Respiratory Culture, Cystic Fibrosis
| PATIENT INFO |
| Patient Name: |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Respiratory Culture, Cystic Fibrosis | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
LAB1046
Specimen Type:
1.0 mL Bronchoalveolar lavage collected in a sterile container; Eswab from oropharynx
Tube Type:
Sterile container; Eswab
Minimum Volume:
BAL minimum volume 0.5 mL
Cause for Rejection:
Quantity not sufficient, improper specimen type, improper storage/transport, improper swab, dry swab, swab not present, multiple swabs per vial, mislabeled, or unlabeled.
Storage:
Transport refrigerated required from off campus location. Upon arrival in laboratory, store refrigerated.
Availability:
Monday thru Sunday (08:00 - 15:00)
Methodology:
Culture
Special Instructions:
For respiratory culture from non- cystic fibrosis patients, use the Respiratory Culture (LAB267) order.
For sputum specimens, use the Sputum Culture, CF (LAB1018) order or the Sputum Culture (LAB900) for non-cystic fibrosis patients.
For sputum specimens, use the Sputum Culture, CF (LAB1018) order or the Sputum Culture (LAB900) for non-cystic fibrosis patients.
Lab/Phone:
330-543-8406
TAT:
72 hours
Additional Info:
Gram stains are not performed on any respiratory sample collected from a cystic fibrosis patient.
