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Test Code 00006 Culture, Below the Waist

Methodology

Includes culture, identification, and sensitivity testing of significant isolates.

Used to isolate and identify etiologic agents of infectious process.

Performing Laboratory

St. Mary's Regional Medical Center-Microbiology

Specimen Requirements

Submit only 1 of the following specimens:

 

Acceptable Specimens:

Abscess, cervical, foot, leg, lesions, skin scraping, vaginal, or wound

 

Abscess or Wound Aspirate
1. Aseptically collect with needle and syringe.

2. Label container with patient's name (first and last), hospital identification number or date of birth, date and time of specimen collection, and source of specimen.

3. Maintain sterility and forward promptly at ambient temperature only.

4. Causes for rejection:
A. Inadequately labeled specimen
B. Improper container
C. Insufficient specimen volume

Note: 

1. Specimen source is required.

2. If a swab specimen is only way to obtain specimen, it will be accepted.

3. Whenever possible, bacteriological examinations should be carried out before antibiotic therapy is instituted.

4. If indicated, cultures are examined for anaerobes. However, if anaerobes are suspected as the primary etiologic agent, an anaerobically collected specimen with appropriate request form must be submitted. Anaerobic culture is only set up on appropriate sources (see #ANCU “Culture, Anaerobic”).

5. Gram stain is available but not routinely performed on swabs obtained below the waist.
 

Cervical and Vaginal

1. Obtain specimen from infected site.
2. Insert culture swab into vagina or swab endocervix.
3. Return swab to sterile culture transport container.

4. Label container with patient’s name (first and last), hospital identification number or date of birth, date and time of specimen collection, and source of specimen.

5. Maintain sterility and forward promptly at ambient temperature only. 

6. Causes for rejection:
A. Inadequately labeled specimen
B. Improper container
C. Insufficient specimen volume
Note:

1. Specimen source is required.

2. Whenever possible, bacteriological examinations should be carried out before antibiotic therapy is instituted.

 

Lesion

1. Obtain specimen from infected site.
2. Insert culture swab into lesion.
3. Return swab to sterile culture transport container.

4. Label container with patient’s name (first and last), hospital identifcation number or date of birth, date and time of specimen collection, and source of specimen.

5. Maintain sterility and forward promptly at ambient temperature only. 

6. Causes for rejection:
A. Inadequately labeled specimen
B. Improper container
C. Insufficient specimen volume
Note:

1. Specimen source is required.

2. Whenever possible, bacteriological examinations should be carried out before antibiotic therapy is instituted.

3. If indicated, cultures are examined for anaerobes. However, if anaerobes are suspected as the primary etiologic agent, an anaerobically collected specimen with appropriate request form must be submitted. Anaerobic culture is only set up on appropriate sources (see #ANCU “Culture, Anaerobic”).

4. Gram stain is available but not routinely performed on swabs obtained below the waist.

 

Skin Scraping
1. Clean skin with 70% alcohol.
2. Scrape advancing edge of lesion and send in a screw-capped, sterile tube or Petri dish.

3. Label tube/Petri dish with patient’s name (first and last), hospital identification number or date of birth, date and time of specimen collection, and source of specimen.

4. Maintain sterility and forward promptly at ambient temperature only.

5. Causes for rejection:
A. Inadequately labeled specimen
B. Improper container
C. Insufficient specimen volume
Note:

1. Specimen source is required.

2. Whenever possible, bacteriological examinations should be carried out before antibiotic therapy is instituted.

3. Gram stain is available but not routinely performed on swabs obtained below the waist.

Reference Values

No growth of bacteria or resident flora

Day(s) Test Set Up

Monday through Sunday