Fungal Culture
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
| Ph: ( ) - Fax: ( ) - |
| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Fungal Culture | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
FUNG
Test Workstation :
MIC2
Specimen Type:
1 mL cerebrospinal fluid (CSF), body or miscellaneous fluids, sputum, tracheal aspirate, bronchoalveolar lavage (BAL) in sterile container.
5 mL urine in sterile container. Eswab collected from throat, nasopharyngeal, genital, or wound source.
250mg (pea sized amount of soft stool) or 0.5 mL (liquid stool) in sterile container.
Venous catheter tip in sterile container.
Minimum Volume:
CSF, body or miscellaneous fluids, sputum, tracheal aspirate, and BAL minimum volume is 0.5 mL.
Urine minimum volume is 1.0 mL.
Soft stool minimum volume is 125mg (half pea sized amount).
Liquid stool minimum volume is 0.2 mL.
Cause for Rejection:
Quantity not sufficient, improper specimen type, improper storage/transport, improper swab, dry swab, swab not present, multiple swabs per vial, mislabeled, or unlabeled.
Storage:
For stool and urine, transport refrigerated. Upon arrival in laboratory, store refrigerated. All other specimen types can be transported and stored at room temperature.
Availability:
Mon-Sun
Methodology:
Culture
Special Instructions:
Tissue or body fluid is optimal for isolation of fungi. Use ESwab for specimens submitted from sites such as throat or genital, or when adequate tissue or fluid is not available. Do not submit bone or medical device > 1cm3. Use an Eswab to collect from area. If fungal culture of blood, contact Infectious Disease at 3305438395.
Lab/Phone:
330-543-8406
TAT:
4 weeks
CPT Code:
87102
Synonyms:
Yeast Culture; Candida Culture; Aspergillus Cult.
