Test Code EYEGS EYE CULTURE WITH GRAM STAIN
Methodology
Conventional Culture Technique
Includes Gram stain.
Specimen Requirements
Call Logan Health Medical Center Laboratory Microbiology Department at 406-752-1737 to obtain media prior to collection if direct plating is necessary. Media may be inoculated at bedside with exudate or corneal scrapings due to small amount of inoculum available.
Specimen must arrive as soon as possible after collection.
Submit only 1 of the following specimens:
Swab
Container/Tube: Swab(s)
Specimen Volume: Entire specimen
Collection Instructions: Collect specimen
as follows:
1. Take swab for culture before application of topical anesthetics
because topical anesthetics possess antimicrobial activity. Take
corneal scraping after application of anesthetics.
2. Cleanse skin around eye with mild antiseptic.
3. Gently remove makeup and ointment with sterile cotton and
saline.
4. Collect specimen by swabbing.
5. Moisten sterile swab with sterile saline.
6. Pass moistened swab 2 times over lower conjunctiva.
7. Avoid eyelid border and lashes. (Culture these separately in a
similar fashion, if indicated.)
8. Insert swab into moist sponge in swab container to preserve specimen.
9. Label container with patient’s legal name, date and actual time of collection, type of specimen, and as right or left eye.
Note: Specimen source (right or left eye) is required.
Scraping
Container/Tube: Sterile container(s) with
medium
Specimen Volume: Entire specimen
Collection Instructions:
1. Scraping should be done by an ophthalmologist.
2. Use local anesthetic and platinum spatula.
3. Rub spatula with scrapings gently over small area on medium.
4. If too dry, use very small amount of sterile water.
5. Label container with patient’s legal name, date and actual time of collection, type of specimen, and as right or left eye.
Note: Specimen source (right or left eye) is required.
Day(s) Test Set Up
Monday through Sunday
Reference Values
No growth
Performing Laboratory
Logan Health Medical Center Laboratory
Test Classification and CPT Coding
87070-Culture
87205-Gram stain
87076-Anaerobic identification, each (if appropriate)
87077-Aerobic identification, each (if appropriate)
87184-Kirby-Bauer, each (if appropriate)
87186-MIC, each (if appropriate)
Specimen Transport Temperature
Ambient/Refrigerate NO/Frozen NO