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