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Test Code CAFB Culture, Acid Fast, includes Smear

Important Note

NAAT testing is performed upon request only. Please call the laboratory to add to the cultures. 

Additional Codes

PathLab CAFB
Epic ID LAB877

 

Specimen Requirements

Preferred Collection Container: 

Sterile Container

 

Also Acceptable Collection Container: 

Copan ESwabs

 

Collection Information: 

Acceptable sources: Sputum, Bronchoalveolar Lavage, Gastric Aspirate, Urine, Body Fluid, Tissue
Acceptable containers: Sterile cup, Copan ESwabs

Sputum or Other Respiratory Specimen: Submit 5-10mL of sputum or any other respiratory specimen in a screw-capped, sterile container. 

Urine: Submit 5-10 mL of urine in a screw-capped, sterile container. Twenty-four hour urine samples are not acceptable for fungal culture.

Body Fluid: Submit 5-10mL of spinal fluid in a screw-capped, sterile container or capped syringe. 

Tissue (Incision or Biopsy): Submit fresh tissue or tissue in a small amount of saline (no formalin) in a screw-capped, sterile container. 

Transport Information: 

Indicate specimen source on the container, maintain sterility and foward promptly at room temperature. 

Gastric lavage specimens must be treated with equal parts 1% sodium bicarbonate prior to transport to reference laboratory.
To prepare 1% sodium bicarbonate from a 7.5 % solution:

  1. Dilute 1.0 mL of 7.5% sodium bicarbonate with 13.0 mL of sterile deionized water.
  2. Mix
  3. Solution is stable 24 hours refrigerated.

 

Remarks: 

Aseptic technique must be used in obtaining, and transport of specimen.

Identification and susceptibility tests are billed separately from culture.

SWABS ARE NOT RECOMMENDED FOR THE ISOLATION OF MYCOBACTERIUM, SINCE THEY PROVIDE LIMITED SPECIMEN MATERIAL.

For patients with clinical and chest x-ray findings compatible with tuberculosis, three sputum samples should be collected over an 8-24 hour period of time (including at least one first morning specimen).

 

Stability/Transport

Temperature Stability Preferred Transport
Refrigerated 48 hours X
Room Temp 24 hours  

Culture of specimens older than 24 hours may lead to a reduction in recovery of microorganisms.

Unacceptable Conditions

Dry specimen, Leaking container, inadequate volume of sputum or fluid specimens (5 ml), specimen on gel or dry swab.

Performing Lab

Pathology Laboratory

Methodology

Organism Identification is performed by biochemical test and/or Bruker MALDI-TOF mass spectrometry RUO Database. Organism sensitivities (AST) are performed as applicable using Broth Microdilution and/or Gradient diffusion strips using FDA approved methodology and CLSI guidelines.  Performance has been evaluated and verified by UnityPoint Health - Des Moines, Pathology Laboratory.

Report Available

Smear results 24 hours, Culture 8 weeks
Analytical time listed is the average time for a negative culture. Average analytical time may vary for positive, mixed, and complex cultures. Contact the lab for specific questions.

Day(s) Performed

Daily

CPT Code Information

87116

87206

87015