Minnesota Laboratory System

Public Health Laboratory

Laboratory Emergency Preparedness

In 2006, the Minnesota Department of Health issued a binder entitled "Guidelines for LRN Advanced Sentinel Laboratories" to all Minnesota LRN advanced sentinel labs. This Web site contains the most current version of all of the contents included in that binder.

NOTE: All ASM Sentinel Laboratory Clinical Laboratory Protocols Updated as of April, 2013

Binder cover (PDF: 140KB/1page)

Tab 1 - Introduction
	Introduction (PDF: 27KB/ 1 page) LRN Definition (PDF: 59KB/ 1 page) LRN Sentinel Laboratory Definitions LRN Introduction which includes protocols for: Catalase Disc Diffusion Beta-lactamase Indole Motility Oxidase
Tab 2 - Safety
	MDH Safety Guidelines for Working with Potential Agents of Bioterrorism (PDF: 26KB/ 3 page)
Tab 3 - Bacillus anthracis
	MDH Flow Chart for Rule-Out and Referral of Bacillus anthracis (PDF: 33KB/ 1 page) ASM Guidelines: Basic Diagnostic Testing Protocols for Level A Laboratories for the Presumptive Identification of Bacillus anthracis
Tab 4 - Botulinum Toxin
	If Botulism is suspected in a patient: (PDF: 21KB/ 1 page) ASM: Sentinel Laboratory Guidelines for Suspected Agents of Bioterrorism - Botulinum Toxin
Tab 5 - Brucella species
	MDH Flow Chart for Rule-out and Referral of Brucella spp. (PDF: 33KB/ 1 page) ASM: Sentinel Laboratory Guidelines for Suspected Agents of Bioterrorism - Brucella species
Tab 6 - Burkholderia mallei and B. pseudomallei
	MDH Flow Chart for Rule-out and Referral of Burkholderia mallei and Burkholderia pseudomallei (PDF: 40KB/ 1 page) ASM: Sentinel Laboratory Guidelines for Suspected Agents of Bioterrorism - Burkholderia mallei and B. pseudomallei
Tab 7 - Coxiella burnetii (Q fever)
	If Coxiella burnetii is suspected in a patient: (PDF: 21KB/ 1 page) ASM: Sentinel Laboratory Guidelines for Suspected Agents of Bioterrorism - Coxiella burnetii
Tab 8 - Francisella tularensis
	MDH Flow Chart for Rule-out and Referral of Francisella tularensis (PDF: 33KB/ 1 page) ASM Guidelines: Basic Protocols for Level A Laboratories for the Presumptive Identification of Francisella tularensis
Tab 9 - Yersinia pestis
	MDH Flow Chart for Rule-out and Referral of Yersinia pestis (PDF: 40KB/ 1 page) ASM: Sentinel Laboratory Guidelines for Suspected Agents of Bioterrorism - Yersinia pestis
Tab 10 - Unknown Viruses
	Unknown viruses: (PDF: 21KB/ 1 page) ASM: Sentinel Laboratory Guidelines for Suspected Agents of Bioterrorism - Unknown Viruses
Tab 11 - Packaging and Shipping
	Address and courier information ASM: Sentinel Laboratory Guidelines for Suspected Agents of Bioterrorism and Emerging Infectious Diseases – Packaging and Shipping Infectious Substances
Tab 12 - Clinical Laboratory Bioterrorism Readiness Plan
	ASM: Sentinel Laboratory Guidelines for Suspected Agents of Bioterrorism - Clinical Laboratory Bioterrorism Readiness Plan

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If you have questions or comments about this page, please contact our Public Health Laboratory: health.mdhlab@state.mn.us or call 651-201-5200.