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Test Code LAB1230235 Culture, Fungus - Blood

Useful For

Isolate and identify fungi, establish the diagnosis of fungemia, fungal endocarditis, and disseminated mycosis in immunocompromised patients, transplant patients, patients with leukemia and lymphoma, and patients with acquired immunodeficiency syndrome (AIDS). This method is most suitable for the isolation of filamentous or dimorphic fungi. Candida species can be reliably detected in bacterial blood cultures incubated for 5 days.

Cautions

Limitations:

  • A single negative culture does not rule out the presence of fungal infection.

 

  • Routine blood culture held 4 weeks for recovery of fungi; isolation and presumptive ID of fungi.

 

Reflex Testing:  May include:  Definitive Identification (Bacterial and Fungal); Sensitivity

Performing Laboratory

  • Asante Rogue Regional Medical Center (ARRMC)
  • Asante Three Rivers Medical Center (ATRMC)
  • Asante Ashland Community Hospital (AACH)

 

Performing Department

Microbiology

Specimen Required

Specimen Type:

Peripheral venous blood using sterile BIOMERIEUX™ BACT/ALERT Plus bottles provided by laboratory.

 

Container type(s)

Aerobic Bottle: BIOMERIEUX™ BACT/ALERT® FA Plus Aerobic 

OR

Pediatric (Aerobic) Bottle: BIOMERIEUX™ BACT/ALERT® PF Plus Pediatric (Aerobic)

 

Processing Instructions

Cleanse the venipuncture site with 70% alcohol in a vigorous back and forth motion across the site for 30 seconds.  Using the same procedure as above, cleanse the site with ChloraPrep One-Step (chlorhexidine gluconate 2% w/v and isopropyl alcohol 70% (w/v) and allow to dry for at least 30 seconds. Do not use Chloraprep for children < 2 months old. If further palpation is necessary, use only sterile gloves.  For iodine sensitive patients, use double alcohol.

Specimen Minimum Volume

Quality results are volume dependent, do not over-fill or under-fill bottles.

 

Adults and Pediatrics >36.3 kg

BIOMERIEUX™ BACT/ALERT® FA Plus Aerobic Bottle 8-10 ml

 

Pediatrics <36.3 kg & Hard Draw

BIOMERIEUX™ Bact/Alert® PF Plus Pediatric (Aerobic) Bottle 1-4 mL

Specimen Stability Information

Ambient for up to 24 hours – Transport to laboratory as soon as possible

Reject Due To

  • Lacking Two Patient Identifiers:
    • 1-Patient's First & Last name 
    • 2-Patient's Date of Birth

Day(s) Performed

Monday through Sunday

 

Daily updates, final at 30 days (no growth).

 

All positives called.  If reflex testing is required, test results will be delayed.

Method Name

BIOMERIEUX™ BACT/ALERT® VIRTUO

CPT Code Information

87103 – Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood

Billing Code

3060039