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Pathology

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pawsPathologyManual: AFB Culture and Smear

Lonic Code

 

Test Name

AFB Culture and Smear

Synonyms

Mycobacteria Concentrated Culture
AFB Smear

Test Consists

Mycobacterial [AFB] culture; AFB smear reported.

Specimen Requirements

Sputum early morning deep cough to produce lower respiratory specimen; bronchioalveolar lavage; stool, urine, CSF, tissues, body fluids, gastric aspirates
For blood, see AFB blood cultures.

Volume and Container

Sterile sealed leak proof container

Storage and Transport

Transport at ambient temperature to Microbiology Laboratory within one hour.

Critical Values

Phone report of isolation of acid fast organisms.

Causes for Rejection

Use of non sterile container; delay in transport; improper labeling; leaking container; swab specimen; insufficient quantity

Turn Around Time

Preliminary negative reports at end of weeks 2 and 4. Final negative report at 6 weeks. Positive reports with isolation and with identification.

Availability

 

CPT / HCPCS Code

AFB culture 87116; AFB smear 87206

Medicare Fee

 

Comments

Specimens are currently sent to reference laboratory for concentration, smear (non-STAT) and culture. AFB isolates are identified at reference laboratory.

Row Stamp

38,150,138

Last Updated

 

Volume

> 1 mL

Minimum Volume

1 mL

Indications

Suspected mycobacterial infection.

Professional Fee

 

Tech Charge

 

Total Fee

 

Special Instructions

GASTRIC ASPIRATES (Pediatric patients only) must arrive in the lab within one hour of collection to allow for appropriate neutralization. Specimens received greater than one hour will be rejected.

Lab

Microbiology BA-1672, 706-721-2807

Schedule

Specimens received at all times to be sent to reference lab.

Request Form

Online ordering

Methodology

 

Patient Prep

 

Post Processing

Observe for complications of collection procedure.

Collection Guidelines

SPUTUM [EXPECTORATE] See Collection Guidelines for Common Specimens. SPUTUM [INDUCED] The patient should rinse their mouth with water after brushing gums and tongue. With the aid of a nebulizer, have the patient inhale about 25 mL of 3 10% sterile saline. This should produce a deep coughing. Collect the specimen into a sterile container. PEDIATRIC patients may require collection by suction; contact Respiratory Care. TRACHEAL ASPIRATES Collected through a tracheostomy or endotracheal tube. Pass a catheter through the site and into the trachea. Aspirate material from the trachea using a syringe or suction device. Remove the catheter and disengage the syringe or suction device. Place the specimen in a sterile container. STOOL Pass directly into clean dry container. Do not contaminate with urine. Select portions containing pus, blood, or mucus. Submit a second specimen on a separate day to increase probability of isolation of pathogen. CLEAN CATCH URINE See Collection Guidelines.

Reference Range

No acid fast bacilli isolated

Limitations and Contraindications

Not all mycobacteria will grow on routine media. Notify laboratory if M. bovis or BCG, M. haemophilum or M. leprae is suspected, as these may require extended incubation and/or special media. Certain microorganisms may overgrow the media, preventing successful culture.

Interpretation

 

Additional Information

Reference laboratory performs susceptibility test of initial M. tuberculosis isolates automatically. For other mycobacterial susceptibility tests, contact the Microbiology Laboratory. Three first morning sputums are recommended to adequately exclude pulmonary tuberculosis.

CPOE Test Name

AFB Culture NonBlood Sendout

Status

1

AUDIT_DEL

 

Attachments

Created at 9/8/2014 5:56 PM by Bradshaw, Keir
Last modified at 11/11/2016 3:29 PM by McMullen, Allison R.