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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