Epic Code LAB1231036 Respiratory Culture
Test Name Alias
Tonsil | Peritonsillar abscess |Culture Respiratory Sputum |Qualitative |Sputum Gram Stain |Culture Resp withoutGram Stain | Comprehensive Throat | Sputum Culture | Throat Culture Comprehensive | 1230102665
Interface Order Alias
1231036
Clinical Information
- CHS: Providers add comment, "screen for Aerobic Actino" if needed.
- CHW: Lower respiratory tract specimens will include a Gram stain orde
Icons & Photos
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ESwab with regular swab |
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ESwab with flexible minitip swab |
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Sterile Container with screw-on lid |
Collection Instructions
| Specimen Type: Non sputum sites such as tracheal aspirate, sinus, epiglottis, tonsil, peritonsillar abcess |
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Container/Tube: ESwab
Collection Instructions: Indicate source of specimen. Specimen is unacceptable if received without fluid or swab in the transport tube.
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Open the peel pouch and remove the contents. Aseptically unscrew and remove the cap from the ESwab.
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Place the tube in a secure position so as not to allow the liquid to leak out of the tube.
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Remove the swab. Collect the patient's sample using the swab.
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Insert the swab back into the tube of liquid, all the way to the bottom of the tube.
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Holding the swab shaft close to the rim of the tube, break the applicator shaft at the color breakpoint indication line.
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Screw the cap on tightly to prevent leakage. Discard the broken handle of the shaft into an approved medical waste disposal container.
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Write the patient's information (Name and Date of Birth) on the tube or apply a label with patient’s information. Indicate source.
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Send specimen to the Laboratory.
Specimen Transport Temperature: Ambient
| Specimen Type: Sputum |
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Container/Tube: Sterile container
Preferred Volume to Collect: 5.0 mL
Minimum Volume to Collect: 1.0 mL
Collection Instructions:
- Morning collection is preferred.
- Rinse mouth with water or saline prior to collection
- Collect four or five deep coughs in a sterile specimen container.
- Place cap on the container.
- Label with orders (include source: sputum).
- Deliver to lab immediately.
A Gram stain is performed for culture suitability. If the results of the Gram stain is consistent with saliva, the culture will be rejected.
Link: Patient Collection Instructions
Specimen Transport Temperature (Off-site collection)
CHW Transport Temperature: Refrigerated
CHS Transport Temperature: Ambient
Specimen Stability
Ambient:
- Sterile container send to the lab as soon as possible
- Swab: 48 hours
- CHS: Specimen may be compromised do to greater than 8 delay between specimen collection and arrival in laboratory.
Refrigerated:
- Sterile container: 24 hours
- Swab: 48 hours
- CHS: DO NOT REFRIGERATE
Laboratory Retention:
- CHW: 4 days
- CHS: 3 days
Test Frequency
Available daily, usual TAT 2-3 days.
Reference Range
Normal upper respiratory flora, or no bacteria isolated.
Performing Department
Microbiology
Performing Department Laboratory Location
CHW: Corewell Health Reference Laboratory, Grand Rapids, MI
CHS: Corewell Health Lakeland St. Joseph Laboratory, St. Joseph, MI
Methodology
Manual
CPT
87070
If identification and/or susceptibility are indicated, additional charges may follow.
CDM Code
3068707001
Epic Test ID
1230102665
Reviewed Date
3/24/2025
Orderable Regions
Southwest; West
Updated Date
2/20/2024 - Added
8/13/2024 - 265 - Alias Updated
4/18/2025 - CHS info added
5/23/2025 - Specimen integrity clarification