Health protection – collection

Standards for microbiology investigations (SMI)

UK Standards for Microbiology Investigations (SMIs) are a comprehensive referenced collection of recommended algorithms and procedures for clinical microbiology.

Bacteriology

These are bacteriology standards for the laboratory covering receipt of the sample in the laboratory to the issue of a report.

  1. SMI B 1: Investigation of ear infections and associated specimens

    • Guidance
  2. SMI B 2: Investigation of bacterial eye infections

    • Guidance
  3. SMI B 4: Investigation of superficial mouth samples

    • Guidance
  4. SMI B 5: Investigation of nasal samples

    • Guidance
  5. SMI B 6: Culture of specimens for Bordetella pertussis and Bordetella parapertussis

    • Guidance
  6. SMI B 9: Investigation of throat related specimens

    • Guidance
  7. SMI B 10: Processing of faeces for Clostridium difficile

    • Guidance
  8. SMI B 11: Investigation of swabs from skin and superficial soft tissue infections

    • Guidance
  9. SMI B 14: Investigation of pus and exudates

    • Guidance
  10. SMI B 15: Investigation of bile

    • Guidance
  11. SMI B 17: Investigation of tissues and biopsies from deep seated sites and organs

    • Guidance
  12. SMI B 20: Investigation of intravascular cannulae and associated specimens

    • Guidance
  13. SMI B 22: Investigation of cerebrospinal fluid shunts

    • Guidance
  14. SMI B 25: Investigation of continuous ambulatory peritoneal dialysis fluid

    • Guidance
  15. SMI B 26: Investigation of fluids from normally sterile sites

    • Guidance
  16. SMI B 27: Investigation of cerebrospinal fluid

    • Guidance
  17. SMI B 28: Investigation of genital tract and associated specimens

    • Guidance
  18. SMI B 29: Investigation of specimens for screening for MRSA

    • Guidance
  19. SMI B 30: Investigation of faecal specimens for enteric pathogens

    • Guidance
  20. SMI B 31: Investigation of specimens other than blood for parasites

    • Guidance
  21. SMI B 37: Investigation of blood cultures (for organisms other than Mycobacterium species)

    • Guidance
  22. SMI B 38: Investigation of bone marrow

    • Guidance
  23. SMI B 39: Investigation of dermatological specimens for superficial mycoses

    • Guidance
  24. SMI B 40: Investigation of specimens for Mycobacterium species

    • Guidance
  25. SMI B 41: Investigation of urine

    • Guidance
  26. SMI B 42: Investigation of bone and soft tissue associated with osteomyelitis

    • Guidance
  27. SMI B 44: Investigation of orthopaedic implant associated infections

    • Guidance
  28. SMI B 51: Screening for Neisseria meningitidis

    • Guidance
  29. SMI B 55: Investigation of gastric biopsies for Helicobacter pylori

    • Guidance
  30. SMI B 57: Investigation of bronchoalveolar lavage, sputum and associated specimens

    • Guidance
  31. SMI B 58: Detection of carriage of group B streptococci

    • Guidance
  32. SMI B 59: Detection of Enterobacteriaceae producing extended spectrum β lactamases

    • Guidance
  33. SMI B 60: Detection of bacteria with carbapenem hydrolysing β lactamases (carbapenemases)

    • Guidance

UK Standards for Microbiology Investigations (SMIs) are a comprehensive referenced collection of recommended algorithms and procedures for clinical microbiology.

  1. SMI G 2: Microbiological investigation of patients with acute lymphadenopathy and fever

    • Guidance
  2. SMI G 3: Chlamydial zoonotic infections

    • Guidance
  3. SMI G 4: Investigation of viral encephalitis and meningitis

    • Guidance
  4. SMI G 5: Investigation of hepatitis

    • Guidance
  5. SMI G 6: Investigation of vesicular rashes

    • Guidance
  6. SMI G 7: Investigation of red rash

    • Guidance
  7. SMI G 8: Respiratory viruses

    • Guidance
  8. SMI G 9: Investigation of specimens for ectoparasites

    • Guidance

Identification

These documents cover techniques used for bacterial identification.

