Fluid Bacterial Culture and Sensitivity with Gram Stain

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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

Interpretation

Reference Range
See individual components
Guidelines

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