Anaerobe Culture
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
| Ph: ( ) - Fax: ( ) - |
| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Anaerobe Culture | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
ANAC
Test Workstation :
MIC2
Specimen Type:
1 cm3 tissue or 1 mL body fluid, abscess aspirate, or cerebrospinal fluid (CSF) in sterile container.
Eswab is accepted but not preferred.
Minimum Volume:
Body fluid minimum volume is 0.5 mL.
Cause for Rejection:
Quantity not sufficient, improper specimen type, improper storage/transport, improper swab, dry swab, multiple swabs per vial, mislabeled, or unlabeled.
Do not transport syringes with needle attached. Remove needle and apply luer-lok cap.
Unacceptable material: BAL (except OR specimens), Cervical secretions, Endotracheal secretions, Lochia secretions, NPH swab, Perineal swab, Prostatic or seminal fluid, Sinus washings, Sputum, Stool or rectal, Tracheostomy secretions, Urethral secretions, urine other than suprapubic, and vaginal secretions/swab
Do not transport syringes with needle attached. Remove needle and apply luer-lok cap.
Unacceptable material: BAL (except OR specimens), Cervical secretions, Endotracheal secretions, Lochia secretions, NPH swab, Perineal swab, Prostatic or seminal fluid, Sinus washings, Sputum, Stool or rectal, Tracheostomy secretions, Urethral secretions, urine other than suprapubic, and vaginal secretions/swab
Storage:
Specimens should be transported to the lab preferably within 2 hours at room temperature.
Availability:
Mon-Sun
Methodology:
Culture
Special Instructions:
An aerobic (routine) culture order should accompany any anaerobic culture order, since not all infections are caused by anaerobic bacteria.
Requisition or audit trail must specify type and source (e.g. Swab, right eye) of specimen along with important information regarding patient diagnosis (e.g. animal bite).
For skin collections, cleanse the skin prior to collection. Let dry for 30 seconds. Remove the swab from the collection kit package. Swab the surface of the skin or wound, collecting exudate if present. If a vesicle is present, collect both fluid and cells from the base of the lesion. Break off swab at the red score line into the transport tube containing 1.0mL liquid media.
Needle aspirates or tissue collections should be collected by a licensed provider according to departmental procedures.
Requisition or audit trail must specify type and source (e.g. Swab, right eye) of specimen along with important information regarding patient diagnosis (e.g. animal bite).
For skin collections, cleanse the skin prior to collection. Let dry for 30 seconds. Remove the swab from the collection kit package. Swab the surface of the skin or wound, collecting exudate if present. If a vesicle is present, collect both fluid and cells from the base of the lesion. Break off swab at the red score line into the transport tube containing 1.0mL liquid media.
Needle aspirates or tissue collections should be collected by a licensed provider according to departmental procedures.
Lab/Phone:
330-543-8406
TAT:
5 days (10 days for CSF specimens)
CPT Code:
87075
