Anaerobic and Aerobic Culture

Anaerobic and Aerobic Culture

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$238.00
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Synonyms Anaerobic Culture, Abscess Anaerobic Culture, Body Fluid Anaerobic Culture, Wound Culture, Anaerobic Wound Anaerobic Culture Test Includes Isolation and identification (additional CPT coding of 87076, 87077, 87143, or other code depending on methods required) of potential anaerobic and aerobic pathogens; susceptibility testing if culture results warrant at an additional charge. CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed. Use Isolate and identify anaerobic pathogenic organisms; determine susceptibility of isolates (extra charge). When actinomycetes are suspected, a specific request must be made. Anaerobic cultures are indicated particularly when suspected infections are related to gastrointestinal tract, pelvic organs, associated with malignancy, related to use of aminoglycosides, or occur in a setting in which the diagnosis of gas gangrene or actinomycosis is considered. Anaerobic culture is especially indicated when an exudate has a foul odor or if the exudate has a grayish discoloration and is hemorrhagic. Frequently, more than one organism is recovered from an anaerobic infection. Limitations The only sources for specimens with established validity for meaningful anaerobic culture in patients with pleuropulmonary infections are blood, pleural fluid, transtracheal aspirates, transthoracic pulmonary aspirates, and specimens obtained at thoracotomy. Pleural fluid is preferred for patients with empyema.1 Blood cultures yield positive results in <5% of cases of anaerobic pulmonary infection. Specimens received in anaerobic transport containers are not optimal for aerobic fungus cultures. Mycobacterium sp or Nocardia sp, which may cause abscesses, will not be recovered even if present, since extended incubation periods, aerobic incubation, and special media are necessary for their isolation. Cultures for these organisms should be specifically requested. IUDs will be cultured for Actinomyces sp only. Methodology Anaerobic and aerobic culture