C SPUTUM GS

Culture, Sputum with Gram Stain

EPIC Test Procedure Code: LAB2557

Performing Lab:
Saint Luke's Regional Laboratories
Patient Preparation:

To remove some indigenous flora from the mouth area, have the patient rinse the mouth with water just prior to obtaining the specimen.

Container Type:
Screw-capped, sterile container
Specimen Type:

Sputum

Preferred Volume:
10 mL
Collection Procedure:

1. Collect 10 mL of sputum from first-morning deep cough in a screw-capped, sterile container. Watery and non-viscid specimens are saliva and should not be submitted.
2. Label the container with the patient's full name, date of birth, identification number, date and time of collection, initials of the person collecting the specimen, and the specimen source.
3. Maintain sterility and forward promptly.
4. The specimen source is required on the request form for processing.
5. If nebulization has been used, it must be noted on the request form.

Store and Transport:
Refrigerated
Unacceptable Condition:

1. A 24-hour collection is not acceptable for a bacterial culture.
2. Acid-fast culture of such specimens is discouraged.
3. Unacceptable specimens will be held for 24 hours before discarding.

CPT Codes:

87070 - Culture Sputum (EAP 30060860)
87205 - Gram Stain (EAP 30061200)
87077 - Aerobic identification (if appropriate)
87184 - Susceptibility studies, disk method (if appropriate)
87186 - Susceptibility studies, microdilution or agar dilution (if appropriate)

Test Schedule:
Monday through Sunday
Test Includes:
Gram stain is routinely performed.
Reference Ranges:

Normal upper respiratory flora.

Clinically significant isolates will have susceptibility testing performed.

Lab Personnel

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