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

General Information

Lab Name
Fluid C/S w/Gram
Lab Code
FLDANC
Epic Name
CULTURE:BACT-FLD,ANAER AND GRAM STAIN
Description

This test is intended for the culture of sterile body fluids (other than urine, blood or CSF).

For CSF, see Place Holder for CSF Bacterial Culture and Sensitivity with Gram Stain [CSFPHC].

For specimens collected from drains (other than CSF), see Fluid Bacterial Culture and Sensitivity with Gram Stain [FLDC].

If > 3 mL sterile fluid is received, fluid will be inoculated into blood culture bottles as well as onto solid media. See Fluid Bacterial C/S in Blood Culture Bottles with Gram Stain [FLDGBC].

Synonyms
Anaerobic Fluid Culture, Fluid Anaerobic Culture
Components

Interpretation

Guidelines
Reference Range
See individual components

Ordering & Collection

Specimen Type
Fluid from sterile site
Collection

Optimal: Collect fluid in syringe (remove needle, expel air and cap syringe) or in sterile, leak-proof container.

Swabs are accepted but not optimal: Preferred method of transport is ESwab. Gel swab is acceptable.

Unacceptable: Specimens collected in Universal Transport Medium (UTM); dry swabs; syringes with needles; leaking specimens, specimens collected with expired swabs/transport media.

Handling Instructions

Specify exact source of specimen and "R/O Anaerobes" for optimal workup

Fluid: Transport at room temperature within 2 hours of collection.

Swabs: Transport at room temperature within 4 hours of collection.

Cold temperature reduces the viability of anaerobes.

Specimens will be rejected if received > 24 hours after collection. Viability of organisms is significantly reduced after 24 hours.

If cell count is also requested, see Cell Count, Body Fluid [FCCNT] & send EDTA (lavender top) tube within 1 hour.

Quantity
Requested: As much fluid as possible
Minimum: 1 mL fluid, ESwab

Processing

Receiving Instructions

If > 1 mL sterile fluid is received, order FLDGBC.

If specimen is collected from a drain (i.e. JP, Penrose, etc.), order FLDC UNLESS from newly placed or IR collected drain.

Anaerobes must be cultured ASAP to maintain viability.

HMC: ADDCON fee is added for centrifugation of specimens >2 mL.

Misc Sendout

Performance

Lab Department
Microbiology(MC)
Frequency
Processed upon receipt
Available STAT?
Yes-Gram
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
17956-4
Interfaced Order Code
UOW4069
Interfaced Result Code
UOW4069
Billing Comments

CPT for ADDCON 87015