CSF Bacterial Culture and Sensitivity (Special Anaerobic) with Gram Stain

General Information

Lab Name

CSF C/S w/GRAM (Anaerobic)

Lab Code

CSFANC

Epic Name

CSF Culture with Gram, Aerobic and Anaerobic

Description

This test is intended for the aerobic and anaerobic culture of CSF obtained from shunts, or from subdural, subgaleal, subarachnoid, or meningomyelocele sites, or if aerobic and anaerobic culture is required.

If CSF is from lumbar puncture, see CSF Culture with Gram Stain [CSFC].

For other sterile site body fluids (not urine or blood), see Place Holder for Body Fluid Bacterial Culture and Sensitivity with Gram Stain (includes anaerobes) [FLDPHC].

Note: ADDCON fee is added for concentration of specimens >2 mL (UW-MT) and >1 mL (HMC).

Synonyms

Cerebrospinal Fluid Bacterial Culture, CSF Bacterial Culture, Shunt Bacterial Culture

Components

Code	Name
SDES	Specimen Description
SREQ	Special Requests
GS	Gram Smear
CULT	Culture
RPT	Report Status

Interpretation

Guidelines

Antibiograms and Antimicrobial Susceptibility Testing Information

Reference Range

See individual components

Ordering & Collection

Specimen Type: CSF, Cerebrospinal Fluid
Collection: Submit SPINAL FLUID in sterile tube(s) or syringe with needle removed and syringe capped.

Specimens will be rejected if received > 24 hours after collection. Viability of organisms is significantly reduced after 24 hours.
Handling Instructions: Indicate source of fluid, e.g. lumbar puncture, ventriculostomy, meningomyelocele.

Transport to the laboratory within 1 hour of collection at room temperature.

Note: Never refrigerate CSF because Neisseria meningitidis is susceptible to cold.
Quantity: Requested: 1 - 5 mL CSF
Minimum: 1 mL CSF

Processing

Receiving Instructions: CSFC is always considered a STAT test.

If specimen is from lumbar puncture and R/O anaerobes is not requested, log in CSFC.

Also log in ADDCON for specimen concentration if >2 mL volume (UW-MT) or >1 mL (HMC).

Misc Sendout

Performance

Lab Department

Microbiology(MC)

Frequency

Processed upon receipt

Available STAT?

Yes-Gram stain

Performing Location(s)

HMC	Microbiology 206-744-5858 325 9th Ave, Rm # GWH-47, Seattle, WA 98104-2420
UW-MT	Microbiology 206-520-4600 Clinical Lab, Room # NW177, University of Washington Medical Center, 1959 NE Pacific street, Seattle, WA 98195

Other Locations/Notes

UW-MT Microbiology performs testing for UW-MT and UW-NW.

Billing & Coding

CPT Codes: 87015, 87070, 87075, 87205
LOINC: 606-4
Billing Comments: CPT for ADDCON 87015