Francisella tularensis – Serology

Consistent with O. Reg. 671/92 of the French Language Services Act, laboratory testing information on this page is only available in English because it is scientific or technical in nature and is for use only by qualified health care providers and not by members of the public.

Specimen Collection and Handling

Specimen Requirements

Test Requested Required Requisition(s) Specimen Type Minimum Volume Collection Kit

Francisella tularensis, or Tularemia serology, or Tularensis serology, or Rabbit or Deer fly fever

Whole blood or serum

5.0 ml blood or 1.0 ml serum

Vacutainer tubes (SST)

Submission and Collection Notes

1

Indicate symptoms, exposure with animal, and date of onset on the General Test Requisition Form if diagnostic testing is required.

Timing of Specimen Collection

An acute (collected early after the onset of symptoms) and a convalescent (collected 2-3 weeks later) may be required for laboratory diagnosis.

Limitations

Haemolysed, icteric, lipemic or microbially contaminated sera or plasma are not recommended for testing.

Storage and Transport

Label the specimen container with the patient’s full name, date of collection and one other unique identifier such as the patient’s date of birth or Health Card Number. Failure to provide this information may result in rejection or testing delay.

Special Instructions

Centrifuge if using SST. Label specimens with at least two identifiers; place it in biohazard bag and seal. Specimens should be stored at 2-8°C following collection and shipped to PHOL on ice packs.

Requisitions and Kit Ordering

Test Frequency and Turnaround Time (TAT)

Tularemia Agglutination testing is performed once per week.

Turnaround time is up to 10 days from receipt by PHO Laboratory.

Test Methods

Tularemia (Francisella tularensis) serology is performed using Serum Tube Agglutination (STA) assay.

Reporting

Results are reported to the ordering physician or health care provider as indicated on the requisition.

Updated 20 July 2020