Test Code MRA Culture and Sensitivity, Respiratory
Specimen Requirements
Submit only one of the following
Specimen Type: Sputum, ETT aspirate, tracheal
aspirate, BAL
Container/Tube: Sterile screw-capped container
Volume: 2.0mL
Minimum Volume: 0.5mL
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 (Copan)(for non-NUH patients)
Volume: 1 swab
Collection Instructions: Insert a sterile swab
into the nose approximately 2.5cm and rotate the swab against the
anterior nares. Place swab in transport medium.
Please refer to Test Catalogue -> Test Collection Information -> eSwab Training Slides
Specimen Type: Throat swab
Container/Tube: eSwab, M40 transystem Amies agar
transport media (Copan)(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 Test Catalogue -> Test Collection Information -> eSwab Training Slides
Sample Stability
** Preferred temperatures for storage prior to and during shipping to NUH **
Specimen Type: | All types |
---|---|
Ambient: | Submit sample to lab immediately |
Refrigerate: | 24 hours (Some groups of bacteria may be lost when refrigerated) |
Frozen: | Unacceptable |
Reference Interval
No growth of respiratory pathogens.
Days and Times Performed
Monday through Sunday, TAT 1-6 days
Methodology
Conventional Culture
Service Code
23041
Update
Last updated 11/10/2021
Unacceptable Condition
Gastric aspirate, nasopharyngeal aspirate are not acceptable for bacterial culture.
Testing Laboratory
National University Hospital
Clinical Microbiology, 67724343
Useful For
Diagnosis of respiratory tract infections.
Test Information
A Gram smear must be ordered for Sputum and ETT aspirate.