Technical Bulletins

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2025 Technical Bulletins

  • Acceptable Group B Streptococcus (GBS) Source

  • NGS Oncology Tumor Profile Update - ComboMATCH Approved

  • UPDATE: Medical Device Recall: BIOFIRE FILMARRAY Pneumonia Panel

  • UPDATE: Medical Device Recall: BIOFIRE FILMARRAY GI Panel

2024 Technical Bulletins

  • Sending out SARS-Cov-2 Nucleocapsid Total Ab, Qualitative and SARS-Cov-2 Spike Total Ab, Semi-Quantitative Testing

  • Replacement of the Melanoma NGS Profile

  • New Gram-Negative Bacillus Susceptibility Panels

  • Outsourcing Blood Cultures for Fungi and Acid Fast Bacilli (AFB)

  • Acceptable Fecal Occult Blood Collection Devices

  • Procalcitonin Biomarker for Serious Infections – Update #1

  • Reflex test algorithms for Hepatitis B and Hepatitis C

  • Aerococcus Susceptibility to Antimicrobics

  • Rapid PCR Testing for Mycobacterium tuberculosis

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  • Pyrazinamide (PZA) Testing for Mycobacterium tuberculosis

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  • Sexually Transmitted Infection Testing in Young Patients

  • Legionella Testing by Urine Antigen & Legionella Culture

  • Sending Out Mitochondrial M2 Antibody Testing

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2023 Technical Bulletins

  • No Longer Covered: Respiratory Panel & Stool GI Pathogen Panel

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  • HCV Panels simplify compliance with Public Health recommendations

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  • Discontinuation of DNA/RNA Shield Collection Media and DLS Central Testing for COVID-19 on ThermoFisher High-Throughput Platform

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  • Update to HSV Serology Testing and STI Panels

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  • Updated Interpretive Comments for QuantiFERON-TB Gold Plus

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  • Testing for Sexually Transmitted Infections - Update

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  • Testing for Sexually Transmitted Infections - Expansion

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  • New Testing for Carbapenemase Genes Improves Inpatient Management

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  • SARS-CoV-2 EUA Fact Sheets for Providers

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2022 Technical Bulletins

  • Testing Support for 2022-2023 Respiratory Disease Season

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  • HIV Antigen/Antibody Screen Test Provides Analyte-Specific Results

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  • QuantiFeron IGRA Demonstrates Uncertainty Around the Cutoff

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  • Outsourcing Ova and Parasite Test for Intestinal Parasites

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  • Medicare Coverage Restriction for Combination Orders of Tumor Antigen CA 15-3 (TC 207) and CA 27.29 (TC 4659)

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  • Taxonomy Changes in the MALDI-TOF/MS Database

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  • Interpretation of SARS-CoV-2 (COVID-19) PCR Presumptive Positive

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2021 Technical Bulletins

  • Remove race from eGFR Calculation

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  • RAPIDPoint 500e Blood Gas Analyzer

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  • Suppression of Clostridioides difficile Result in Multiplex GI Panel

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  • Temporary Discontinuation of VerifyNow

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  • Update: Kappa and Lambda Light Chains, Free testing performed in house

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  • Fecal Lactoferrin Replacing WBC-Stool (Fecal Leukocytes) to Indicate Inflammation in the Bowel

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  • Discontinuation of Hemoccult Fecal Occult Blood Test

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  • Updated Albumin / Globulin Ratio Reference Range

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  • Tissue Oncology Testing is available in CARE*Link

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  • Oncology Testing Supports QMC Precision Medicine Program

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  • Discontinuation of In-house Hepatitis B envelope Ag and Ab Testing

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2020 Technical Bulletins

  • Updated Kappa and Lambda Light Chains, Free

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  • The VDRL Test Performed on CSF will Automatically Reflex to Provide a Titer

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  • Discontinuation of Streptozyme Testing

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  • Antimicrobic Susceptibility Interpretations

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  • Change in Ordering Practice for Outpatient Transfusions

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  • Tests Unavailable for Add-on Requests

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  • Preliminary bacterial identifications are now reported from positive blood culture by MALDI-TOF/MS

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  • Troponin T Generation 5 STAT Assay

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  • Rapid Multiplex Pneumonia Panel Now Available at Central

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2019 Technical Bulletins

  • Local testing for procalcitonin is available in Guam beginning December 17, 2019

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  • Update on Testing for Helicobacter Pylori Infections

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  • Rapid PCR replaces Antigen Testing for Influenza in Guam

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  • Availability of QuantiFERON-TB Gold Plus in Guam and Saipan

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  • Update for Urinalysis Result Reporting

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  • Quantitative CMV testing by qPCR available at DLS Central Laboratory

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  • Clostridioides (Clostridium) difficile screening now available at Queen’s Punchbowl and Queen’s West Oahu laboratories

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  • New Bood Culture Instruments and Bottles

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  • Updated Fluoroquinolone Susceptibility Interpretation

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  • Genotyping for HIV Drug Resistance now includes Integrase Inhibitors

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  • Routine and Special Circumstance use of Throat Culture

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  • Next Generation Hepatitis B Surface Antigen Assay

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  • Pneumococcus Testing by Rapid Antigen Compliments Laboratory Approach to Community-Acquired Pneumonia (CAP) and Meningitis

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  • Update to Protime INR reporting range

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  • Reflex test algorithms for Hepatitis B and Hepatitis C

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