Sputum Container
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Sputum Containers are sterile, single-use, leak-proof medical devices manufactured from medical-grade polypropylene or polyethylene for the collection, containment, and transport of expectorated lower respiratory tract specimens for diagnostic testing. Essential features include wide-mouth design (50-70 mm) to facilitate direct expectoration without specimen loss or exterior contamination, screw-cap closure with tamper-evident seal, graduated volume markings (30-120 mL), and translucent material permitting visual assessment of specimen quality. Indicated for microbiological culture (bacterial, AFB/tuberculosis, fungal), nucleic acid amplification testing, and cytological examination. Sterility is mandatory to prevent false-positive culture results. Critical safety principles include strict universal precautions due to highly infectious potential (particularly M. tuberculosis), appropriate respiratory protection for collectors, immediate specimen transport with refrigeration for bacterial cultures (≤2 hours), and absolute single-use protocol. An indispensable device in pulmonary medicine, infectious disease, and infection control.
Description
Sputum Container
PRIMARY CLINICAL & DIAGNOSTIC USES
1. Collection of Respiratory Specimens for Microbiological Analysis
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Primary Use: Collects, contains, and transports expectorated sputum specimens for diagnostic examination, including routine bacterial culture, acid-fast bacillus smear and culture for tuberculosis, fungal culture, and Legionella testing, enabling identification of respiratory pathogens and determination of antimicrobial susceptibility.
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How it helps: For the microbiologist and infectious disease physician, the sputum container holds the key to diagnosing respiratory infections—capturing the deep cough specimen that contains pathogens from the lower respiratory tract, allowing for culture and sensitivity testing that guides targeted antibiotic therapy. For the patient with pneumonia, bronchitis, or suspected tuberculosis, the sputum specimen collected in this container provides the answers that determine which antibiotic will cure their infection.
2. Diagnosis of Pulmonary Tuberculosis
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Primary Use: Essential for collection of deep cough specimens for AFB smear microscopy, nucleic acid amplification testing, and mycobacterial culture, with serial specimen collection serving as the standard protocol for pulmonary TB diagnosis.
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How it helps: For the public health official and infectious disease specialist, properly collected sputum specimens in secure containers are the cornerstone of tuberculosis diagnosis and control—allowing for detection of acid-fast bacilli on smear, confirmation by molecular testing, and culture for drug susceptibility testing. For the patient with suspected TB and their close contacts, timely and accurate diagnosis from sputum specimens means treatment can begin promptly, transmission can be interrupted, and the spread of this ancient disease can be contained.
3. Lower Respiratory Tract Infection Diagnosis
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Primary Use: Used to obtain specimens from patients with suspected community-acquired pneumonia, hospital-acquired pneumonia, ventilator-associated pneumonia, and lung abscess for pathogen identification and targeted antibiotic therapy.
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How it helps: For the hospitalist, pulmonologist, and intensivist managing patients with serious respiratory infections, the sputum specimen provides critical information for antibiotic selection—identifying the specific bacteria causing the infection and determining which antibiotics will be effective. For the patient with pneumonia, culture results from a properly collected sputum specimen mean their antibiotics can be narrowed from broad-spectrum to targeted therapy, improving outcomes and reducing side effects.
4. Cytological Examination
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Primary Use: Sterile sputum containers are used to collect specimens for cytological analysis when malignancy is suspected, with three consecutive morning specimens typically required for optimal diagnostic yield.
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How it helps: For the pathologist and oncologist evaluating a patient for possible lung cancer, sputum cytology provides a non-invasive method to detect malignant cells—examining specimens collected over three consecutive mornings to maximize the chance of capturing shed tumor cells. For the patient with a lung lesion that is difficult to biopsy, sputum cytology may provide a diagnosis without the need for more invasive procedures.
5. Specimen Transport and Storage
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Primary Use: Serves as the primary containment device for transporting sputum specimens from the collection site to the microbiology and cytology laboratories, maintaining specimen integrity and preventing leakage during transit.
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How it helps: For the laboratory personnel and healthcare workers handling infectious specimens, the leak-proof sputum container ensures that potentially dangerous pathogens are contained during transport—protecting everyone who handles the specimen from exposure to tuberculosis, influenza, and other respiratory pathogens. For the laboratory, intact, uncontaminated specimens yield accurate results.
