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Culture, Bronchial

Mnemonic

C BRONCH

Synonym

Bronch Culture

Includes

Gram stain and susceptibility, if generally applicable.

Guidelines

Use only for respiratory specimens collected with a bronchoscope, may include Bronchial Wash, Bronchial Lavage, Bronchial Brush. Order Pertussis, Pneumocystis, Chlamydia, AFB, Fungus, Virus, or Respiratory Panel by PCR separately.

Specimen Collection Requirements

Patient Preparation

Use aseptic collection during aspiration.

Collect

Aspirated fluid

Handling

Collect fluid in a sterile tightly sealed container, do not leave tubing attached to the cap. For protected brush, aseptically cut off brush without sheath into 1.0 mL of non-bacteriostatic saline in screw-top container.

Preferred Volume

1.0-10.0 mL

Minimum Volume

0.5 mL

Transport

Room temperature, ASAP

Rejection Criteria

Frozen specimens, specimens in formalin type preservative, leaking or nonsterile containers

Stability

Ambient: 2 hours; Refrigerated: 24 hours; Frozen: Unacceptable

Testing Information

Performed

7 days/week

Reported

Preliminary Negative: 1 day; Final Negative: 2-3 days

Method

Standard Aerobic Bacterial Culture, Anaerobic Culture performed on properly collected specimens (e.g. protected brushes)

Reference Values

Reference Values

No growth, or normal upper respiratory flora

Comments

Liquid specimens reported as CFU/mL.  Indicate if specific organism requested.  Additional charges as needed for identification and to differentiate normal flora from pathogens (CPT 87077). Susceptibility tests are performed as appropriate (CPT 87186, 87184, 87181, 87147).

CPT Codes

87070, 87075, 87205 (87077, 87186, 87184, 87181, 87147 as needed)

Last Updated: Thursday, July 9, 2020 03:21:51 AM


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