Genital 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. Genital Culture | |
| 2. | |
| 3. | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
GENIT
Test Workstation :
MIC2
Specimen Type:
Eswab collected from genital or urethral source.
Cause for Rejection:
Improper specimen type, improper storage/transport, improper swab, dry swab, swab not present, multiple swabs per vial, mislabeled, or unlabeled.
Storage:
Transport at room temperature and process within 24 hours.
Availability:
Mon-Sun
Methodology:
Culture
Special Instructions:
Do not send vaginal washes.
Vaginal Swabs:
1. Collect using a standard tip or mini-tip Eswab
2. Separate the labia and swab high inside vaginal canal.
3. Break off swab at the red score line into the transport tube containing 1.0mL liquid media.
Cervical swabs:
1. Remove excess mucus with a cleaning swab and discard.
2. Insert a standard tip or mini-tip Eswab into the cervical canal and rotate 15-30 seconds.
3. Break off swab at the red score line into the transport tube containing 1.0mL liquid media.
Urethral swabs:
1. Collect using a mini-tip Eswab. Insert into the urethra.
2. Rotate for 3-5 seconds.
3. Break off swab at the red score line into the transport tube containing 1.0mL liquid media.
Vaginal Swabs:
1. Collect using a standard tip or mini-tip Eswab
2. Separate the labia and swab high inside vaginal canal.
3. Break off swab at the red score line into the transport tube containing 1.0mL liquid media.
Cervical swabs:
1. Remove excess mucus with a cleaning swab and discard.
2. Insert a standard tip or mini-tip Eswab into the cervical canal and rotate 15-30 seconds.
3. Break off swab at the red score line into the transport tube containing 1.0mL liquid media.
Urethral swabs:
1. Collect using a mini-tip Eswab. Insert into the urethra.
2. Rotate for 3-5 seconds.
3. Break off swab at the red score line into the transport tube containing 1.0mL liquid media.
Lab/Phone:
330-543-8406
TAT:
72 hours
CPT Code:
87070
Synonyms:
Vaginal Culture; Cervical Culture; Urethral Culture
