The Clinical Guide to Services is a comprehensive reference guide of testing services, shipping information and submission requirements. Efforts have been made to be concise and current with all information, but as testing procedures and regulations change, some information may not be current. Many of these tests are only available with prior approval from MDH. It is impossible to address all situations in this guide, so please contact us with any questions.

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Taenia solium - Antibody Detection

See: Parasite Serology

Taenia spp. - Identification/Confirmation in Referred Sample

See: Parasite Examination, Intestinal and Parasite Identification

Tetanus

See: Clostridium tetani

Toxcariasis (Toxocara spp.; Visceral/Ocular Larva Migrans) - Antibody Detection

See: Parasite Serology

Toxic shock

See: Staphylococcus aureus (toxic shock) and Streptococcus, group A (toxic shock)

Toxoplasma gondii - IgM and IgG Antibody Detection

Methodology: Indirect fluorescent antibody for IgG, Enzyme immunoassay for IgM
Restrictions: Contact Infectious Disease Epidemiology Prevention and Control at (651) 201-5414 or (877) 676-5414 before requesting this test.
Fee Sticker: Not required
Specimen: Serum, adults (3 ml)
Serum, children (0.5 ml)
Ocular fluid (0.1 ml. of neat fluid, no washings
Shipping: Ship at refrigeration temperature.
Turnaround: Not available
Comments: Sent to CDC

This disease must be reported to MDH as required by State Rule 4605.7040

Treponema pallidum - Antibody Confirmation

Methodology: Indirect fluorescent antibody
Restrictions: Contact Infectious Disease Epidemiology Prevention and Control at (651) 201-5414 or (877) 676-5414 before requesting this test.
Fee Sticker: Not required
Specimen: Serum (1 ml)
Shipping: Ship at refrigeration temperature.
Turnaround: 2 working days of specimen receipt
Comments: MDH will confirm screening results for syphilis. Other cases may apply, please call (651) 201-5414

This disease must be reported to MDH as required by State Rule 4605.7040

Treponema pallidum - Antibody Detection

Methodology: Non-treponemal Reagin antibody by slide flocculation immunoassay
Restrictions: MDH no longer performs screening tests for syphilis. MDH will confirm positive syphilis screening results performed at another lab. Contact Infectious Disease Epidemiology Prevention and Control at (651) 201-5414 or (877) 676-5414 before requesting this
Fee Sticker: Required
Specimen: Serum (1 ml)
Shipping: Ship at refrigeration temperature.
Turnaround: 1 working day of specimen receipt

This disease must be reported to MDH as required by State Rule 4605.7040

Trichinella spiralis/Trichinosis - Antibody Detection

See: Parasite Serology

Trypanosoma brucei spp. - Antibody Detection

See: Parasite Serology

Trypanosoma brucei spp. - Detection in Clinical Samples

Methodology: Microscopic Examination
Restrictions: None
Fee Sticker: Required
Specimen: Thick and thin blood films - 3 sets, air-dry
EDTA blood tube - filled
CSF - as much as possible
Shipping: Ship at room temperature. Transport EDTA blood and CSF to lab as soon as possible.
Transport slides in protective holder.
Turnaround: Within 1 working day of specimen receipt
Comments: Trypomastigotes are present in the blood in largest numbers during febrile periods. Examination of multiple daily blood samples may be necessary for detection.

Trypanosoma brucei spp. - Identification/Confirmation in Referred Specimen

Methodology: Microscopic Examination
Restrictions: None
Fee Sticker: Not required
Specimen: Thick and thin blood films - stained or unstained
Shipping: Ship at room temperature.
Transport slides in protective holder.
Turnaround: Within 1 working day of specimen receipt

Trypanosoma cruzi - Antibody Detection

See: Parasite Serology

Trypanosoma cruzi - Detection in Clinical Samples

Methodology: Microscopic Examination
Restrictions: None
Fee Sticker: Required
Specimen: Thick and thin blood films - 3 sets, air-dry
EDTA blood tube - filled
Tissue imprints, dried
Lesion exudate smears, dried
Shipping: Ship at room temperature.
Transport slides in protective holder.
Turnaround: Usually within 1 working day of specimen receipt

Trypanosoma cruzi - Identification/Confirmation in Referred Specimen

Methodology: Microscopic Examination
Restrictions: None
Fee Sticker: Not required
Specimen: Thick and thin blood films - stained or unstained
Shipping: Ship at room temperature.
Transport slides in protective holder.
Turnaround: Usually within 1 working day of specimen receipt

Trypanosomiasis, African

See: Trypanosoma brucei spp.

Trypanosomiasis, American

See: Trypanosoma cruzi

Tuberculosis

See: Mycobacterium tuberculosis Complex

Tularemia

See: Francisella tularensis