Test Code LAB251 KOH Preparation
Performing Lab
Arnot Ogden Medical Center
Ordering Recommendations
Detection of fungal elements in clinical specimens.
Collect
Hair
Skin Scrapings
Nails
Exudates
Biopsies
Storage/Transport Temperature
Room Temperature
Methodology
Microscopic examination using KOH.
Start Date
9/13/2017
Last Review Date
6/23/2025
Specimen Handling
Room Temperature
Collection Instructions
- Sputum
- Specimen should be fresh.
- Specimen should be collected in a sterile container in the early morning.
- Have the patient remove dentures and rinse mouth.
- Only deep cough specimens will be accepted – saliva will be rejected.
- Other Respiratory Specimens
- Including tracheal aspirates, lung biopsy material, bronchoscopy specimens:
- Collect aseptically and send to the lab immediately in a sterile container.
- Including tracheal aspirates, lung biopsy material, bronchoscopy specimens:
- Pus, exudate, and drainage
- Use a sterile needle and syringe to aspirate material from undrained abscesses.
- Remove the needle and recap the syringe. Send the syringe to the lab.
- Vaginal material
- Use a sterile swab to collect material from the vagina. Transport to the lab.
- Tissue
- Collect tissue aseptically from the center and edge of the lesion.
- Place the specimen between moist gauze squares in a sterile container and add a small amount of sterile saline to keep the specimen from drying out. Send to the lab.
- Body fluids
- Collect aseptically and place in a sterile container. Send to lab.
- Hair
- No cleaning of the scalp is needed.
- Select infected areas and use forceps to epilate at least 10 hairs.
- Place specimen in a sterile container and transport to the lab.
- Nail
- Clean the nail with 70% alcohol.
- For a specimen of the dorsal plate, scrape the outer surface and discard the scrapings. Then scrape the deeper portion for a specimen.
- Remove a portion of debris from under the nail with a scalpel.
- Collect the whole nail or nail clippings.
- Place material in a sterile container and transport to the lab.
- Skin and interspaces
- Specimens of skin are taken from an area that has been cleaned with 70% alcohol.
- Scrape the active peripheral edge of a lesion with a scalpel or the side of a microscope slide. Transport scrapings to the lab in a clean container.