All COVID-19 PCR and respiratory virus PCR testing requires a doctor's referral. Show Please note:
Melbourne Pathology's dedicated COVID-19 collection sites (listed below) accept COVID-19 testing for the following:
Melbourne Pathology COVID-19 testing locations
Please note: These five COVID collection sites are CLOSED on weekends and public holidays unless specified. BookingsTo book, patients can call 9287 7700 and select option 4, or email . Upon arrival, patients must remain in their car and call the mobile number on the signage. The collector will come out to them. IMPORTANT:
POSITIVE: PCR (the test) has detected more than one gene target from the virus at sufficient level to confirm infection. NEGATIVE: PCR (the test) has not detected any gene targets from the virus, implying no virus present on the swab. Every test has a slightly different level of sensitivity, but they are all very sensitive and more sensitive than Rapid Antigen Tests (RATs). A negative test assumes a well collected specimen. INVALID: PCR (the test) has not detected more than one gene target, or has only detected two targets but at insufficient levels to confirm infection. Recollection of a nose/throat swab or performance of a RAT test is advised depending on what is accessible, if still clinically required. UNSUITABLE: the swab is compromised by factors such as age of the sample, wrong collection tube type, minimal sample left due to leakage, absence of patient identification, or presence of interfering substances (such as mucus). A valid result cannot be produced. Recollection of a nose/throat swab or performance of a RAT test is advised depending on what is accessible, if still clinically required. NOT REQUIRED: the collection does not meet any agreed indication for testing (Medicare, Health Department directive or corporate agreement). No testing will be performed and no result issued. All COVID-19 results are sent to patients via SMS where a mobile number has been provided. Please be aware that SMS is not considered completely secure and is subject to abuse, typographical error, misdirection or non-delivery. We will make every effort to SMS the result, but can take no responsibility should you fail to receive the SMS or your privacy is breached.
If you are experiencing respiratory symptoms, fever or have recently returned from overseas travel, please do not attend our standard collection centres. These sites are not equipped for COVID-19 collections or managing suspected COVID-19 patients and will not take the sample. For COVID-19 swab collection, you can attend any one of our COVID-19 dedicated collection sites listed above. If you have a referral for other pathology tests in addition to the COVID-19 testing, these will need to be performed after you have tested negative for COVID-19 or once given clearance from DHHS if your test is positive. Respiratory PCR collectionsAs the symptoms will be similar between COVID-19 and other respiratory illnesses and the outcome of the testing cannot be assumed at presentation, we have also moved to decline all respiratory PCR swab collections at our standard collection centres.
Melbourne Pathology recognises that not all patients with respiratory symptoms or fever have COVID-19 and understand routine medical care of these patients is necessary and appropriate. Not all collection centres are suitable for patients with symptoms to attend. Click here for more information and for a list of collection centres to attend. Patients with symptoms needing a COVID test, should attend one of our COVID-19 dedicated collection sites listed above. Note for clinicians: All referrals for symptomatic patients needing a blood test or pathology collection other than a COVID test, should clearly state what is being investigated in the clinical notes.
Currently, the main role of COVID-19 serology is in the retrospective diagnosis of disease. Testing is not advised until at least 14 days after a suspected illness. This test does NOT diagnose acute infection in the patient. COVID-19 serology assesses if the person has an immune response to the virus, which takes at least two weeks to develop. It may be useful when symptomatic individuals with suspected COVID-19 have not been tested by PCR for SARS-CoV-2 at the time of their illness, or when their result was negative or inconclusive. It can also identify those whose previous infection was asymptomatic. While most infected individuals will have detectable antibody by the third week after symptom onset, the duration of the antibody response remains uncertain and whether it results in protective immunity, has not been established. It is important that all patients who have had infection with SARS-CoV-2, whether diagnosed by PCR or serology, should still have a COVID-19 vaccine when eligible. Immigration/pre-travel testingOur initial test is with the Roche Anti-SARS-CoV-2 Total antibody test, which detects both IgG and IgM. If testing for COVID-19 by IgM is required for immigration purposes, along with PCR, this will be covered by this assay. All samples which are reactive by this assay are reflexed to a second assay, the Diasorin Liaison IgG Anti-SARS-CoV-2 IgG test. These tests have been accredited by NATA for use in our laboratory. For those requiring a COVID RT-PCR + IgM serology test for travel purposes, these patients must attend one of our asymptomatic COVID testing branches. Click here to view the list of available branches to attend. Please check the hours of COVID testing prior to presenting. Patients cannot attend one of these branches for a COVID test if they have COVID symptoms. COVID serology for immunity testingCOVID-19 serology is a blood test that may detect previous COVID-19 infection. There is no available data on the utility of current serology testing to determine the immunity gained from COVID-19 vaccination, so it is not generally recommended for this purpose.
In a pandemic situation, where we want the best chance of finding a positive patient, we should use the most sensitive method wherever possible. A combined throat and nasal swab is the recommended sample. Saliva testing is not recommended for individual patients unless discussed prior to collection with our microbiologists. Nasopharyngeal swabs collected by trained healthcare workers remains the gold standard test. UPDATED 30/12/2020
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