Aerobe Culture
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
| Ph: ( ) - Fax: ( ) - |
| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Aerobe Culture | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
AER
Test Workstation :
MIC2
Specimen Type:
1 cm3 tissue in sterile container.
1 mL body fluid or abscess aspirate in sterile container.
Eswab is accepted but not preferred.
Minimum Volume:
Body fluid and abscess aspirate minimum volume is 0.5 mL.
Cause for Rejection:
Quantity not sufficient, improper specimen type, improper storage/transport, improper swab, dry swab, multiple swabs per vial, mislabeled, or unlabeled.
Storage:
Specimens should be transported to the lab preferably within 2 hours at room temperature.
Availability:
Mon-Sun
Methodology:
Culture
Special Instructions:
Requisition or audit trail must specify site (e.g. right eye) of specimen along with important information regarding patient diagnosis (e.g. animal bite).
Lab/Phone:
330-543-8406
TAT:
4 days
Additional Info:
Most aerobe cultures include a gram stain. Gram stain will be canceled from low yield body sites (e.g. eye).
CPT Code:
87070
Synonyms:
Routine Culture
