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Test Code LAB465 Culture, Genital, Aerobic

Additional Codes

44032

Reporting Title

Genital Aerobic Culture

Methodology

Includes Gram stain, aerobic identification, and susceptibilities when appropriate.

Note:  Most genital specimens contain indigenous anaerobic flora and should not be cultured anaerobically under routine conditions.

Performing Laboratory

OhioHealth Laboratory Services-RMH Microbiology

Specimen Requirements

Submit only 1 of the following specimens:

 

Acceptable Specimens:

Swab of cervix, cul-de-sac, penis, prostate, uterus, or vagina

 

Females

1. Do not use lubricant on speculum.

2. Remove cervical mucus before inserting swab into endocervical canal.

3. Collect the specimen using the swab provided in the BD ESwab Collection and Transport System from the

     endocervical canal.  Move swab from side-to side. Avoid touching swab to uninfected site. Be sure not to

     touch below the red breakpoint line to avoid contamination.

4.  Aseptically unscrew and remove the cap from the tube.

5.  Insert the swab into the tube and bend the swab shaft at the breakpoint indicated by the red line marked on the swab shaft against the tube to break the shaft. Discard the broken handle part of the swab shaft.

6. Replace the cap on the tube and secure it tightly.

7. Label tube with patient’s name (first and last), MR# or DOB, date and actual time of collection, and type of specimen.

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

Note:  Specimen source is required on request form for processing.

            ESwab is acceptable up to 48 hours after collection

 

Males

1. Collect specimen using a BD ESwabTM 1 hour or more after urination. Specimen may be collected from

     discharge. If no discharge is present, obtain specimen from anterior urethra.

2..Collect the specimen using the swab provided in the BD ESwab Collection and Transport System. Be sure

     not to touch below the red breakpoint line to avoid contamination.

3.  Insert swab 2 cm to 4 cm into urethra.

4. Rotate swab so that it comes into contact with all urethral surfaces. Leave swab inserted 2 to 3 seconds and remove.

5 . Aseptically unscrew and remove the cap from the tube.

6.. Insert the swab into the tube and bend the swab shaft at the breakpoint indicated by the red line marked on the swab shaft against the tube to break the shaft. Discard the broken handle part of the swab shaft. Replace the cap on the tube and secure it tightly.

7. Label tube with patient’s name (first and last), MR# or DOB, date and actual time of collection, and type of specimen.

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

Note:  Specimen source is required on request form for processing.

       ESwab is acceptable up to 48 hours after collection

Specimen Transport Temperature

Ambient/Refrigerate NO/Frozen NO

Reference Values

Normal genital flora

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

87070 - culture

87205 - Gram stain

87077 - definitive identification, each (if appropriate)

87147 - serotyping, each (if appropriate)

87181 - E-test, each (if appropriate)

87185 - enzyme detection, each (if appropriate)

87186 - susceptibility, minimum inhibitory concentration, each (if appropriate)