Fluid Bacterial Culture and Sensitivity with Gram Stain

General Information

Lab Name

Fluid C/S w/Gram

Lab Code

FLDC

Epic Ordering

Fluid C/S w/Gram

Description

This test is intended for the culture of body fluids from non-sterile sites such as drains (excluding CSF or lumbar drains and newly placed or IR collected drain specimens).

For specimens collected from sterile sites, see Fluid Bacterial Culture and Sensitivity (Special Anaerobic) with Gram Stain [FLDANC] or Fluid Bacterial C/S in Blood Culture Bottles with Gram Stain [FLDGBC].

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

Note: ADDCYT fee is added if Gram stain is prepared by cytocentrifugation.

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

Synonyms

Drainage Culture, Fluid Routine Bacterial Culture

Components

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

Interpretation

Reference Range

See individual components

Guidelines

Antibiograms and Antimicrobial Susceptibility Testing Information

Ordering & Collection

Specimen Type: Fluid collected from Drains
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 for optimal workup

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

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

Specimens will be rejected if received > 24 hours after collection. Viability of organisms is significantly reduced after 24 hours.
Quantity: requested: As much fluid as possible
minimum: 1 mL fluid, ESwab

Processing

Processing: If specimen is from newly placed drain or IR collected drain, order FLDANC

ADDCYT fee is added if Gram stain is prepared by cytocentrifugation

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

Performance

LIS Dept Code

Microbiology (MC)

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.

Frequency

Processed upon receipt

Available STAT?

Yes-Gram

Billing & Coding

CPT codes: 87070, 87075, 87205
Billing Comments: CPT for ADDCYT 87015; CPT for ADDCON 87015
LOINC: 611-4