EPIC CODE: LAB877 Acid-Fast Smear for Mycobacterium, Varies

Additional Codes

Sunquest: CAFB

Previously: Mayo SAFB and CTB

REGIONAL HOSPITAL PERFORMING

UnityPoint Health Methodist, Pekin and Pekin for Collection and Processing

Peforming Laboratory:

Pathology Laboratories, Iowa

COLLECTION/TRANSPORT

*

Collect

Submit only 1 of the following specimens:

Specimen Type: Body fluid

Container/Tube: Sterile container

Specimen Volume: 5mL

Specimen Type: Gastric Aspirate

Container/Tube: Sterile container

Specimen Volume: 5mL

Collection instructions: Gastric lavage specimens must be treated with equal parts 1% sodium bicarbonate prior to transport to reference laboratory.

Specimen Type: Respiratory

Sources: Bronchoalveolar lavage fluid, sputum

Container/Tube: Sterile container

Specimen Volume: 5mL

Collection instructions: Collect 3 respiratory specimens for acid-fast smears and culture in patients with clinical and chest X-ray findings compatible with tuberculosis. These 3 specimens should be collected at 8 to 24 hour intervals ( 24 hours when possible) and should include as least 1 first-morning specimen.

Specimen Type: Tissue

Container/Tube: Sterile container

Specimen volume: 5-10mm

Collection Instructions: Collect a fresh tissue specimen

Specimen Type: Urine

Container/Tube: Sterile container

Specimen Volume: 5mL

Collection instructions: Collect a random urine specimen.

Stability

Refrigerated Stability:

7 days

Ambient Stability:

24 hours

Unacceptable Conditions

Dry specimen, Leaking container, inadequate volume of sputum or fluid specimens (<5mL), specimen on swab.

Remarks

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

CPTs

87116; 87206; 87015