Laboratories, blood banks, mobile units, and other facilities in which a laboratory examination of a blood specimen is made are required to report patients with a CD4 + T lymphocyte cell count below 200 cells per microliter or CD4 + T lymphocyte percentage less than 14%.

Laboratories, blood banks, mobile units, and other facilities in which a laboratory examination of a blood specimen is made are required to report patients with a CD4 + T lymphocyte cell count below 200 cells per microliter or CD4 + T lymphocyte percentage less than 14%.

Immediately report isolates of vancomycin intermediate and resistant Staphylococcus aureus (VISA) and (VRSA) by calling (800) 252-8239 or faxing (512) 458-7616. Isolates of VISA and VRSA shall be submitted to the Texas Department of State Health Services, Laboratory Services Section, 1100 West 49th Street, Austin, Texas 78756-3199. All reports of VISA and VRSA shall include patient name; date of birth or age; sex; city of submitter; anatomic site of culture; date of culture; and minimum inhibitory concentration (MIC) if available.

Laboratories shall submit pure cultures of all Bacillus anthracis, Clostridium botulinum, Brucella species, E. coli 0157:H7, isolates or specimens from cases where Shiga-toxin activity is demonstrated, Listeria monocytogenes, Neisseria meningitidis from normally sterile sites, Yersinia pestis, Mycobacterium tuberculosis complex, Francisella tularensis, Staphylococcus aureus with a vancomycin MIC greater than 2 µ/mL (VISA and VRSA), and Vibrio species accompanied by a current department Specimen Submission Form to the Texas Department of State Health Services, Laboratory Services Section, 1100 West 49th Street, Austin, TX 78756-3199.

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