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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

ESwab with regular swab

ESwab with flexible minitip swab

Sterile Container with screw-on lid

 

Collection Instructions

Specimen Type: Non sputum sites such as tracheal aspirate, sinus, epiglottis, tonsil, peritonsillar abcess


Container/Tube: ESwab

Collection Instructions: Indicate source of specimen. Specimen is unacceptable if received without fluid or swab in the transport tube.

  1. Open the peel pouch and remove the contents. Aseptically unscrew and remove the cap from the ESwab.

  2. Place the tube in a secure position so as not to allow the liquid to leak out of the tube.

  3. Remove the swab. Collect the patient's sample using the swab. 

  4. Insert the swab back into the tube of liquid, all the way to the bottom of the tube.

  5. Holding the swab shaft close to the rim of the tube, break the applicator shaft at the color breakpoint indication line.

  6. Screw the cap on tightly to prevent leakage. Discard the broken handle of the shaft into an approved medical waste disposal container.

  7. Write the patient's information (Name and Date of Birth) on the tube or apply a label with patient’s information. Indicate source.

  8. Send specimen to the Laboratory.

Specimen Transport Temperature: Ambient

 

Specimen Type: Sputum


Container/Tube: Sterile container

Preferred Volume to Collect: 5.0 mL

Minimum Volume to Collect: 1.0 mL

 

Collection Instructions:

  1. Morning collection is preferred.
  2. Rinse mouth with water or saline prior to collection
  3. Collect four or five deep coughs in a sterile specimen container.
  4. Place cap on the container.
  5. Label with orders (include source: sputum).
  6. 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