) <\/li>\n\n\n\n<li>Measles and Mumps viruses<\/li>\n\n\n\n<li>Norovirus type GI and GII\n\n\n\n     Multiplex Assay<\/li>\n\n\n\n<li>\u00a02019 SARS-CoV-2 Assay<\/li>\n\n\n\n<li>2019 SARS-CoV-2, Influenza A, B\n\n\n\n     Multiplex Assay<\/li>\n\n\n\n<\/ul>\n\n\n\n<br>\n\n\n\n<p><b> Immunoassay\/Antigen\/Antibody<\/b><\/p>\n\n\n\n<ul>\n\n\n\n<li>West Nile Virus (WNV); Saint Louis Encephalitis (SLE); IgM Microsphere immunoassay (human serum and spinal fluid)<\/li>\n\n\n\n<li>WNV and Eastern Equine Encephalitis (EEE) \u2013 IgM Enzyme immunoassay performed on chicken blood, for the detection of WNV and EEE in chickens placed around areas with high mosquito prevalence (in summer months). Also known as &#8220;sentinel chicken&#8221; program.<\/li> \n\n\n\n<li>Rabies detection by Direct Fluorescent Antibody (DFA) from brain stem and cerebellum (requires OIDE consultation) and Rabies PCR.<\/li> \n\n\n\n<\/ul>\n\n\n\n<br>\n\n\n\n<h2>Routine Bacteriology\n\n\n\n<\/h2>\n\n\n\n<ul>\n\n\n\n<li>Stool Culture<\/li>\n\n\n\n<li>Urine Culture<\/li>\n\n\n\n<li>Throat Culture<\/li>\n\n\n\n<li>Wound or Miscellaneous Culture<\/li>\n\n\n\n<li>Tissue Culture<\/li>\n\n\n\n<li>Carbapenemase Detection \u2013\n\n\n\n     modified Carbapenemase Inactivation Method (mCIM) and molecular detection by real time PCR (listed above)<\/li>\n\n\n\n<li>Confirmation of Enteric\n\n\n\n     Pathogens\u00a0\u2013 <i>Salmonella<\/i>\u00a0species.\u00a0<i>Shigella<\/i>\u00a0species,\n\n\n\n     Shiga-toxin-producing\u00a0<i>E. coli (STEC), Listeria monocytogenes,\n\n\n\n     Vibrio species, Campylobacter spp.<\/i><\/li>\n\n\n\n<li>Pathogenic microorganism identification (MALDI-ToF)<\/li>\n\n\n\n<li>Antibiotic Susceptibility\n\n\n\n     Testing<\/li>\n\n\n\n<li>Non-<i>Candida albicans<\/i> yeast surveillance testing<\/li>\n\n\n\n<li>Legionella Urine Antigen<\/li>\n\n\n\n<\/ul>\n\n\n\n<p><b>Outbreak Surveillance &#8211; Foodborne or Clinical:<\/b>\n\n\n\n<\/p><ul>\n\n\n\n<li><i>Campylobacter spp<\/i>. &#8211; Culture Confirmation and WGS<\/li>\n\n\n\n<li><i>Listeria monocytogenes<\/i> &#8211; Culture Confirmation and WGS<\/li>\n\n\n\n<li><i>Salmonella spp.<\/i> &#8211; Culture Confirmation and WGS<\/li>\n\n\n\n<li><i>Shigella spp.<\/i> &#8211; Culture Confirmation and WGS<\/li>\n\n\n\n<li><i>Vibrio spp.<\/i> &#8211; Culture Confirmation and WGS.<\/li>\n\n\n\n<li>Shiga-toxin producing\u00a0<i>E.\n\n\n\n     coli (STEC)<\/i> &#8211; Culture, PCR, and WGS<\/li>\n\n\n\n<li>Bioterrorism Agents &#8211; Culture and PCR<\/li>\n\n\n\n<li><i>Bacillus cereus<\/i> &#8211; Culture\n\n\n\n\n\n\n\n<\/li><\/ul><p><b>Mycobacteriology:<\/b><\/p><ul>\n\n\n\n<li>Specimen digestion and\n\n\n\n     concentration<\/li>\n\n\n\n<li>AFB smear (Auramine O or\n\n\n\n     Kinyoun) and culture<\/li>\n\n\n\n<li><i>Mycobacterium tuberculosis<\/i>\u00a0complex (MTB) antimicrobial susceptibility\n\n\n\n     testing<\/li>\n\n\n\n<li>MTBC and MAC PCR (listed above))<\/li>\n\n\n\n<li>Interferon gamma release assay (IGRA) <\/li>\n\n\n\n<\/ul><p><b>Tests Performed by\n\n\n\nthe\u00a0<\/b><a href=\"\/dss\/\"><b>State Clinic Labs<\/b><\/a><b>:<\/b><\/p><ul>\n\n\n\n<li>Urine Dip Stick<\/li>\n\n\n\n<li>Pregnancy \u2013 Urine<\/li>\n\n\n\n<li>HIV Rapid<\/li>\n\n\n\n<li>Hemocue<\/li>\n\n\n\n<li>\n\n\n\nBlood Lead<\/li>\n\n\n\n<\/ul><ul>\n\n\n\n<\/ul><p>\n\n\n\n  Visit our <a href=\"labprep.html\"><b>Laboratory Preparedness page<\/b><\/a> for testing forms and procedures related to agents of biological and\n\n\n\n  chemical terrorism.\n\n\n\n<\/p><p>\n\n\n\n  Return to the <a href=\"labs.html\"><b>Delaware Public Health Laboratory home page<\/b><\/a>.\n\n\n\n<\/p><p>This page was last updated 1\/24\n\n\n\n<br>\n\n\n\n<br><\/p><p class=\"smalltext\"><a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\"><img loading=\"lazy\" decoding=\"async\" alt=\"Download Adobe Acrobat Reader\" height=\"21\" src=\"\/wp-content\/uploads\/dhss\/img\/getacro60.gif\" width=\"60\"><\/a> Please note: Some of the files available on this page are in Adobe PDF format which requires Adobe Acrobat Reader.  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