Acid Fast Bacilli Smear

Overview

  • EPIC Code:
  • LAB2495
  • Soft Test Code:
  • AFBST
  • Send Out Test Code:
  • 268
Alternate Names
  • Acid Fast Stain
  • AFB Smear
  • Smear for AFB
Included Tests

Acid-Fast Bacilli Stain


Clinical Significance

There are more than 70 species of mycobacteria of which the primary pathogen is M. tuberculosis.  Tuberculosis is a chronic, granulomatous disease casued by M. tuberculosis.  Identification, and, if appropriate, antibiotic sensitivity, is required to initiate necessary therapy.


Specimen Collection & Preparation

Client Notes

Acid Fast Smear is included in an Acid Fast Culture automatically and should rarely be ordered alone.


Patient Preparation

 Expectorated sputum: Instruct patient to gargle with water and cough deeply.  Three separate early morning collections on at least three consecutive days are recommended.


Specimen Requirements

Preferred Specimen(s):
10 mL of  body fluids, lower respiratory tract specimens, or gastric lavage in sterile container 
or 
2 mL CSF
or
40.0 mL urine in sterile, leak-proof container
or
2 grams fresh (unfixed) tissue in sterile container
or
1 mL exudate, aspirate, lesion material, ocular specimen collected in a sterile, leak-proof container

Minimum Volume:
2 mL of body fluids, lower respiratory tract specimens, or gastric lavage 
or
1 mL CSF
or
1 gram fresh tissue (unfixed)
or
20 mL urine
or
1 mL or 1 swab wound, exudates, aspirates, lesion material, or ocular specimens


Transport And Storage

Transport refrigerated

Specimen Stability:
Ambient: unacceptable
Refrigerated: 5 days
Frozen: unacceptable


Collection Instructions

Tissue and biopsy material: Steile, leak-proof container with small amount of saline, no fixative or preservative.

Gastric lavage fluid: Sterile, leak-proof container.  Must be neutralized with sodium bicarbonate within 4 hours of collection.

Sputums may be collected in sputum collection device per instructions. (First AM, deep cough specimens are best). 

Urine should be first/early AM collection



Minimum Volume


Neonatal Volume

Clinical Interpretation

Reference Range:

See Laboratory Report


Methodology:
  • Microscopic Exam w/ Fluorochrome Stain
Clinical Significance

There are more than 70 species of mycobacteria of which the primary pathogen is M. tuberculosis.  Tuberculosis is a chronic, granulomatous disease casued by M. tuberculosis.  Identification, and, if appropriate, antibiotic sensitivity, is required to initiate necessary therapy.


Production Schedule

Sites Performed
  • Quest - Chantilly
Days Performed
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Microbiology
Turn Around Time

48 hours; 4 days (if received on Friday afternoon)


Coding & Compliance

CDM

01412707


CPT Coding

87206, 87015