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Test Code AGSPUT Culture, Sputum

Specimen Requirements

Specimen must arrive within 2 hours of collection.

 

Expectorated sputum should be collected in early-morning.
1. Patient should rinse or gargle with water.
2. Patient is to be instructed to cough deeply.
Note:  Sputum for routine culture is evaluated by Gram stain for a predominance of oropharyngeal contamination. Specimens that are determined to be primarily oropharyngeal secretions will not be processed for routine culture.
3. Collect specimen in a sterile, leakproof container. At least 1 mL of specimen is required for routine and fungus cultures. A minimum of 5 mL of specimen is required for AFB culture. Post-bronchoscopy sputum should be submitted regardless of volume.
4. Label container with patient’s information, date and actual time of collection, and type of specimen.

5. Forward specimen promptly.

Note:  1. Maximum storage of specimen is 24 hours refrigerated. Overnight refrigeration of specimen is not recommended since some of the fastidious organisms that can cause these infections may become non-viable (this will be noted in the report).

2. Specimens will not be processed if transport/storage requirements are exceeded.

Reference Values

Normal “respiratory” flora for routine cultures.

Day(s) Test Set Up

Monday through Sunday

CPT Coding

87015 - concentration
87070 - culture, aerobic
87077 - identification, aerobic
87102 - culture, fungus
87106 - identification, yeast
87107 - identification, mold
87116 - culture, AFB
87149 - identification, by DNA probe
87205 - Gram stain
87206 - smear (stain), AFB
87181 - per antibiotic (if appropriate)
87184 - per plate-disk method (if appropriate)
87185 - beta-lactamase (if appropriate)
87186 - per panel-microdilution (if appropriate)

Performing Laboratory

Huntsville Hospital Laboratory

LOINC Coding

Test Name LOINC Code

Culture, Sputum

622-1
Specimen 66746-9
Gram Stain 664-3