Test Code CAFB Culture, Acid Fast, includes Smear
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:
- Dilute 1.0 mL of 7.5% sodium bicarbonate with 13.0 mL of sterile deionized water.
- Mix
- 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