Test Code LAB240 Fungus Culture
Clinical Information
Detection and identification of fungi.
Synonym
- FUNCX
Specimen Required
Preferred Container/Tube: eSwab
Acceptable Container/Tube: eSwab
Specimen Source: Wound, lesion, genital
Specimen Minimum Volume: 1 mL
Preferred Container/Tube: Sterile Container
Acceptable Container/Tube: Sterile Container
Specimen Source: Sterile body fluid, tissue, urine, respiratory
Specimen Minimum Volume: Fluid 1 mL, Tissue 5 mm
If limited specimen is received, tests will be processed in the following order of priority. Tests unable to be processed will be canceled.
1. Aerobic culture
2. Anaerobic culture
3. Fungal culture
Specimen Collection Information
Transport specimen to laboratory as soon as possible.
Fresh tissue (5–10 mm) or body fluid (1–1.5 mL) should be collected for microbial culture. E-swab specimens are acceptable only for tissue collection when biopsy is not feasible. They must not be used for body fluid collection under any circumstances. All body fluid specimens must be submitted in sterile, leak-proof containers. A separate tissue or body fluid specimen must be submitted for mycobacterial culture, as it requires distinct handling and processing protocols.
Fine needle aspiration (FNA) yields limited material and may not meet the minimum tissue volume (5–10 mm) required for optimal culture sensitivity. Core needle biopsy is preferred for microbiologic evaluation of deep tissue infections.
Bone samples frequently arrive as small fragments. While acceptable, larger tissue pieces (≥5 mm) enhance sensitivity and improve pathogen recovery.
Specimen Stability Information
Ambient:
Sterile Container: 24 hours
eSwab: 2 days
Rejected Due To
- Body fluid received in Eswab
Testing Algorithm
When this test is ordered, the reflex tests may be performed at an additional charge.
Reflex Test
| Reporting Name | Available Separately | Always Performed |
|---|---|---|
| MALDI-TOF | No | No |
| Susceptibilities | No | No |
Reference Values
No growth
Interpretation
Positive cultures of yeast and filamentous fungi are reported with the organism identification.
Cautions
Identification was performed on the MALDI-TOF mass spectrometer biotyper. This test was developed by The Clinical Microbiology Laboratory at The Ohio State University Wexner Medical Center. It has not been cleared or approved by the FDA. The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.
Method Description
Culture
Susceptibility (if appropriate)
Performing Lab
Clinical Lab University East
Day(s) Performed
Monday through Sunday
Report Available
28 days
Reporting Name
Fungus Culture
CPT Code Information
87102
87106 (if appropriate)
LOINC Code Information
6463-4