Test Code SPUGS Culture, Sputum, with Gram Stain
Methodology
Includes Gram stain.
If Gram stain shows >25 WBCs/LPF and <10 epithelial cells/LPF, sputum culture will be performed at an additional charge. Sputum specimen (expectorated and induced) which do not meet these criteria will be rejected. Endotracheal specimen will never be rejected.
Specimen Requirements
Submit only 1 of the following specimens:
Endotracheal Secretion
Container/Tube: Sterile container(s)
Specimen Volume: 2 mL (minimum
volume: 0.5 mL) of endotracheal secretion
Collection Instructions:
- If aspirated in a syringe, replace needle with a sterile, rubber cap prior to transporting specimen.
- Label container/syringe with patient’s legal name, date and actual time of collection, and type of specimen.
Expectorated
Container/Tube: Sterile container(s)
Specimen Volume: 2 mL (minimum volume: 1
mL) of sputum-24-Hour collection is not
acceptable.
Collection Instructions:
- Instruct patient to cough deeply and expectorate sputum into container.
- Label container with patient’s legal name, date and actual time of collection, and type of specimen.
Note: A “deep cough” specimen, not saliva, must be collected for an adequate evaluation.
Induced
Container/Tube: Sterile container(s)
Specimen Volume: 2 mL (minimum volume: 1
mL) of sputum-24-Hour collection is not
acceptable.
Collection Instructions:
- Fill ultrasonic nebulizer with 10 mL of 3% sterile sodium chloride solution.
- Seat patient in front of nebulizer.
- Turn on nebulizer and note strong flow of nebulizer saline from end of flex tubing.
- Instruct patient to put end of flex tubing inside lips and inhale aerosol slowly and deeply.
- Instruct patient to cough deeply and expectorate sputum into container.
- If patient cannot expectorate sputum, 5 to 10 minutes of chest percussion may be administered to stimulate cough and sputum production.
- Label container with patient’s legal name, date and actual time of collection, and type of specimen.
Note: A “deep cough” specimen, not saliva, must be collected for an adequate evaluation.
Day(s) Test Set Up
Monday through Sunday
Reference Values
Normal respiratory flora
Normal flora includes alpha hemolytic Streptococcus (viridans group), Neisseria species, coag-negative Staphylococcus, and diptheroids.
Performing Laboratory
Logan Health Medical Center Laboratory
Test Classification and CPT Coding
87205-Gram stain
87070-Culture (if appropriate)
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