6. Induced Sputum Collection
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Primary Use: Used in conjunction with nebulized hypertonic saline to obtain lower respiratory tract specimens from patients unable to expectorate spontaneously, including those with suspected Pneumocystis jirovecii pneumonia in immunocompromised hosts.
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How it helps: For the clinician caring for an immunocompromised patient with suspected Pneumocystis pneumonia, induced sputum collected in a sterile container provides a less invasive alternative to bronchoscopy for obtaining diagnostic specimens. For the HIV-positive patient or transplant recipient with respiratory symptoms, induced sputum can provide the diagnosis needed to guide life-saving treatment.
SECONDARY & SUPPORTIVE USES
1. Cystic Fibrosis Respiratory Culture: Specialized containers may be used for collection of respiratory specimens from cystic fibrosis patients for culture of unique pathogens. For the CF patient, regular sputum cultures guide the complex antibiotic regimens needed to manage chronic airway infections.
2. Research and Clinical Trials: Used in respiratory research protocols for collection of sputum specimens for biomarker analysis, microbiome studies, and investigational drug trials. For the patient participating in research, their contributed specimen advances knowledge of respiratory disease.
3. Occupational Health Screening: Utilized in respiratory surveillance programs for workers exposed to respiratory hazards to monitor for pulmonary disease. For the worker exposed to silica, asbestos, or beryllium, sputum screening can detect early disease.
4. Public Health Tuberculosis Control Programs: Essential for contact investigation and active case finding in high-risk populations. For the community, sputum collection in TB control programs identifies cases and prevents spread.
5. Veterinary Medicine: Used for collection of respiratory specimens from large and small animals suspected of tuberculosis or other mycobacterial infections. For the animal and their owner, proper diagnosis guides treatment and protects public health.
KEY PRODUCT FEATURES
1. BASIC IDENTIFICATION ATTRIBUTES
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Product Type: A sterile, leak-proof, single-use container specifically designed for the collection, containment, and transport of expectorated sputum specimens for microbiological and cytological examination.
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Designation: Defined by capacity, mouth diameter, sterility status, graduation markings, and specialized features.
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Core Components:
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Container Body: Rigid, translucent or transparent plastic receptacle.
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Closure: Screw-cap with leak-proof seal; often with safety seal/tamper-evident band.
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Mouth: Wide-mouth design to facilitate expectoration without contamination of exterior.
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Graduations: Volume markings (mL) for specimen quantification.
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Labeling Area: Frosted or writable surface for patient identification, date, time, and specimen type.
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Outer Container (select models): Secondary leak-proof container for transport; biohazard-labeled.
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Core Variants:
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Standard Sputum Container: 30-120 mL capacity; wide mouth (50-70 mm); sterile; screw-cap with tamper-evident seal.
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Sputum Collection Kit: Includes container, biohazard bag, absorbent pad, requisition forms, and patient instructions.
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Pediatric Sputum Container: Reduced capacity (15-30 mL); smaller mouth diameter; for pediatric patients.
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Induced Sputum Collection System: Sterile container compatible with nebulizer systems for hypertonic saline induction.
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Sputum Trap / In-Line Trap: Sterile, closed system for collecting aspirated respiratory secretions from suction catheters during bronchoscopy or endotracheal suctioning.
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2. TECHNICAL & PERFORMANCE PROPERTIES
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Leak Resistance: Must prevent seepage of liquid specimens during transport, handling, and mailing. Closures must maintain seal under normal and adverse shipping conditions.
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Volume Capacity: Standard adult: 30-120 mL (sufficient for 5-15 mL specimen). Pediatric: 15-30 mL. Sputum trap: 10-40 mL.
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Mouth Diameter: Wide mouth (50-70 mm) permits direct expectoration without contaminating threads or exterior surfaces. Narrower designs increase specimen loss and contamination risk.
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Closure Integrity: Screw-cap with integral O-ring, gasket, or precision-thread design. Tamper-evident band indicates prior opening.
