Test of Cure Stool Culture (Salmonella, Shigella, EHEC)
Label Mnemonic: TOCSTL
Epic Lab Code: LAB8534
Downtime Form: A-1a Clinical Microbiology Laboratory Requisition
Microbiology
BT 6004
356-2591
Bacteriology/Virology Section
Specimen(s):
FecalSwabs, Stool
Specimen Instructions:
Transport to laboratory immediately at room temperature.
Collection Medium:
Fecal Copan Collection Transport Swab (Hospital Stores #105117)
Minimum:
Please submit only FecalSwab samples.

Please use FecalSwabs [Stores #105117]
1) Obtain a stool specimen in a clean pan or container. Stool specimens should not contain urine or water.
2) Holding FecalSwab shaft above the red breakpoint mark, insert the entire tip of the FecalSwab into the stool sample and rotate. Do not use FecalSwab as a spoon; rather, coat swab with a visible layer.
3) If visible stool is not coating the FecalSwab tip, reinsert until swab is coated.
4) Using swab and aiming tube away, mash and mix the stool sample against the side of the tube to suspend the sample.
5) Invert the tube several times to homogenize the sample and expose the sample to Cary Blair preservative fluid.
Rejection Criteria:
Stool not in FecalSwabs.
Delivery Instructions:
Deliver to laboratory immediately after collection.
Testing Schedule:
24 hrs/day, 7 days a week, including holidays.
Turn Around Time:
2 days
Reference Range:
Negative
Comments:
This test is only useful as followup to a positive Enteric Panel (Epic LAB8513) or following a positive test at an outside institution. The Enteric Panel or C. difficile testing (Epic LAB8239) are generally used to make initial diagnosis of infectious diarrhea. Followup culture is performed only for Salmonella, Shigella, and EHEC: specify organism being tested for in the order comments.
Methodology:
Culture
CPT Code:
87045
 
See also:
C. difficile Toxin Screen, Stool