Guides & Publications

 

Testing Selection Guide

An overview of tests available and acceptable groupings of tests. 

Specimen Collection Guides

The Specimen Collection Instruction Manual will assist you in the collection of pathology specimens. 

The Swab and Tube Collection guides contain an overview of the correct tubes to use for these tests. Certain special tests require additional collection instructions.

If you require further information, we recommend you contact our main laboratory on 03 9244 0444.

Test Information Brochures

Infectious Diseases

More than 230 000 Australians are chronically infected with Hepatitis C virus (HCV)1, however only 1% of these persons currently is on treatment. If the patient is not treated, 5 – 20% will go on to develop cirrhosis after 20 years and be at risk of complications including liver failure and hepatocellular carcinoma.

Dorevitch Pathology introduces the Tropical Triplex Molecular Screen for returned travellers, a PCR panel identifying Chikungunya, Zika and Dengue viruses in blood. 

Dorevitch Pathology performs daily PCR panels on faeces for detection of the most common viruses, bacterial and parasites to cause illness, with superior sensitivity and a faster turn around time than traditional methods.

Allergy & Immunology

Dorevitch Pathology now gives you faster time to results and increased sensitivity in the detection of Group B Streptococcus in genital specimens.

Cervical Screening

Changes to Cervical Screening in Australia

The medical community now has a greater understanding of cervical cancer as well as access to improved technology that will further reduce cervical cancer rates. As a result of these developments, changes have been made to cervical tests nationwide.

On December 1, 2017 the two yearly pap smear was replaced by a five yearly cervical screening.

For further information on the new screening protocols, please see the information links below or call 03 9244 0444.

An update on self-collection testing

We will now accept self-collected samples that meet the strict Medicare criteria. Any samples that don’t meet the criteria will not be accepted. There is no privately billed service for these samples.

Eligible samples will be sent to Victorian Cytology Service to perform testing. Additionally, all samples will need to be taken using the dry flocked swab (see Self-Collect – HPV Specimen Collection below). The request form must also clearly indicate Self-collect, Cervical screening test.

Please see MBS item 73071 or the Self-Collect – HPV Specimen Collection brochure below for details on eligibility criteria and collection instructions.


PLEASE NOTE:
The Cytology Pap Smear Audit closed in accordance with the renewal of the National Cervical Screening Program implemented on December 1, 2017.

National Cervical Screening Management Guide

From 1st December 2017 the new National Cervical Screening Guidelines will take effect.

Cervical Screening – What do I put on the pathology request form?

From 1 December 2017, cervical screening in Australia will change. The guidelines are complex. For the laboratory to perform the correct tests, offer the correct clinical recommendation and bill Medicare appropriately, it is important that you complete the pathology request form correctly. Below are guidelines for requesting depending on the clinical scenario.

Cervical Cancer Screening Pathway Doctor Collect

Specimen Collection for the Cervical Screening Program

The collection of cervical cells is completed the same way that a usual Pap smear was collected, with the only difference being that the cervical cells are now placed into a specific liquid in a vial rather than on a slide.

Use of lubricants with Cervical Screening tests

This bulletin addresses the proper preparation of the cervix for the collection of an adequate cervical screening test sample pertaining to the ThinPrep Pap Test and the use of lubricants on the speculum. It is important to obtain a specimen that is not obscured by blood, mucous, inflammatory exudate or lubricant.

Diabetes

There are a number of recognised tests used in the diagnosis of diabetes and these include glycated haemoglobin (HbA1c), fasting and/or random blood glucose test, and oral glucose tolerance test.

Guidelines for testing and diagnosis of hyperglycaemia in pregnancy were released by the Australasian Diabetes in Pregnancy Society in 20141 . The guidelines incorporate findings from the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study, which evaluated glucose levels and pregnancy outcomes in more than 23,000 women.

Gastroenterology

Measurement of drug levels for anti-TNFα monoclonal antibodies – Infliximab and Adalimumab.

Genetic Testing

Through our specialist genomic testing laboratory Genomic Diagnostics, Dorevitch Pathology offers an extensive range of genetic tests to help in the diagnosis, treatment and monitoring of disease. Our testing menu spans from simple to complex and includes diagnostic and carrier testing for inherited disease, testing for somatic mutations in cancer, and pharmacogenetic testing using genetic and genomic techniques.

Our genetic diagnostic service is supported by:
Genetic testing is available for many disorders including:

Our comprehensive cytogenetic service is available for prenatal, postnatal and haematological malignancy testing using both conventional and molecular cytogenetic techniques. The requirements and costs can vary for each molecular test. Some testing may be rebateable if subject to Medicare guidelines and criteria. Other tests may incur an out of pocket charge.

For further enquiries including clinical enquiries, testing availability, collection requirements and costs please click below to visit the Genomic Diagnostics website:

Men's Health

Semen Analysis

The National Pathology Accreditation Advisory Council (NPAAC) guidelines for semen analysis have recently been updated, reflecting the World Health Organisation (WHO) Standards. 

These standards recommend that semen analysis, for both fertility assessment and post vasectomy testing, has to be performed on the specimen within one hour of collection. Therefore, specimens should be delivered to the laboratory within 45 minutes of collection to satisfy this requirement.

Where a specimen is received outside this time zone, it will still be analysed. If parameters are outside the appropriate range, a comment will be included with the report, suggesting that a recollect occurs with delivery of the specimen much sooner after collection.

Click below for drop off sites and test preparation information.

Prostate specific antigen (PSA) testing can be performed as either a screening test or to monitor the progress of known disease. Medicare reimbursement of PSA depends on how the test is being used.

Pregnancy

Dorevitch Pathology now gives you faster time to results and increased sensitivity in the detection of Group B Streptococcus in genital specimens.

These are highly sensitive, accurate, non-invasive prenatal screening tests for fetal chromosomal and subchromosomal aneuploidies. The tests use whole genome sequencing (WGS) to analyse circulating cell-free fetal DNA from a maternal blood sample from as early as 10 week’s gestation.

Carrier screening is genetic testing performed to determine whether individuals or couples have a genetic variant (mutation) that may affect their chance of having a child with a genetic condition. 

Genomic Diagnostics and the Healius Pathology network are the Australian partners for Myriad Women’s Health, a leader worldwide in carrier screen testing. We can enable your patients simple access to the Myriad Foresight Carrier Screen, an expanded carrier screen for more than 175+ serious and actionable genetic diseases through our network of collection centres.

Genetic carrier screening identifies How to order your test individuals and couples at risk of having children with serious genetic disorders in order to inform reproductive decision making. 

TPMT

Azathioprine is a purine antimetabolite immunosuppressive agent commonly used for induction and maintenance immunosuppression in a broad range of clinical indications. These include treatment of systemic rheumatic disease, systemic vasculitis, infl ammatory bowel disease, autoimmune liver disease, infl ammatory skin conditions as well as prevention of allograft rejection.

Troponin

In March 2019, Dorevitch Pathology will change their Troponin I assay to a new Beckman hs-Troponin I assay. This will enable earlier diagnosis of acute myocardial infarction (AMI).