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Pathology

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pawsPathologyManual: Aerobic Bacterial Culture with Gram Stain

Lonic Code

 

Test Name

Aerobic Bacterial Culture with Gram Stain

Synonyms

Culture Aerobic Bacterial + Gram, Cul Aer Gm, Aer Cul + Gm

Test Consists

Aerobic culture and Gram stain

Specimen Requirements

Abscess, aspirate, biopsy, bone, cyst, drainage, cornea, lesion, lymph node, tissue, ulcer, valve, vesicle, or wound.

Volume and Container

Sterile container. Aerobic swabs can be used but provide minimal volume for culture and smears and may not be representative of the infected area.

Storage and Transport

Ambient temperature and transport to Microbiology Laboratory within 30 minutes of collection.

Critical Values

Phone report of epidemiologically significant isolates.

Causes for Rejection

Use of nonsterile container; leaking specimen; delay in transport; improper labeling; insufficient quantity

Turn Around Time

Gram stain report  <4 hour; Preliminary culture report  24 hours;
Final  2 - 5 days

Availability

 

CPT / HCPCS Code

Gram stain 87205;   Aerobic Culture 87070;   Susceptibility 87186;   Definitive Aerobic ID 87077

Medicare Fee

 

Comments

Swab specimens are markedly inferior to fluid specimens.

Row Stamp

17,219,361

Last Updated

10/07/2003 10:59:27

Volume

0.5 mL

Minimum Volume

0.5 mL

Indications

Suspected aerobic bacterial infection.

Professional Fee

 

Tech Charge

 

Total Fee

 

Special Instructions

 

Lab

Microbiology  BA-1672  721-2807

Schedule

Daily.

Request Form

Indicate medical necessity.

Methodology

Aerobic culture on selective and nonselective media

Patient Prep

Appropriate preparation of site.

Post Processing

Observe for complications of collection procedure.

Collection Guidelines

Aseptic collection, proper skin or mucosal prep before collection.

Reference Range

No growth

Limitations and Contraindications

Cultures from nonsterile sites growing >3 aerobic organisms have limited identification performed unless the requesting physician deems further culture workup is clinically indicated.

Interpretation

 

Additional Information

Potentially pathogenic bacteria are identified to the level necessary to guide therapy.  Susceptibility is performed on potential pathogens that do not have a predictable susceptibility.

CPOE Test Name

Aerobic Culture + Gram

Status

1

AUDIT_DEL

 

Attachments

Created at 9/8/2014 5:56 PM by Bradshaw, Keir
Last modified at 11/16/2016 3:21 PM by McMullen, Allison R.