Anaerobe 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. Anaerobe Culture
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

ANAC

Test Workstation :

MIC2

Specimen Type:

1 cm3 tissue or 1 mL body fluid, abscess aspirate, or cerebrospinal fluid (CSF) in sterile container.
Eswab is accepted but not preferred.

Minimum Volume:

Body fluid minimum volume is 0.5 mL.

Cause for Rejection:

Specimen collected in nonsterile container. No swab in Eswab transport tube. Unacceptable material: BAL (except OR specimens), Cervical secretions, Endotracheal secretions, Lochia secretions, NPH swab, Perineal swab, Prostatic or seminal fluid, Sinus washings, Sputum, Stool or rectal, Tracheostomy secretions, Urethral secretions, urine other than suprapubic, and vaginal secretions/swab

Storage:

Specimens should be transported to the lab preferably within 2 hours at room temperature.

Availability:

Mon-Sun

Methodology:

Culture

Special Instructions:

An aerobic (routine) culture order should accompany any anaerobic culture order, since not all infections are caused by anaerobic bacteria.

Lab/Phone:

330-543-8406

TAT:

5 days (10 days for CSF specimens)

CPT Code:

87075

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Anaerobe Culture

Infectious Disease Laboratories - : Microbiology

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