Test Code MRA Culture and Sensitivity, Respiratory
Additional Codes
| Epic Ordering Code | LAB267 |
|---|---|
| NBS code | LBC04879 |
| Service code | 23041 |
Specimen Requirements
Submit only one of the following
| Preferred: | |
| White sterile container | Eswab |
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 and Condition
| Specimen Type | All types |
|---|---|
| Transport Condition | Submit sample to lab immediately (ambient) |
| Refrigerate |
Acceptable up to 1 day (Some groups of bacteria may be lost when refrigerated) |
| Unacceptable condition | Gastric aspirate, nasopharyngeal aspirate are not acceptable for bacterial culture. |
| Special instructions | A Gram smear must be ordered for Sputum and ETT aspirate. |
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.
Update
Last updated 28/7/2026
LOINC Code Information
32355-0