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Test Code LAB12023 Acid Fast (AFB) Culture with Stain

Department

MICROBIOLOGY

Collection Requirements

Fresh early morning sputum specimens collected on successive days are preferred. Not to exceed 10 mL. Important that sputum expectoration be "from deep down in the lungs" as opposed to the expectoration of saliva or nasalpharyngeal secretions.

Other types of specimens that may be submitted for mycobacteria isolation are: Tissue, body fluids, urine, gastric, and stool.

Must indicate source.

Primary Collection Container

Sterile Container

Transport

Must be received within 24 hours

Preferred Transport Temperature

Ambient if transported within 1 hour of collection; refrigerated if transport time will exceed 1 hour from collection.

Processing

If a respiratory culture is ordered on the same specimen, transport at ambient temperature within 1 hour of collection. The respiratory culture will be set up immediately upon receipt, then refrigerate specimen for acid fast set up on first shift.

Stability

Ambient: 1 hour

Refrigerated: 24 hours

Minimum Testing Volume

2.0 mL

Reference Range

No Acid-Fast Bacilli Isolated.

Methodology

Culture

Performed

Monday – Friday

6:00 am – 3:00 pm

Reported

6-7 weeks

CPT Codes

87116; 87206; 87015 if concentracted

Unacceptable Conditions

Specimens appearing to be expectorated as saliva.

Specimens with inadequate volume.

Specimens >24 hours from collection.