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Test Code CAFB Culture, Acid Fast, includes Smear

Additional Codes

Epic EAP
LAB877 AFB culture 

Specimen Requirements

Preferred Collection Container: 

Sterile Container

 

Also Acceptable Collection Container: 

Copan ESwabs

 

Collection Information: 

Acceptable sources: Sputum, Bronchoalveolar Lavage, Gastric Aspirate, Urine, Body Fluid, Tissue
Acceptable containers: Sterile cup, Copan ESwabs

 

Transport Information: 

Gastric lavage specimens must be treated with equal parts 1% sodium bicarbonate prior to transport to reference laboratory.
To prepare 1% sodium bicarbonate from a 7.5 % solution:

  1. Dilute 1.0 mL of 7.5% sodium bicarbonate with 13.0 mL of sterile deionized water.
  2. Mix
  3. Solution is stable 24 hours refrigerated.

 

Remarks: 

Aseptic technique must be used in obtaining, and transport of specimen.

See Specimen Collection Guidelines for specific specimen. Identification and susceptibility tests are billed separately from culture. SWABS ARE NOT RECOMMENDED FOR THE ISOLATION OF MYCOBACTERIUM, SINCE THEY PROVIDE LIMITED SPECIMEN MATERIAL.

For patients with clinical and chest x-ray findings compatible with tuberculosis, three sputum samples should be collected over an 8-24 hour period of time (including at least one first morning specimen).

 

Unacceptable Conditions: 

Dry specimen, Leaking container, inadequate volume of sputum or fluid specimens (5 ml), specimen on gel or dry swab.

Stability

Refrigerated Stability: 

7 days

 

Ambient Stability: 

24 hours

Performing Laboratory

Pathology Laboratory, UnityPoint Health, Des Moines

CPT

87116

87206

87015

Methodology

Organism Identification is performed by biochemical test and/or Bruker MALDI-TOF mass spectrometry RUO Database. Organism sensitivities (AST) are performed as applicable using Broth Microdilution and/or Gradient diffusion strips using FDA approved methodology and CLSI guidelines.  Performance has been evaluated and verified by UnityPoint Health - Des Moines, Pathology Laboratory.

Performance

Setup daily, 24 hours a day

 

Analytical Time: 

Smear results 24 hours, Culture 8 weeks
Analytical time listed is the average time for a negative culture. Average analytical time may vary for positive, mixed, and complex cultures. Contact the lab for specific questions.

 

Testing Laboratory: 

Pathology Laboratory

 

Laboratory Section: 

Microbiology

Alias

Acid-Fast Bacilli (AFB), AFB (Acid-Fast Bacilli), Bacillus, Acid-Fast, Culture, TB (Tuberculosis), MTB (Mycobacterium tuberculosis), Mycobacteria Culture, Mycobacterium tuberculosis (MTB), TB (Tuberculosis), TB (Tuberculosis) Culture, Tubercle Bacilli: Mycobacterium tuberculosis, Tuberculosis (TB)