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Chemical Compatibility: Polypropylene material resistant to chemical disinfectants, fixatives, and transport media. Non-leaching; no interference with microbiological culture, AFB staining, or molecular testing.
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Centrifugation Compatibility: Must withstand centrifugal forces for specimen concentration procedures (e.g., for AFB smear, fungal culture) without deformation or leakage.
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Transparency: Clear or translucent material permits visualization of specimen quality (purulent, mucoid, bloody, saliva-contaminated) without opening.
3. PHYSICAL & OPERATIONAL PROPERTIES
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Material: Medical-grade polypropylene or polyethylene. Autoclavable (polypropylene).
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Closure Design: Screw-cap with continuous thread; one-piece molded construction; latex-free seal.
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Mouth Diameter: 50-70 mm (standard adult).
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Dimensions (Standard):
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Height: 70-100 mm.
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Diameter: 50-80 mm.
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Graduations: Molded-in volume markings (10, 20, 30, 40, 50 mL increments).
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Color: Natural (translucent) or white; may have blue or green cap for laboratory identification.
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Sterility Indicators: Sterile containers include internal/external sterility assurance indicators; EO or gamma irradiated.
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Packaging:
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Bulk: 20-500 units per case; individually bagged or nested.
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Individually Wrapped: Sterile containers in sealed peel-pouches.
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Kits: Pre-packaged with biohazard bag, absorbent pad, requisition forms, and patient instructions.
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4. SAFETY & COMPLIANCE ATTRIBUTES
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Regulatory Status: Class I medical device. Compliant with applicable regional requirements for specimen collection containers.
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Biocompatibility: Materials in contact with specimens must be non-cytotoxic, non-leaching, and not interfere with laboratory assays. Meets ISO 10993 standards.
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Latex-Free: All components manufactured without natural rubber latex.
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Sterility: Terminally sterilized via gamma irradiation or ethylene oxide. Sterility assurance level (SAL) of 10⁻⁶. Sterility required for microbiological culture to prevent false-positive results.
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Single-Use Protocol: Sputum containers are strictly single-use devices. Never rinse, clean, or reuse a sputum container. Reuse is associated with:
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Cross-contamination and false-positive culture results.
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Residual detergent/cleaning agent interference with assays.
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Compromised container integrity and leakage.
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Loss of sterility.
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Biohazard Labeling: Container and outer packaging must bear biohazard symbols and appropriate hazard warnings per OSHA Bloodborne Pathogens Standard and IATA/UN 3373 Category B requirements.
5. STORAGE & HANDLING ATTRIBUTES
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Storage: Store in original packaging in a cool, dry environment. Protect from extreme temperatures, direct sunlight, moisture, and physical damage.
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Shelf Life: Typically 3-5 years from date of manufacture. Expiration date printed on each package and container. Do not use it after expiration; sterility and container integrity cannot be guaranteed.
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Package Inspection: Before use, inspect individual sterile packaging for any signs of compromise: tears, punctures, moisture ingress, or damage to sterile barrier. Inspect containers for cracks, deformation, or visible defects. Verify closure integrity. Do not use it if integrity is questionable.
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Specimen Collection Guidelines:
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Collect specimens before antibiotic therapy when possible.
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Instruct the patient to rinse the mouth with water (not mouthwash) to minimize oral contamination.
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The patient should take a deep breath, cough deeply, and expectorate sputum directly into the container.
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Specimen volume: 5-10 mL optimal; 1-2 mL minimum.
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Avoid saliva specimens (rejected by laboratory).
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Secure cap tightly; wipe exterior with disinfectant.
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Label container immediately with patient identifiers, date, and time.
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Place in a leak-proof biohazard bag for transport.
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Transport Conditions:
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Bacterial Culture: Transport to laboratory within 2 hours; refrigerate at 2-8°C if delay expected (max 24 hours).
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AFB/Tuberculosis: Refrigerate at 2-8°C if processing is delayed; do not freeze.
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Fungal Culture: Transport at ambient temperature; do not refrigerate.
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Cytology: Transport immediately; refrigerate if delay expected; fixative may be required per laboratory protocol.
