Sputum 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. Sputum Culture | |
| 2. | |
| 3. | |
| 4. | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
SPUT
Test Workstation :
MIC2
Specimen Type:
1.0 mL sputum collected in sterile container.
Minimum Volume:
Sputum minimum volume is 0.5 mL.
Cause for Rejection:
Quantity not sufficient, improper specimen type, improper storage/transport, mislabeled, or unlabeled.
Storage:
Transport refrigerated required from off campus location. Upon arrival in laboratory, store refrigerated.
Availability:
Mon-Sun (0700-1600)
Methodology:
Culture
Special Instructions:
Cystic fibrosis patients must be designated as such on the requisition or audit trail accompanying the specimen. This clinical test includes a gram stain for non-Cystic fibrosis patients.
Sputum Collection:
Collect specimen resulting from a deep cough into sterile cup. A specimen may be obtained by sterile suction technique using a Luki-trap by passing a sterile suction catheter along floor of nose to nasopharynx. When the patient coughs, suction the specimen into trap.
Obtain specimen by suction only with physician order.
Twenty-four hour sputum collections are not recommended for culture.
If possible, have the patient rinse mouth and gargle with water prior to sputum collection. Instruct the patient not to spit saliva or postnasal discharge into the container.
A gram stain smear result on sputum specimens will show epithelial cells. A sputum specimen containing > 25 epithelial cells per low power field has been contaminated with oropharyngeal secretions during collection, indicating a poor quality specimen for culture. Lab may indicate the need for specimen recollection. Lab evaluates the specimen for the predominant pathogenic morphotype if the physician requests a culture on available specimen.
Sputum Collection:
Collect specimen resulting from a deep cough into sterile cup. A specimen may be obtained by sterile suction technique using a Luki-trap by passing a sterile suction catheter along floor of nose to nasopharynx. When the patient coughs, suction the specimen into trap.
Obtain specimen by suction only with physician order.
Twenty-four hour sputum collections are not recommended for culture.
If possible, have the patient rinse mouth and gargle with water prior to sputum collection. Instruct the patient not to spit saliva or postnasal discharge into the container.
A gram stain smear result on sputum specimens will show epithelial cells. A sputum specimen containing > 25 epithelial cells per low power field has been contaminated with oropharyngeal secretions during collection, indicating a poor quality specimen for culture. Lab may indicate the need for specimen recollection. Lab evaluates the specimen for the predominant pathogenic morphotype if the physician requests a culture on available specimen.
Lab/Phone:
330-543-8406
TAT:
72 hours
CPT Code:
87070
