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Test Code TBRESP Culture, Acid-Fast Bacilli (AFB), Lower Respiratory

Methodology

Conventional Culture for Acid-Fast Bacilli/Auramine-Rhodamine Fluorescent Stain
Includes AFB culture and smear. Identification will be performed at Mayo Medical Laboratories, and susceptibility testing will be performed at Mayo Medical Laboratories  when Mycobacterium tuberculosis is identified. Susceptibility testing for other Mycobacteria species will be performed off-site upon request.

Performing Laboratory

St. Clair Hospital Laboratory

Specimen Requirements

Submit only 1 of the following specimens:

 

Bronchial Washings and Suctional Sputum
1. Aseptically collect 5 mL to 10 mL of fluid in a screw-capped, sterile container.
2. Maintain sterility and forward promptly at ambient temperature. Send specimen refrigerated if specimen storage is >1 hour.
Note:  Specimen source is required on request form for processing.

 

Sputum

Aerosol-Induced
1. Collect 5 mL to 10 mL from an early-morning specimen on at least 3 consecutive days (1 per day) in a screw-capped, sterile container as follows:
A. Induce cough by inhalation of warm, aerosolized, sterile sodium chloride solution and collect aerosol-induced specimen.
2. Maintain sterility and forward promptly at ambient temperature. Send specimen refrigerated if specimen storage is >1 hour.
Note:  Specimen source is required on request form for processing.

 

Deep Cough
1. Collect 5 mL to 10 mL from an early-morning specimen on at least 3 consecutive days (1 per day) in a screw-capped, sterile container as follows:
A. Instruct patient to brush his/her teeth and/or rinse mouth well with water.

B. Have patient remove dentures.

C. Instruct patient to take a deep breath, hold it momentarily, and cough deeply and vigorously into container and collect deep-cough specimen.

2. Maintain sterility and forward promptly at ambient temperature. Send specimen refrigerated if specimen storage is >1 hour.
Note:  1. Nasal secretion, saliva, or 24-hour collection is not acceptable.
2. Specimen source is required on request form for processing.

Reference Values

Negative (no mycobacteria isolated after 56 days)
If positive, mycobacterium will be identified.

Day(s) Test Set Up

Monday through Sunday