Enteric 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. Enteric Culture | |
2. | |
3. | |
4. | |
5. | |
6. |
SPECIMEN INFO |
Collection Date & Time: |
Collected By: |
Hospital: |
Voided Stool
Stool should be passed into a clean dry container.
Have the patient save the stool specimen one of the following ways:
Pass stool directly into a sterile wide-mouth, leak proof container with a tight fitting lid.
Pass stool into a clean, dry bedpan and transfer the stool into a sterile leak proof container with a tight fitting lid.
NOTE: If using wooden applicator stick to transfer stool, do not leave wooden stick in container. The stick absorbs moisture and will cause the stool to become dried and unable to process. Dried stool specimens will be rejected.
Rectal swab
Collect using a standard or mini-tip Eswab.
Pass the tip of the sterile swab beyond the anal sphincter, anywhere from 1cm in infants to 4cm in larger adolescents. Rotate the swab to sample the anal crypts for 30 seconds.
Break the swab at the score line into the transport tube containing 1.0mL liquid media.