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Test Code CULTBF Culture, Body Fluid

Methodology

Note:  For routine aerobic and anaerobic culture (cerebrospinal fluid [CSF], pleural, peritoneal, synovial fluid, etc.).

Includes a Gram stain.

Specimen Requirements

Specimen must arrive within 30 minutes of collection.

 

Collect specimen using sterile technique as follows:
1. Submit specimen in a capped syringe or a sterile, leakproof container.
2. CSF specimens are usually submitted in 3 sterile, leakproof tubes. A minimum of 1 mL should be submitted to the Microbiology Department.
3. Label container with patient’s information, date and actual time of collection, and type of specimen.
4. Forward specimen promptly.

Note:  Maximum storage of specimen is 2 hours at ambient temperature.

5. If transport is delayed, an aerobic/anaerobic transport tube (A.C.T. I) is supplied and should be used.
Note:  1. Specimen source is required on request form for processing.

2. For aspirated specimens, swab rubber stopper of tube with an appropriate disinfectant such as alcohol. Push needle through rubber stopper and slowly inject material on top of agar in tube. Remove needle and disinfect rubber stopper again.
3. Do not use A.C.T. I tubes if there is evidence of contamination, more than 3 mm of the medium is oxidized (indicated by a pink or lavender color), expiration date has passed, agar is broken, or there are other signs of deterioration.

4. Maximum storage of specimen in A.C.T. I tube is 24 hours at ambient temperature.

Reference Values

No organisms seen and no growth.
Critical value:  positive culture or smear result.

Day(s) Test Set Up

Monday through Sunday

Performing Laboratory

Huntsville Hospital Laboratory

Test Classification and CPT Coding

87015 - concentration
87070 - culture, aerobic
87075 - culture, anaerobic
87076 - identification, anaerobic 
87077 - identification, aerobic
87205 - Gram stain
87181 - per antibiotic (if appropriate)
87184 - per plate-disk method (if appropriate)
87185 - beta-lactamase (if appropriate)
87186 - per panel-microdilution (if appropriate)