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Test Code ANR Culture, Bacterial, Anaerobic

Additional Codes

Epic Code

LAB233

Methodology

Includes identification of clinically significant isolates to
species. Testing does not include susceptibility testing. 
Aerobic Bacterial Culture will also be ordered in conjunction with
the Anaerobe Culture.

Performing Laboratory

Bronson Laboratory Services-Microbiology

Specimen Requirements

For quality results, send tissue or whole fluids for culture,
not swab. If unable to obtain tissue or fluid, collect
the specimen using an Eswab.

 

Causes for Rejection:  Refrigerated
specimen, specimen exceeding transport time, and/or
inappropriate source.    The following sources
are inappropriate for anaerobic culture:  Bronchial washings,
BAL, protected brush, endotracheal secretions, feces,
gastric/intestinal contents, ileostomy/colostomy drainage, mouth,
nares, nasopharyngeal, rectal abscess, perirectal abscess, placenta
(vaginal delivery), vaginal, semen, sputum, throat, and urethral. 

 

Specimen source, patient’s age, clinical
diagnosis, time of collection, and any unusual pathogens
suspected are required.

 

Submit only 1 of the following specimens:

 

Preferred

Specimen Type: Fresh biopsy tissue

Container/Tube: Screw-capped, sterile
container

Specimen Volume: Entire collection

Collection Instructions: Label container with
patient’s full name, date of birth, date and time of
collection, and source of specimen.

 

Specimen Type: Abscess or sterile body
fluid

Container/Tube: Capped syringe with all
air bubbles expelled, Port-A-Cul vial or sterile container

Specimen Volume: Entire collection

Collection Instructions:

1. Aseptically collect needle aspirate of
specimen.

2. Label syringe/vial with patient’s full name, date
of birth, date and time of collection, and source of specimen.

 

Alternate

Specimen Type: Swab

Container/Tube: Eswab

Specimen Volume: Swab

Collection Instructions:

1. Aseptically collect specimen.

2. Place swab in culture transport tube to ensure specimen
preservation.

3. Label tube with patient’s full name, date of birth,
date and time of collection, and source of specimen.

Specimen Transport Temperature

Fluid in BBL Anaerobic Fluid Vial  (Any Amount). 
Ambient 24 hours/Refrigerate NO

Biopsy Tissue sterile cup.  Ambient 24
hours/Refrigerate NO

Fluid in Sterile Container (<1 mL).  Ambient 10
minutes/Refrigerate NO

Fluid in Sterile Container (1-2 mL).  Ambient 30
minutes/Refrigerate NO

Fluid in Sterile Container (>2 mL).  Ambient 3
hours/Refrigerate NO

Eswab.  Ambient 48 hours/Refrigerate NO

Reference Values

Normal finding: no growth of anaerobic bacteria

Abnormal finding: anaerobic bacteria identified

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

87075