VRE 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. VRE Culture
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

VRE

Test Workstation :

MIC2

Specimen Type:

250mg (pea sized amount) of solid stool or 0.5 mL liquid stool in sterile container or in Cary-Blair medium.
1 mL of urine collected in sterile container.
Swab collected from G-tube or Cath site source.

Minimum Volume:

Urine minimum volume is 0.5 mL.

Cause for Rejection:

Reject if Stool is >2 hours at room temperature, or >24 hours at 28C or Frozen. Sticks left in container will dry out stool. Quantity not sufficient, improper specimen type, improper storage/transport, improper swab, dry swab, swab not present, multiple swabs per vial, mislabeled, or unlabeled.

Storage:

For Eswabs, transport at room temperature. For stool and urine, transport refrigerated required from off campus location. Upon arrival in laboratory, store refrigerated.

Availability:

Mon-Sun (0700-1600)

Methodology:

Culture

Lab/Phone:

330-543-8406

TAT:

72 hours

Additional Info:

These specimens are cultured for Enterococcus sp. only! No other pathogens will be reported. Any Enterococcus isolated will be tested for sensitivity to Vancomycin. Orders must state specific site of specimen.

CPT Code:

87081

Synonyms:

Culture for Vancomycin resistant Enterococcus

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VRE Culture

Infectious Disease Laboratories - : Microbiology

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