Download TEST Blood C/S (Aerobic and Anaerobic – ARD) SYNONYM/S

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Transcript
TEST
Blood C/S (Aerobic and Anaerobic – ARD)
SYNONYM/S
Blood Culture and Sensitivity
LAB SECTION
Bacteriology
AVAILABILITY
Daily (24 hours)
TURN AROUND TIME (TAT)
(upon receipt of the laboratory)
PATIENT PREPARATION
48 hours (Aerobic)
72 hours (Anaerobic)
7 days (final report negative culture)
As per doctor’s recommendation
SPECIMEN
Blood
VOLUME OF SPECIMEN
Amount of blood should be proportional to the medium
as indicated in the blood culture bottle.
Blood Culture bottles (Aerobic and Anaerobic)
Pediatric blood culture bottle (Aerobic)
Specimen collected in appropriate sterile container.
Specimen quantity is not sufficient for analysis.
Specimen not properly identified
Contamination
Broken, damaged or leaking bottle
Note: The physician or nursing station will be notified if
an unacceptable specimen is received. Another specimen
will be requested before the specimen is discarded.
CONTAINER
CAUSES OF REJECTION
COLLECTION AND TRANSPORT
NORMAL VALUE
Collection: Aseptic technique
Transport as soon as possible within 2 hours in ambient
temperature. Do not refrigerate.
Clean the tip of the bottle using an alcohol pad if cultures
become soiled during collection
Initial report:
Aerobic
– No growth after 48 hours of incubation.
Anaerobic – No growth after 72 hours of incubation.
Final report – No growth after 7 days.
LIMITATIONS
A single negative culture does not rule out infection.
Skin preparation prior to collection is critical to avoid
contamination with skin flora.
Yeast often is isolated from routine blood cultures.
However, if yeast or fungi are suspected, a separate
fungal culture should be drawn.
Previous antimicrobial therapy may delay the growth of
organisms.
Patients suspected of having brucellosis, tularemia,
leptospirosis, AFB, viruses or cell wall deficient bacteria
must be indicated on the request. These organisms
cannot grow in basic media and require special
processing into specially supplemented media.
METHODOLOGY
Fluorescence/Colorimetric Method