Campylobacter Only Culture

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

CAMPC

Test Workstation :

MIC2

Specimen Type:

250mg (pea sized amount) of solid stool or 0.5 mL liquid stool in sterile container or in Cary-Blair medium.

Cause for Rejection:

Reject if Stool >2 hours at room temperature, or >24 hours at 28C or Frozen. Sticks left in container will dry out stool.

Storage:

Refrigerated 2-8 C for <24 hours.

Availability:

Mon-Sun (0700-1600)

Methodology:

Culture

Lab/Phone:

330-543-8406

TAT:

4 days

Additional Info:

This culture is for Campylobacter only. For other stool pathogens including Campylobacter, please order Enteric culture (LAB223).

CPT Code:

87064