  1. SMI ID 1: Introduction to the preliminary identification of medically important bacteria

    • Guidance
  2. SMI ID 2: Identification of Corynebacterium species

    • Guidance
  3. SMI ID 3: Identification of Listeria species, and other non sporing Gram positive rods, except Corynebacterium

    • Guidance
  4. SMI ID 4: Identification of Streptococcus species, Enterococcus species and morphologically similar organisms

    • Guidance
  5. SMI ID 5: Identification of Bordetella species

    • Guidance
  6. SMI ID 6: identification of Neisseria species

    • Guidance
  7. SMI ID 7: Identification of Staphylococcus species, Micrococcus species and Rothia species

    • Guidance
  8. SMI ID 8: Identification of Clostridium species

    • Guidance
  9. SMI ID 9: Identification of Bacillus species

    • Guidance
  10. SMI ID 10: Identification of aerobic actinomycetes

    • Guidance
  11. SMI ID 11: Identification of Moraxella species and morphologically similar organisms

    • Guidance
  12. SMI ID 12: Identification of Haemophilus species and the HACEK group of organisms

    • Guidance
  13. SMI ID 13: Identification of Pasteurella species and morphologically similar bacteria

    • Guidance
  14. SMI ID 14: Identification of anaerobic cocci

    • Guidance
  15. SMI ID 15: identification of anaerobic Actinomyces species

    • Guidance
  16. SMI ID 16: Identification of Enterobacteriaceae

    • Guidance
  17. SMI ID 17: Identification of Pseudomonas species and other non glucose fermenters

    • Guidance
  18. SMI ID 18: Identification of Legionella species

    • Guidance
  19. SMI ID 19: Identification of Vibrio and Aeromonas species

    • Guidance
  20. SMI ID 20: Identification of Shigella species

    • Guidance
  21. SMI ID 21: Identification of Yersinia species

    • Guidance
  22. SMI ID 22: Identification of VTEC including Escherichia coli O157

    • Guidance
  23. SMI ID 23: identification of Campylobacter species

    • Guidance
  24. SMI ID 24: Identification of Salmonella species

    • Guidance
  25. SMI ID 25: Identification of anaerobic Gram negative rods

    • Guidance
  26. SMI ID 26: identification of Helicobacter species

    • Guidance

These standards describe essential laboratory practices to ensure quality like assay validation, quality assurance and understanding uncertainty of measurement.

  1. SMI Q 1: Commercial and in-house diagnostic tests: evaluations and validations

    • Guidance
  2. SMI Q 2: Quality assurance in the diagnostic virology and serology laboratory

    • Guidance
  3. SMI Q 3: European directive on in vitro diagnostic medical devices (IVD directive)

    • Guidance
  4. SMI Q 4: Good laboratory practice when performing molecular amplification assays

    • Guidance
  5. SMI Q 5: Inoculation of culture media for bacteriology

    • Guidance
  6. SMI Q 7: Good practice when undertaking serology assays for infectious diseases

    • Guidance

Syndromic algorithm

These documents provide the overarching framework for all other SMIs.

These standards help clinicians and diagnostic laboratory staff choose the correct approach for investigating a sample from a clinical setting.

Further development of syndromic algorithms has ceased and the current documents will remain on the website until they are superseded or withdrawn.

  1. SMI S 1: Acute infective hepatitis

    • Guidance
  2. SMI S 2: Pneumonia

    • Guidance
  3. SMI S 3: Conjunctivitis

    • Guidance
  4. SMI S 5: Meningoencephalitis

    • Guidance
  5. SMI S 6: Sexually transmitted infections

    • Guidance
  6. SMI S 7: Gastroenteritis and diarrhoea

    • Guidance

Test procedures

These standards outline the test procedures for identifying the organisms.

  1. SMI TP 1: Example reference strains for UK standards for microbiology investigations test procedures

    • Guidance
  2. SMI TP 2: Aesculin hydrolysis test

    • Guidance
  3. SMI TP 3: Agglutination test for Salmonella species

    • Guidance
  4. SMI TP 5: Bile solubility test

    • Guidance
  5. SMI TP 8: Catalase test

    • Guidance
  6. SMI TP 10: Coagulase test

    • Guidance
  7. SMI TP 12: Deoxyribonuclease test

    • Guidance
  8. SMI TP 19: Indole test

    • Guidance
  9. SMI TP 21: Motility test

    • Guidance
  10. SMI TP 24: ONPG (Beta-Galactosidase) test

    • Guidance
  11. SMI TP 25: Optochin test

    • Guidance
  12. SMI TP 26: Oxidase test

    • Guidance
  13. SMI TP 27: Oxidation fermentation of glucose test

    • Guidance
  14. SMI TP 29: Porphyrin synthesis (ALA) test

    • Guidance
  15. SMI TP 30: Potassium hydroxide test

    • Guidance
  16. SMI TP 32: Changing the phase of Salmonella

    • Guidance
  17. SMI TP 34: Thermonuclease test

    • Guidance
  18. SMI TP 36: Urease test

    • Guidance
  19. SMI TP 38: X and V factor test

    • Guidance
  20. SMI TP 39: staining procedures

    • Guidance

Withdrawn and recalled documents

  1. UK SMI withdrawn and recalled documents

    • Guidance