Test Code MAFC Culture and Sensitivity, Acid Fast Bacilli (AFB)
Laboratory Code
LAB877
Specimen Requirements
Submit only one of the following
Specimen Type: Respiratory specimens such as sputum, ETT, tracheal, gastric aspirates (laryngeal swabs, throat swabs, nasal swabs, nasopharyngeal swabs from paediatric patient)
Container/Tube: Sterile screw-capped container, eSwab, M40 transystem Amies agar transport media (for non-NUH patients)
Volume: 5.0 mL, Entire swab
Minimum Volume: 2.0 mL, 1 swab
Collection Instructions: First morning, deep cough specimen is preferred.
Please refer to eSwab Training Slides.
Specimen Type: Tissues, biopsies and wound swabs
Container/Tube: Sterile screw-capped container, eSwab, M40 transystem Amies agar transport media (Copan)(for non-NUH patients)
Volume: Tissues / biopsies - as much as possible
Wound swabs - 1 swab
Collection Instructions: Wounds - Collect specimen with sterile swab with transport medium.
Please refer to eSwab Training Slides.
Specimen Type: Urine
Container/Tube: 2 or more sterile containers without boric acid
Minimum Volume: At least 40.0 mL
Collection Instructions: Submit first pass early morning urine in 2 or more sterile containers. Mid-stream, catheterized and 24-hour pooled urine are not advisable.
AFB smear is not performed for urine specimens.
Specimen Type: Gastric Washings, CSF, Peritoneal fluid, Pleural fluid, Synovial fluid, other fluids.
Container/Tube: Sterile screw-capped container
Volume: 3.0 mL for CSF; 5.0 mL for other fluids
Minimum Volume: 2.0 mL
Collection Instructions: Gastric lavage should be collected before breakfast.
Specimen Type: Blood / Bone marrow
Container/Tube: Green Top (Lithium Heparin)
Volume: 4.5 mL
Collection Instructions: AFB smears is not performed for blood specimens.
Specimen Type: Bronchial Washings
Container/Tube: Sterile screw-capped container
Volume: 5.0 mL
Minimum Volume: 2.0 mL
Specimen Stability
Specimen Type | All Types |
---|---|
Ambient | Submit sample to lab immediately |
Refrigerate | 1 day |
Frozen | Unacceptable |
Methodology
Conventional Culture
Days and Times Performed
Monday through Sunday, TAT 8 weeks
Reference Interval
Acid fast bacilli not isolated after 6 weeks’ incubation in liquid medium and 8 weeks’ incubation in solid medium.
Critical Values: Clinician will be informed of positive AFB smear or when Mycobacterium tuberculosis Complex is isolated.
Testing Laboratory
National University Hospital
Clinical Microbiology, 67724343
Useful For
Diagnosis of Mycobacterium infection.
Service Code
23053
LOINC Code Information
6463-4
Update
Last updated 17/3/2025
Unacceptable Condition
1) Tips
2) Hard bones
3) Blood or Bone marrow in EDTA tube
4) Frozen specimen
5) Urine less than 40.0 mL