Test Code MIC15 Bacterial Culture and Direct Smear, Lesion, Tissue, Device
Synonym
- General Cult
- Routine culture and smear
Specimen Required
Preferred Container/Tube: Sterile Container
Acceptable Container/Tube: eSwab, Sterile Container
Specimen Source: Lesion, tissue, device
Specimen Minimum Volume: Fluids 1 mL, Tissues 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
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 |
|---|---|---|
| Gram Stain | No | No |
| MALDI-TOF | No | No |
| Susceptibility | No | No |
Reference Values
No growth
Method Description
Smear
Culture
Susceptibility (if appropriate)
Performing Lab
Clinical Lab UH
Clinical Lab University East
Day(s) Performed
Monday through Sunday
Report Available
Preliminary report: 1 day
Final report: 2 to 7 days
Reporting Name
General Culture
CPT Code Information
87070
87205
87077 (if appropriate)
LOINC Code Information
11546-9
6463-4