Test Code ANACUL Culture, Anaerobic
Methodology
Conventional Culture TechniquePerforming Laboratory
Sky Lakes Medical Center-MicrobiologySpecimen Requirements
Unacceptable Specimens: Any area with fecal contamination; catheter tip; cervical, prostatic, or vaginal secretions; decubitti; gingival or nasopharyngeal swabs; single-channel bronchoscope or gastric washings; skin ulcers; sputum; superficial skin lesions; surgical drain sites; throat; voided urine
Extreme care must be taken to avoid contamination by anaerobic normal flora and overgrowth by coexisting aerobic bacteria.
Specimen source is required.
Submit only 1 of the following specimens per culture request:
Preferred
Specimen Type: Any closed abscess
Container/Tube: Anaerobic Specimen Collector Swab in single anaerobic specimen collector vial
Specimen Volume: Swab
Collection Instructions:
1. Aseptically collect specimen from abscess cavity.
2. Immediately place swab in collector vial.
3. Label vial with patient’s name (first and last), medical record number or date of birth, specimen source, and date and time of collection.
Alternate
Specimen Type: Aspirate from any closed abscess
Container/Tube: Needle and syringe with Luer-tip cap or similar device
Specimen Volume: 0.5 mL
Collection Instructions:
1. Aseptically collect specimen.
2. Remove needle, and send syringe to laboratory.
3. Label vial with patient’s name (first and last), medical record number or date of birth, specimen source, and date and time of collection.
Specimen Type: Body fluid aspriate
Container/Tube: Anaerobic transport vial or sterile anaerobic specimen container
Specimen Volume: 0.5 mL
Collection Instructions:
1. Aseptically collect specimen.
2. Label vial with patient’s name (first and last), medical record number or date of birth, specimen source, and date and time of collection.
Specimen Type: Lower respiratory tract secretions
Container/Tube: Anaerobic transport vial
Specimen Volume: 0.5 mL
Collection Instructions:
1. Aseptically collect specimen by percutaneous transtracheal aspiration.
2. Label vial with patient’s name (first and last), medical record number or date of birth, specimen source, and date and time of collection.
Specimen Type: Sinus tract/uterine cavity/wound (deep)
Container/Tube: Syringe with plastic intravenous type of catheter in anaerobic transport vial or syringe with Luer-tip cap
Specimen Volume: 0.5 mL
Collection Instructions:
1. Aseptically collect specimen by syringe aspiration using a plastic intravenous type of catheter threaded into infected site.
2. Soft tissue infections may be cultured by injecting 1 to 2 mL of sterile saline into infected site and then withdrawing saline and tissue juice into syringe. Cap syringe, and send syringe to laboratory.
3. Label vial with patient’s name (first and last), medical record number or date of birth, specimen source, and date and time of collection.
Specimen Type: Tissue
Container/Tube: Sterile container
Specimen Volume: Entire collection
Collection Instructions:
1. Aseptically collect specimen by surgical excision.
2. Label vial with patient’s name (first and last), medical record number or date of birth, specimen source, and date and time of collection.
Specimen Type: Urine, suprapubic
Container/Tube: Sterile container
Specimen Volume: A minimum of 0.5 mL
Collection Instructions:
1. Aseptically collect urine by suprapubic needle aspiration of bladder.
2. Label vial with patient’s name (first and last), medical record number or date of birth, specimen source, and date and time of collection.