Test Code BC Culture, Blood, Routine
Specimen Requirements
Draw specimen using sterile technique. Proper disinfection of
collection site is essential (growth of contaminants may occur when
collection site is not disinfected properly). Complete
instructions on draw via venipuncture can be found in the
Huntsville Hospital Phlebotomy Manual.
1. Collection of blood through catheters is not recommended unless
specimen cannot be drawn by venipuncture or unless culture is being
drawn to specifically evaluate a potential catheter-related
infection.
2. Proper disinfection of the draw site is essential. When drawing
from a line, discard the first 5 mL to 10 mL of blood drawn and the
syringe used to draw the specimen.
3. An aerobic and anaerobic blood culture bottle are
inoculated.
Note: No more than 3 sets should be collected within a 24 hour period.
4. Adults: 20 ml of blood should be collected and equally divided between each BacT Alert bottle. If this amount cannot be obtained, a lesser amount may be used and equally divided between the bottles. (If 5 ml or less is collected, place the entire amount in the green aerobic bottle.)
5. Pediatrics: Collect volumes as follows:
Patient Weight |
Total Volume to Collect |
Divide Equally Among the Following |
||
|
|
YELLOW TOP PF Pediatric Bottle |
GREEN OR BLUE TOP FA Aerobic Bottle |
PURPLE OR ORANGE TOP SN Anaerobic Bottle |
<1.5 kg (3.3 lbs) |
1.0 ml |
X |
|
|
<4.0 kg (8.8 lbs) |
1.0 ml |
X |
|
|
4-13 kg (8.8-28.6 lbs) |
3.0 ml |
X |
|
|
13-25 kg (28.6-55.0 lbs) |
10.0 ml |
|
X |
X |
>25.0 kg (55 lbs) |
20.0 ml |
|
X |
X |
6. Label culture bottle with patient’s information, date
and actual time of collection, and site of collection.
7. Forward specimen promptly.
Note: Maximum storage of specimen is 24 hours at ambient temperature. If culture is requested on a specimen that exceeds transport/storage requirements, culture results may be compromised (this will be noted in the report).
Reference Values
No growth
Critical value: positive result
Day(s) Test Set Up
Monday through Sunday
CPT Coding
87040 - blood culture
87076 - identification, anaerobic
87077 - identification, aerobic
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, Blood |
600-7 |
Gram Stain | 664-3 |
Specimen | 66746-9 |