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Test Code MRA Culture and Sensitivity, Respiratory

Laboratory Code

LAB267

Specimen Requirements

Submit only one of the following

 

Specimen Type: Sputum, ETT aspirate, tracheal aspirate, BAL
Container/Tube: Sterile screw-capped container
Volume: 2.0 mL
Minimum Volume: 0.5 mL
Collection Instructions:

 

Sputum:

  • Rinse mouth with water to remove food particles.
  • Collect 4 to 5 deep coughs into a sterile container.
  • Do not send saliva.
  • Cap container tightly, label, and send to the laboratory immediately.
  • Sputum quality will be assessed with a Gram smear. Specimens heavily contaminated with oral flora will be rejected.

BAL: BAL fluid is preferred to bronchial washings for bacterial culture.
 

Please indicate if extended incubation is required when slow growing bacteria such as Nocardia, Actinomyces are suspected.

 

Specimen Type: Nasal swab
Container/Tube: eSwab, M40 transystem Amies agar transport media (for non-NUH patients)
Volume: 1 swab
Collection Instructions: Insert a sterile swab into the nose approximately 2.5 cm and rotate the swab against the anterior nares. Place swab in transport medium.

 

Please refer to eSwab Training Slides.

 

Specimen Type: Throat swab
Container/Tube: eSwab, M40 transystem Amies agar transport media (for non-NUH patients)
Volume: 1 swab
Collection Instructions: Sample only areas of exudate, membrane formation, inflammation or tonsillar crypts. Avoid touching the tongue or other mucous surfaces.

 

Please refer to eSwab Training Slides.

Specimen Stability

Specimen Type All types
Ambient Submit sample to lab immediately
Refrigerate 24 hours (Some groups of bacteria may be lost when refrigerated)
Frozen Unacceptable

Methodology

Conventional Culture

Days and Times Performed

Monday through Sunday, TAT 1-6 days

Reference Interval

No growth of respiratory pathogens.

Testing Laboratory

National University Hospital

Clinical Microbiology, 67724343

Useful For

Diagnosis of respiratory tract infections.

Service Code

23041

LOINC Code Information

32355-0

Update

Last updated 17/3/2025

Unacceptable Condition

Gastric aspirate, nasopharyngeal aspirate are not acceptable for bacterial culture.

Test Information

A Gram smear must be ordered for Sputum and ETT aspirate.