Wound/Skin Aerobic Bacterial Culture and Sensitivity with Gram Stain

General Information

Lab Name

Wound C/S w/Gram

Lab Code

WNDC

Epic Name

(not orderable in Epic)

Description

This test is intended for the aerobic culture only of superficial sites such as skin, ulcers, superficial abrasions, first degree burns, impetigo, folliculitis, and cellulitis. The culture does NOT include anaerobic workup.

For abscess, hardware, deep and/or sterile wound sites, or when rule out anaerobes is required, see Wound Aerobic and Anaerobic Bacterial Culture and Sensitivity with Gram Stain [WNDANC]. Any specimen source/site that is not superficial will have anaerobic media added and charged.

To rule out S. aureus only, see R/O Staph aureus Bacterial Culture only without Gram [STAPHC].

Body fluids or drains, see Place Holder for Body Fluid Bacterial Culture and Sensitivity with Gram Stain (includes anaerobes) [FLDPHC].

Tissues or biopsies, see Tissue Bacterial Culture and Sensitivity with Gram [TISC].

Genital cultures, see Genital Bacterial Culture and Sensitivity (Routine) without Gram Stain [GUC] or Genital Bacterial Culture and Sensitivity (Anaerobic) with Gram Stain [GUWANC].

Synonyms

Aerobic bacteria, Skin culture, Superficial wound, WNDPHC, Wound 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: Superficial wound, wound drainage
Collection: Remove surface exudate before collecting specimen.

Swab: Preferred method of transport is ESwab. Gel swab is acceptable.

Unacceptable: Specimens collected in Universal Transport Medium (UTM); dry swabs; syringes with needles; specimens collected with expired swabs/transport media.
Handling Instructions: Specify exact source of specimen for optimal workup

Swabs: Transport at room temperature, ideally within 4 hours of collection, but not more than 24 hours after collection.

Specimens will be rejected if received > 24 hours after collection. Viability of organisms is significantly reduced after 24 hours.
Quantity: Requested: Eswab or as much fluid as possible
Minimum: Eswab or 1 mL fluid

Processing

Receiving Instructions: Log WNDANC, not WNDC, if R/O ANAEROBES or AER & ANA culture is specified or if specimen is described as abscess or fluid drainage. Boils, cysts, or furuncles will be ordered and processed as WNDANC to rule out common anaerobic bacteria that can cause skin infections.

Misc Sendout

Performance

Lab Department

Microbiology(MC)

Frequency

Processed upon receipt

Available STAT?

Yes--Gram stain

Performing Location(s)

CL	Infectious Disease Division (IDD) - Phenotypic Microbiology 206-520-4600 1601 Lind Ave SW Room 466 Renton, WA 98057	Hours of Operation: Monday to Sunday: 7:00 AM– 11:30 PM

Billing & Coding

CPT Codes: 87070, 87205
LOINC: 632-0
Interfaced Order Code: UOW3233