Anaerobic Culture
Specimen:
Sterile Specimen
Collection Medium:
Sterile container
Testing Schedule:
0700-1630, 7 days a week, including holidays.
Comments:
Tissue or aspirates are preferred rather than swabs. Fluid collections should be aspirated through disinfected tissue or skin. For superficial ulcers, collect material from below the surface (after surface debridement or use a needle and syringe). Submit specimens using anaerobic transport media: a. Port-A-Cul anaerobic vial (fluid specimen, 39060): Cleanse rubber stopper with alcohol; allow to dry 1 min before inoculation; push needle through septum and inject specimen on top of agar. b. Port-A-Cul anaerobic jar (tissue specimen, 907722). c. A sterile container (37778) may be used for tissue if transported to the microbiology lab immediately (add drops of sterile saline to keep small pieces of tissue moist). d. Anaerobic swab (907464) - swab specimens are suboptimal, aspirate preferred. Anaerobic flora is prevalent on mucosal surfaces of the oral cavity, upper respiratory, gastrointestinal, and genital tracts; specimens collected from these sites should not ordinarily be cultured for anaerobic bacteria. The following is a list of specimens that are likely to be contaminated with anaerobic normal flora and are NOT routinely accepted for anaerobic culture. -Throat or nasopharyngeal swabs -Gingival or other intraoral surface swabs -Expectorated sputum -Sputum obtained by nasotracheal or endotracheal suction -Bronchial washings -Voided or catheterized urine -Vaginal or cervical swabs -Gastric and small bowel contents (except for "blind loop" or bacterial overgrowth syndrome) -Feces (except for specific etiologic agents such as C. difficile and C. botulinum) -Rectal swabs -Surface swabs from ulcers and wounds (collect material from below the surface) -Material adjacent to a mucous membrane that has not been adequately decontaminated Questions regarding the proper collection of material for anaerobic cultures should be directed to the Microbiology Laboratory at 319-356-2591.
Sample Processing:
Submit specimen in anaerobic transport media.
Indicate specimen/fluid type on requisition.
Label transport tube with two patient identifiers, date and time of collection.
Maintain sterility and forward promptly to lab.
Specimen should be collected and packaged as close to shipping time as possible.
Sample Storage:
Maintain specimen at room temperature.
Transport Instructions:
Place requisition into outside pocket of bag.
Place specimen into zip-lock type bag, seal bag.
Recommend express mail or equivalent if not on courier service.
Ship at ambient temperature.
CPT Code:
87075
 
 
See Additional Information:
Normal (Indigenous) Flora of Human Body