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6. LABORATORY & CLINICAL APPLICATIONS
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Primary Application: The essential, sterile device for lower respiratory tract specimen collection across all healthcare settings: inpatient wards, intensive care units, emergency departments, outpatient pulmonary clinics, tuberculosis clinics, and home healthcare.
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Selection Criteria:
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Test Type:
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Bacterial Culture / AFB / Fungal: Sterile, leak-proof container; 30-120 mL capacity.
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Cytology: Sterile container; larger volume may be required.
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Induced Sputum: Sterile container compatible with nebulizer system.
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Suctioned Specimen: Sputum trap (in-line trap) for intubated/non-expectorating patients.
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Patient Population:
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Adult: Standard container (50-70 mm mouth).
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Pediatric: Smaller container; reduced capacity.
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Non-Expectorating / Intubated: Sputum trap for suction aspiration.
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Specimen Quality Assessment:
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Acceptable Specimen: Purulent, mucoid, or blood-tinged material; >25 neutrophils and <10 squamous epithelial cells per low-power field (Bartlett grading system).
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Unacceptable Specimen: Saliva; predominantly squamous epithelial cells (>10/LPF); insufficient volume. Rejection by laboratory.
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Serial Specimen Collection (TB Diagnosis):
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Three consecutive morning specimens (8-24 hours apart) recommended for optimal AFB smear and culture sensitivity.
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At least one specimen should be collected on the day of initial evaluation.
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SAFETY HANDLING PRECAUTIONS
1. SAFETY PRECAUTIONS
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Universal Precautions (Most Important): Sputum is potentially infectious. Treat all specimens as capable of transmitting respiratory pathogens, including Mycobacterium tuberculosis, SARS-CoV-2, influenza virus, and other highly transmissible organisms.
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Wear appropriate personal protective equipment (gloves, gown, N95 respirator or higher) during collection and handling of suspected or confirmed TB specimens.
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Collect specimens in airborne infection isolation rooms (AIIR) for suspected TB patients.
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Never centrifuge sputum specimens in open laboratory without appropriate biosafety containment.
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Specimen Contamination Prevention:
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Instruct patient to rinse mouth with water only; mouthwash contains antimicrobial agents that inhibit bacterial growth and cause false-negative cultures.
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Ensure the patient expectorates a deep cough specimen, not saliva.
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Do not collect 24-hour pooled specimens for routine bacterial or AFB culture (overgrowth of commensals, decreased diagnostic yield).
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Leak Prevention: Ensure cap is securely tightened before transport or handling. Double-bag specimens in leak-proof transport bags for high-risk patients or air transport.
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Do Not Overfill: Do not fill beyond container capacity. Overfilling prevents proper cap seating and causes leakage.
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Pediatric Collection Precautions: Sputum collection from infants and young children typically requires induction or suctioning; use appropriate collection trap system.
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Transport Safety:
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Package sputum specimens per IATA/UN 3373 Category B requirements for mailing.
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Triple-packaging: primary container (leak-proof), secondary container (leak-proof + absorbent), outer rigid packaging.
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Label outer packaging with UN 3373 diamond and "Biological Substance, Category B."
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Do not transport suspected TB specimens via pneumatic tube systems (aerosolization risk).
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2. FIRST AID MEASURES
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Specimen Spill: Contain spill with absorbent material. Clean area with EPA-registered hospital disinfectant effective against Mycobacterium tuberculosis (tuberculocidal claim). Discard contaminated materials in biohazard waste. Change gloves and wash hands thoroughly after cleanup.
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Needlestick/Sharp Injury: Sputum containers typically do not contain sharps; however, contaminated broken plastic may cause injury. Wash affected areas vigorously with soap and water. Report incident per facility bloodborne pathogen exposure protocol.
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Aerosol Exposure: If exposure to aerosolized sputum occurs (e.g., during container opening, spill, or centrifuge accident), follow facility protocol for respiratory pathogen exposure, including TB screening and post-exposure prophylaxis as indicated.
3. FIRE FIGHTING MEASURES
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Flammability: Polypropylene and polyethylene containers are combustible.
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Extinguishing Media: Use water, foam, CO₂, or dry chemical powder as appropriate for the surrounding fire. Burning plastic produces toxic smoke; use self-contained breathing apparatus (SCBA) in enclosed spaces.

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