Aerobe Culture

Infectious Disease Laboratories - : Microbiology

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
2.
3.
4.
5.
6.

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

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Aerobe Culture

Infectious Disease Laboratories - : Microbiology

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