Article - Measles Update

Measles Update
for Victorian Clinicians

Best Practice for Specimen Collection – Preventing Recollects and Result Delays

Due to the current measles outbreak in Victoria, it is essential to follow best-practice protocols or specimen collection to avoid unnecessary recollections and delays in results.

  • Specimen Collection Requirements

    IMPORTANT:

    • Clearly label all samples as “URGENT” to ensure prioritised processing and minimise turnaround time.

    Measles PCR Testing

    • Collect either a nasopharyngeal aspirate or throat swab +/- first-catch urine.
    • Note: Skin swabs are not appropriate and will result in recollection requests.

    Measles Serology

    • Collect a blood sample for IgM and IgG testing.
    • Please note: Due to current community transmission, the Department of Health (DHS) has approved all measles PCR test requests until 31 May 2025. After this date, DHS approval may be required before laboratory submission. Otherwise, out-of-pocket costs may apply.
  • Immediate Notification & Isolation Protocols

    If a patient presents with fever and rash or other measles-like symptoms:

    • Isolate the patient immediately in a separate room and provide a single-use fitted mask.
    • Test for measles (as per collection instructions above).
    • Notify the Department of Health immediately on 1300 651 160.
    • Patients are infectious from 24 hours before symptom onset until 4 days after the rash appears. If sending patients home, instruct them to isolate until results are confirmed.
    • Leave the consultation room vacant for 30 minutes after the patient has left.

    For the latest updates, visit the Department of Health website.