Test Code LAB900 BACTERIAL CULTURE RESPIRATORY & SMEAR (C + S)

Important Note

The sample must be received in the laboratory within 24 hours.
Specimen quality can be assessed by applying quantitative criteria to the number of squamous epithelial cells. Ten or more squamous epithelial cells per low power field, indicate the sample is contaminated with oral secretions and not suitable for testing.

Additional Codes

Orderable Codes:

Epic Code	Atlas Code	Mayo Access ID	Order LOINC
LAB900	RRCS	FAH5111	32355-0

Result Component(s):

Reporting Name	Epic Code	Atlas Code	Mayo Access ID	Result LOINC
Aerobic Bacterial Culture/Smear Respiratory	1230100018	CULT	FAH4896	41852-5
Smear Result	12301011698	GS	FAH5088	664-3

Specimen Information

Container	Specimen	Temp	Collect Vol	Submit Vol	Min Vol	Stability
Sterile Container	Sputum	Refrig	5 mL	5 mL	1 mL	24 hrs
Sterile Container	Protected cath brushings	Refrig	N/A	N/A	N/A	24 hrs
Sterile Container	Bronchoalv lavage (BAL)	Refrig	N/A	N/A	N/A	24 hrs
Sterile Container	Lung Aspirate	Refrig	N/A	N/A	N/A	24 hrs
Sterile Container	Lung Tissue	Refrig	1 gram	1 gram	0.2 gram	24 hrs
Sterile Container	Expectoration	Refrig	10 mL	10 mL	1 mL	24 hrs
Sterile Container	Bronchoscopy	Refrig	10 mL	10 mL	1 mL	24 hrs
Sterile Container	Tracheal aspiration	Refrig	10 mL	10 mL	1 mL	24 hrs
Sterile Container	Transtracheal aspiration	Refrig	10 mL	10 mL	1 mL	24 hrs
Sterile Container	Biopsy	Refrig	10 mL	10 mL	1 mL	24 hrs
Bacterial/Yeast Collection Kit	Throat*	Refrig				24 hrs

Specimens should originate from the lungs or bronchial tree. Saliva and postnasal drip materials are not suitable for testing. Specimens may be obtained by expectoration, bronchoscopy, tracheal aspiration, transtracheal aspiration, or biopsy. Submit the sample in a sterile screw-capped container, syringe, or leukens tube. All containers must be leak proof. Deliver the specimen to the laboratory as soon as possible.

*If swab is received a smear will not be performed.

Test Schedule / Analytical Time / Test Priority

Daily / Sputum cultures 48 hours, other respiratory cultures 5 days / Gram smear available STAT

Method

Culture & Smear

CPT(s)

Description	CPT Code
Gram Stain	87205
Routine Culture	87070

Instrumentation

Manual Method

Reference Range

Usual oropharyngeal flora

Section

Microbiology-1

Performing Location

University of Vermont Medical Center

Is the UVMMC lab NY State Certified to perform this testing? Yes/No

Yes

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