Blood 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. Blood Culture
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

BLOOD

Test Workstation :

MIC3

Specimen Type:

Blood collected in set of blood culture bottle. Set is defined as one aerobic (green top) bottle and one anaerobic (orange top) bottle per draw site. Volume recommendation is based on patient weight. Click on "Blood culture" under the Specimen Collection Procedures link (below) for Table: Blood Culture Recommended Volume Based on Patient Weight

Cause for Rejection:

Bottles received unlabeled may be rejected if the provider decides to collect another specimen. Otherwise the "Mislabeled Specimen Collection Form" must be filled out.

Storage:

Ambient

Availability:

Mon-Sun

Methodology:

Automated Detection Instrumentation

Special Instructions:

If only one bottle can be drawn, please use the aerobic (green top) bottle. Blood cultures should be drawn prior to initiation of antimicrobial therapy. If more than one culture is drawn, the specimens should be drawn from different sites. The minimum amount of blood is only to be used in cases where there is a difficult draw. Do not overfill the bottles (>10mL in adult aerobic and anaerobic bottles), as this can lead to false positives. Routine blood culture is the recommended order for yeast blood infections. If other fungal blood infection is suspected, contact Infectious Disease at 3305433895. NOTE: Be sure to cleanse top of blood culture bottle with chlorhexidine before inoculating with patient specimen.

Lab/Phone:

330-543-8406

TAT:

5 days

CPT Code:

87040

Blood Culture

Test ID/Workstation :

BLOOD

Specimen Type:

Blood collected in set of blood culture bottle. Set is defined as one aerobic (green top) bottle and one anaerobic (orange top) bottle per draw site. Volume recommendation is based on patient weight. Click on "Blood culture" under the Specimen Collection Procedures link (below) for Table: Blood Culture Recommended Volume Based on Patient Weight

Cause for Rejection:

Bottles received unlabeled may be rejected if the provider decides to collect another specimen. Otherwise the "Mislabeled Specimen Collection Form" must be filled out.

Storage:

Ambient

Availability:

Mon-Sun

Methodology:

Automated Detection Instrumentation

Special Instructions:

If only one bottle can be drawn, please use the aerobic (green top) bottle. Blood cultures should be drawn prior to initiation of antimicrobial therapy. If more than one culture is drawn, the specimens should be drawn from different sites. The minimum amount of blood is only to be used in cases where there is a difficult draw. Do not overfill the bottles (>10mL in adult aerobic and anaerobic bottles), as this can lead to false positives. Routine blood culture is the recommended order for yeast blood infections. If other fungal blood infection is suspected, contact Infectious Disease at 3305433895. NOTE: Be sure to cleanse top of blood culture bottle with chlorhexidine before inoculating with patient specimen.

Lab/Phone:

330-543-8406

TAT:

5 days

CPT Code:

87040