Diagnostic tests and investigations (I-L)

  • This is an alphabetical listing of all the diagnostic tests offered by the laboratory.
  • This consists of a mixture of "in-house" tests performed on-site and specialist tests that are sent to a reference laboratory.
  • Turnaround times will vary depending on the test and where it is performed.
  • For best results, please ensure the correct type of specimen is sent in the correct container.
  • Please note that availability for some tests is restricted and requires prior discussion/ authorisation by a microbiologist/ virologist.
  • For electronic requesting via e-QUEST: we have endeavoured to provide e-QUEST testing codes [in brackets] where possible.
  • If unsure as to how to interpret a result, contact us. Please be ready with a full clinical history, up to date clinical data and recent antimicrobial treatment details before you call.
A-Z of Diagnostic Tests and Investigations

Test

Specimen

Container

Required volume

Laboratory

Turnaround time

Additional information

Influenza A/B PCR

See under Respiratory virus PCR/ NPA

Influenza serology

Blood (serum)

Clotted Blood (red top tube)

5-10 ml

Reference

7-14 days

Send paired sera

Not useful for diagnosis of acute infection.

Interferon assays for TB

See under Mycobacteria

Intestinal flukes

See under Fasciola

Intrauterine infection serological tests

See under TORCH screen (mother)

 

Itraconazole levels

See under Antibiotic Assays

IVF screen

[e-QUEST: ivf screen]

Includes:

HIV Ab/Ag

Hepatitis BsAg

Hepatitis C IgG

Syphilis IgG

Blood (serum)

Clotted Blood (red top tube)

5-10 ml

SGH

2 days

Pre-treatment IVF screen.

(Rubella and chlamydia need to be requested separately if required.)

Japanese B encephalitis

See under Arboviral serology

JC virus PCR

CSF

Sterile Universal

1 ml min

Reference

7-10 days 

Discuss with a virologist

Kala-azar

See under Leishmania

Lassa fever virus

See under Viral Haemorrhagic Fever

Legionella serology

Blood (serum)

Clotted Blood (red top tube)

5-10 ml

Reference

8 days

 

[e-QUEST: Legionella antigen]

Urine

Sterile Universal

20 ml

SGH

2 days

Needs prior discussion with microbiologist

[e-QUEST: Leishmania reference test] (serology)

Blood (serum)

Clotted Blood (red top tube)

5-10 ml

Reference

28 days

Please state travel history and date of exposure.

Discuss cases with microbiology

Leprosy

Tissue biopsy

Consult a microbiologist

Leptospira isolation/ PCR

CSF/ /Urine/Blood

Sterile Universal/

8-10 ml

Reference

up to 6 wks

Discuss cases with microbiology

[e-QUEST: Leptospirosis reference test] (serology)

Blood (serum)

Clotted Blood (red top tube)

5-10 ml

Reference

6 days

Take sample 5-7 days after onset of symptoms.

Please state date of onset or exposure and travel/ risk factors.

[e-QUEST: Leukaemic Varicella IgG] screen

Blood (serum)

Clotted Blood (red top tube)

5-10 ml

SGH

7 days

For screening immunosuppressed/ stem cell transplant patients.

[e-QUEST:Lyme disease serology] (Borreliosis) (screening test)

Blood (serum)

Clotted Blood (red top tube)

5-10 ml

SGH

2 days

Please provide clear history including risk factors and date of symptom onset.

Lyme Immunoblot

Blood (serum)/CSF

Clotted Blood (red top tube)

or Sterile Universal (CSF)

5-10 ml

 

 

1-2 ml

 

Reference

9 days

 

 

Lyme (Borreliosis) PCR

CSF

Sterile Universal

1 ml

Reference

 

7-14 days

 

Discuss with microbiology

[eQUEST: Lymphadenopathy/ sore throat] serology screen

Blood

Clotted Blood (red top tube)

5-10 ml

SGH

2 days

Consists of ASO titre, EBV, CMV IgM serology tests.

Lymphocytic chorio-meningitis virus (LCMV) serology

Blood (serum)

Clotted Blood (red top tube)

5-10 ml

Reference

7-14 days

Discuss with a virologist

Lymphogranuloma venereum (LGV) serovars of Chlamydia trachomatis

Swab

Swab in Chlamydia transport media N/A

Reference

3-10 days

Discuss with a virologist