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Test Code LAB5263 Culture, Respiratory (Lower)

Useful For

Use: To isolate and identify potentially pathogenic organisms from sputum and bronchial specimens. 

Performing Laboratory

Asante Rogue Regional Medical Center (ARRMC)

 

Performing Department

Microbiology

Specimen Required

For collection of sputa, the patient is instructed to cough deeply into a sterile container.  An early morning sputum is the specimen of choice.  For best recovery of organisms, 3 separate specimens collected over 3 consecutive days are submitted.

 

For sputum, the patient should vigorously rinse his/her mouth with sterile water 3 times prior to collection.  Dentures should be removed.  Oral antiseptics must be avoided prior to specimen collection.

 

Sputum, expectorated or induced; Endotracheal aspirate, Bronchial wash, lavage or brush.
Sterile container; Luken trap

Sterile Collection Cup

 

Specimen should be obtained before patient starts antimicrobial therapy.

 

  • Sputum: Collect early morning specimen if possible into sterile container.
  • Bronchial: Collected by physician during bronchoscopy.

 

Expectorated sputa or endotracheal specimens from oncology, cystic fibrosis patients, NICU, or those
who are neutropenic/immunosuppressed will be accepted for culture with the following condition: 

 

THE DIAGNOSIS MUST BE NOTED ON THE ORDER AND PLACED IN SREQ WHEN THE CULTURE IS ORDERED

Specimen Stability Information

Lower respiratory specimens should be transported to the laboratory as soon as possible.  If > 2 hour delay is to occur, refrigerate specimen.

 

  • Room temperature:  < 2 hours. 
  • Refrigerate 2-8° C: 24 hours

Reject Due To

  • Sputum samples that contain > 10 epithelial cells or < 25 WBCs/lpf on microscopic exam unless order includes information that the  patient is immunosuppressed or has cystic fibrosis
  • Improper collection, transport or labeling
  • More than one sputum sample per 24 hour period
  • Throat swabs

PEDIATRIC SPECIMENS ON SWABS COLLECTED AT THE CF CLINIC ARE ACCEPTABLE FOR CULTURE

Day(s) Performed

Monday through Sunday

 

Report Available

  • Daily. 
    • Preliminary report at 24 hours. 
    • Cultures usually final after 48 hours, depending on pathogens isolated. 
  • If reflex testing is required, test results will be delayed.

Method Name

Culture

CPT Code Information

87070 Culture, Aerobic, bacterial
87205 Gram Stain Smear, primary source with interpretation

Billing Code

2030419
Reflex Testing:  May include:  Definitive Identification (Bacterial and Fungal); Sensitivity; Serotyping; D-test; Beta
Lactamase; ESBL; Quantitative culture (BAL); Concentrated smear (BAL).