Escherichia coli O157, Culture
Test Code
Clinical Significance
Escherichia coli O157, Culture - Infection by shiga toxin producing Escherichia coli (STEC) can cause self-limiting diarrhea to hemolytic uremic syndrome (HUS). Serotype O157:H7, the most frequently isolated, has been isolated in large food outbreaks and sporadic cases.
Test Resources
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Test Details
Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87186).
Methodology
Reference Range(s)
Alternative Name(s)
Preferred Specimen(s)
Stool collected in Cary-Blair stool culture transport medium
Alternative Specimen(s)
Rectal swabs in Amies or Cary-Blair stool culture transport medium
Minimum Volume
1 gram or 1 mL
Collection Instructions
Collect in clean, dry container and then transfer a minimum of 1 gram or 1 mL into a Cary-Blair stool culture transport medium. Fluid level should reach line on vial.
Transport Container
Cary-Blair stool culture transport medium
Transport Temperature
Room temperature
Specimen Stability
- Stool or swab in Cary-Blair
- Room temperature: 4 days
- Refrigerated: 4 days
- Frozen: Unacceptable
- Swab in Amies
- Room temperature: 48 hours
- Refrigerated: 48 hours
- Frozen: Unacceptable
Reject Criteria
Unpreserved at any temperature • Frozen specimens in Cary-Blair stool culture transport medium • Expired transport medium • Specimen in diaper or parisitology transport vial
Setup Schedule
Room temperature: 4 days
Refrigerated: 4 days
Frozen: Unacceptable
Swab in Amies
Room temperature: 48 hours
Refrigerated: 48 hours
Frozen: Unacceptable