Culture, Select Agent

Culture, Select Agent

Test Code

11873
87081
11873
87081
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano | Quest Nichols Institute -San Juan Capistrano, CA. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.

Clinical Significance

Culture, Select Agent - Pathogens recovered with this culture fit the categorical description of a Select Agent defined by the CDC and NIH. These pathogens include but are not limited to Bacillus anthracis, Brucella, Francisella tularensis, Yersinia pestis, Burkholderia mallei, Burkholderia pseudomallei. These select agents may cause anthrax, plague, mellioidosis and glanders, tularemia, and brucellosis. Each of these can cause septicemia, pneumonia, and tissue involvement.

Test Resources

Topic Brief

Tick-borne Disease: Laboratory Support of Diagnosis and Management

Test Details

Methodology

Bacterial Culture Aerobic
Includes routine isolation procedures. Suspicious isolates referred to state/local health department for definitive identification. Susceptibility testing not performed.

Reference Range(s)

See Laboratory Report

Alternative Name(s)

Rabbit fever,Yersinia pestis,Anthrax Culture,Culture, Anthrax,Culture, Bacillus Anthrax,R/O Anthrax,Tularemia,Deer-fly Fever,Hare Fever,Plague

LOINC® Codes, Performing Laboratory

Service Area must be determined

Methodology

Bacterial Culture Aerobic
Includes routine isolation procedures. Suspicious isolates referred to state/local health department for definitive identification. Susceptibility testing not performed.

Reference Range(s)

See Laboratory Report

Alternative Name(s)

Rabbit fever,Yersinia pestis,Anthrax Culture,Culture, Anthrax,Culture, Bacillus Anthrax,R/O Anthrax,Tularemia,Deer-fly Fever,Hare Fever,Plague
Service Area must be determined

Preferred Specimen(s)

5 mL or 5 grams abscess collected in a Amies liquid transport swab, Amies gel transport swab, Amies liquid elution swab (ESwab) or equivalent or
5 mL or 5 grams tissue collected in a sterile leak-proof container

Alternative Specimen(s)

Collected in a sterile leak-proof container: Sputum, bronchial washing/lavage, or vesicular fluid/aspirate • Cutaneous lesion collected in: Amies liquid transport swab, Amies gel transport swab, Amies liquid elution swab (ESwab) or equivalent • BacT/ALERT blood culture bottle set: Blood or bone marrow

Minimum Volume

1 mL • 1 gram

Collection Instructions

Indicate suspected organism

Transport Container

Amies liquid transport swab, Amies gel transport swab
Amies liquid elution swab (ESwab) or equivalent
Sterile leak-proof container

Transport Temperature

Swabs, blood or bone marrow: Room temperature
Tissue, sputum, bronchial washing/lavage, vesicular fluid/ aspirate: Refrigerated (cold packs)

Specimen Stability

  • Abscess or cutaneous lesion swab, tissue, or vesicular fluid/aspirate
    Room temperature: 48 hours
    Refrigerated: 48 hours
    Frozen: Unacceptable

    Respiratory
    Room temperature: Unacceptable
    Refrigerated: 48 hours
    Frozen: Unacceptable

    Blood and bone marrow
    Room temperature: 48 hours
    Refrigerated: Unacceptable
    Frozen: Unacceptable

Reject Criteria

Viral transport medium • DNA Probe transport device • Dry swabs • Reject the following and immediately notify your supervisor, manager, or director, who will notify the appropriate public health authority: Environmental specimens, Suspicious substances (powders), or Veterinary specimens

Setup Schedule

Service Area must be determined
5 mL or 5 grams abscess collected in a Amies liquid transport swab, Amies gel transport swab, Amies liquid elution swab (ESwab) or equivalent or
5 mL or 5 grams tissue collected in a sterile leak-proof container
Collected in a sterile leak-proof container: Sputum, bronchial washing/lavage, or vesicular fluid/aspirate • Cutaneous lesion collected in: Amies liquid transport swab, Amies gel transport swab, Amies liquid elution swab (ESwab) or equivalent • BacT/ALERT blood culture bottle set: Blood or bone marrow
1 mL • 1 gram
Indicate suspected organism
Amies liquid transport swab, Amies gel transport swab
Amies liquid elution swab (ESwab) or equivalent
Sterile leak-proof container
Swabs, blood or bone marrow: Room temperature
Tissue, sputum, bronchial washing/lavage, vesicular fluid/ aspirate: Refrigerated (cold packs)

Abscess or cutaneous lesion swab, tissue, or vesicular fluid/aspirate
Room temperature: 48 hours
Refrigerated: 48 hours
Frozen: Unacceptable

Respiratory
Room temperature: Unacceptable
Refrigerated: 48 hours
Frozen: Unacceptable

Blood and bone marrow
Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable

Viral transport medium • DNA Probe transport device • Dry swabs • Reject the following and immediately notify your supervisor, manager, or director, who will notify the appropriate public health authority: Environmental specimens, Suspicious substances (powders), or Veterinary specimens
Service Area must be determined
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano | Quest Nichols Institute -San Juan Capistrano, CA. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.
Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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