Vector and Waterborne Pathogens Group

Patient Information

DONATIONS of HUMAN BLOOD AND URINE FOR RESEARCH

Background

In recent years, public and government concern about the potential for tick-borne diseases in people has increased considerably, with lobbying by patient advocacy groups, parliamentary and senate hearings into Lyme-like disease illness and the establishment of a Clinical Advisory Committee on Lyme disease (CACLD).

In research conducted for the first time in Australia we have characterized the diversity of bacteria in Australian ticks removed from humans and animals. The aim of this study is to use our next generation DNA sequencing techniques to investigate if these bacteria and any other potential pathogens can be detected in samples from people with Lyme-like illness in Australia.

What the Study will involve:

If you would like to be involved in this study, please do the following:

Before You Visit the Doctor


1. Print the ‘Consent Form and Questionnaire on Lyme-like Illness’ (combined) document and complete the questionnaire. (Don’t sign the first page until you are with the doctor.)
2. Print out the ‘Pathology Request Form’.
3. Print the ‘Information for Doctors and Pathology Laboratories’ document to give to your doctor.

Visit your Doctor


1. Make an appointment to see the doctor. Take with you the printed documents above.
2. To provide the doctor with details about this study they should read the ‘Information for Doctors and Pathology Laboratories’ document where they can find out more information.
3. This visit to the doctor is at your expense.
4. Tell the doctor that you are volunteering to provide samples for the Murdoch University research project on tick-borne infections. Ask your doctor to take a blood sample from you (or to arrange for the clinic nurse to take a blood sample from you). Details of the samples we need are provided in ‘Information for Doctors and Pathology Laboratories’.
5. Ask your doctor to sign the ‘Pathology Request Form’ that you printed.
6. To give your consent for this study, please sign the first page of the ‘Consent Form and Questionnaire on Lyme-like Illness’ and ask the doctor to witness your signature.

Before You Visit the Pathology Laboratory

1. Make sure you have the ‘Pathology Request Form’ that was signed by your doctor.
2. Make sure that you have a copy of the ‘Information for Doctors and Pathology Laboratories’ to take with you.
3. You must also take with you the signed and completed ‘Consent Form and Questionnaire on Lyme-like Illness'. However, note that this form can also be sent separately to us by email (cryptick.pilotstudy@gmail.com)
4. Finally, you must take with you the blood samples and urine sample. It is very important that these are kept cool and given to the pathology laboratory staff as soon as possible after collection (i.e. within an hour).

Visit the Pathology Laboratory

1. Only certain pathology laboratories are participating in this study so you can only take your samples to one of these:

Laverty Pathology (NSW), QML Pathology (Queensland), Dorevitch Pathology (Vic), and Western Diagnostic Pathology (WA)

2. On arrival at the pathology laboratory say that you are dropping off samples for transport to Perth as part of a research project.
3. Present the staff with the ‘Pathology Request Form’ that was signed by your doctor and the ‘Consent Form and Questionnaire on Lyme-like Illness’ that you have signed and completed, and the doctor has also signed. (Note, that this form can also be sent separately to us by email (cryptick.pilotstudy@gmail.com)
4. Provide the staff with ‘Information for Doctors and Pathology Laboratories’ as this provides them with instructions for how to transport the samples (chilled, to Western Diagnostic Pathology in Perth).
5. You will not be charged for this courier service.

The blood and urine samples, together with the completed consent form and questionnaire will be couriered to Western Diagnostic Pathology (WDP) in Perth.

If you contribute your blood and urine sample, it will be used in our research (dependant on funding) and once the data has been analysed, the information can be sent to your GP if you consent to this. It is important to note however that this is not a diagnostic service and any blood or urine sample provided is for research purposes only.

Thank you for your assistance with this research. If you have any questions please email us on cryptick.pilotstudy@gmail.com