Last Modified:
6/10/2019 2:06:52 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
> 1.0 mL Respiratory Secretions in sterile container
Collection Instructions:
Order must include the site of collection
Collection Sites could be from: Bronchial Alveolarlavage, Bronchial Brush, Sputum (Aspirated or Expectorated), Tracheal
Please note if Cystic Fibrosis Patient
Expectorated Specimen Collection
If possible, collect a specimen early in the morning before breakfast to obtain an overnight accumulation of secretions. Ask the patient to rinse his mouth with water to reduce specimen contamination. Avoid mouthwash or toothpaste because they may affect the mobility of organisms in the sputum sample. First AM, deep cough specimens are optimal
Ask patient to cough deeply and expectorate directly in the specimen container.
Try to obtain at least 5.0 to 10.0 ml of sputum if possible.
Cap the container and if necessary, clean the exterior. Send specimen to Laboratory immediately. Include important information as to whether the patient was febrile or taking antibiotics. At the order entry, specify if specimen is expectorated or aspirated.
For patient collection instruction sheet on Expectorated Sputum Collection see Addendum D
For Spanish patient collection instruction sheet on Expectorated Sputum Collection see Addendum D
For Burmese patient collection instruction sheet on Expectorated Sputum Collection see Addendum D
For Arabic patient collection instruction sheet on Expectorated Sputum Collection see Addendum D
Minimum Volume:
1.0 mL
Transport & Storage: Temperature/Stability:
2 hours Ambient Optimal
24 hours Refrigerated Acceptable
Reference Range:
Growth of usual oral flora
Critical Ranges:
Test Comments:
Isolation and identification of clinically relevant organisms. Antimicrobial susceptibility testing of appropriate organisms may be performed.
Acid Fast Bacillus and/or Fungal studies must be specified and require a separate specimen. Gram stain results available the same day.
“Mixed Oral-Pharyngeal Flora” results available at approximately 24 hours and will not have further workup.
Pathogen identification usually available after one day.
Methodology:
Manual
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
48 to 72 hours
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
CXRES
EPIC Test Code:
LAB2105
Alternate Test Names:
Culture, Respiratory; Culture, Sputum
Included Tests:
Aerobic Culture; Respiratory Gram Stain
CPT Coding:
87070, 87205 (Reflexes 87186, 87077)
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