Test Code LAB902 Legionella Culture
Infectious
Performing Laboratory
Barnes-Jewish Hospital Laboratory
Specimen Requirements
Acceptable Specimens:
Bronchoalveolar lavage, bronchial brush, bronchial washing, or tracheal aspirate: ≥5 mL in leakproof screw-capped, sterile container.
Pleural or Pericardial fluid: ≥1 mL in leakproof screw-capped, sterile container
Sputum: ≥5 mL in leakproof screw-capped, sterile container
Tissue: ≥1 g in leakproof screw-capped, sterile container
Unacceptable Specimens:
Specimen collected with ESwab Collection Kit is unacceptable
Collection Procedure:
Note: Specimen source is required.
Bronchoalveolar Lavage, Bronchial Washing, Tracheal Aspirate
1. Aseptically collect ≥5 mL.
2. Place specimen in a leakproof screw-capped, sterile container.
3. Maintain sterility and transport promptly to the laboratory. Delayed transport will result in overgrowth by commensal bacteria. If being transported from a remote site, place specimens on ice. For extended transport time (>1 day) freeze specimen and transport on dry ice.
Bronchial Brush
1. Place brush in a leakproof screw-capped, sterile container with 2 mL of sterile saline.
2. Maintain sterility and forward promptly.
3. If transport is delayed, refrigerate specimen.
Pleural or Pericardial Fluid
1. Aseptically collect ≥1 mL of fluid.
2. Place specimen in a leakproof screw-capped, sterile container.
3. Maintain sterility and transport promptly to the laboratory. Delayed transport will result in overgrowth by commensal bacteria. If being transported from a remote site, place specimen on ice. For extended transport time (>1 day) freeze specimen and transport on dry ice.
Sputum
1. Aseptically collect early-morning specimen free of oral contamination in a leakproof screw-capped, sterile container.
2. Instruct patient to brush his/her teeth and rinse mouth well with water.
3. Have patient remove dentures.
4. Instruct patient to take a deep breath, hold it momentarily, and then cough deeply and vigorously into container. Collect 3 mL to 5 mL of discharged material.
5. Maintain sterility and transport promptly to the laboratory. Delayed transport will result in overgrowth by commensal bacteria. If being transported from a remote site, place specimen on ice. For extended transport time (>1 day) freeze specimen and transport on dry ice.
Tissue
1. Aseptically collect ≥1 g of specimen.
2. Place specimen in a leakproof screw-capped, sterile container.
3. Maintain sterility and transport promptly to the laboratory. Delayed transport will result in overgrowth by commensal bacteria. If being transported from a remote site, place specimen on ice. For extended transport time (>1 day) freeze specimen and transport on dry ice.
Specimen Transport Temperature
Ambient/Frozen OK
Reference Values
Negative
Day(s) Test Set Up
Monday through Sunday
Turnaround Time:
STAT: not available
Routine: initial result reported after 3 days; final negative result reported after 7 days
Test Classification and CPT Coding
87081
Additional Information
For BJH Laboratory Use Only
Minimum Volume:
Bronchoalveolar lavage, bronchial washing, or tracheal aspirate: 3 mL in a leakproof screw-capped, sterile container
Bronchial brush: brush in a leakproof screw-capped, sterile container with 2 mL of sterile saline.
Pleural or pericardial fluid: 0.5 mL in a leakproof screw-capped, sterile container
Sputum: 3 mL in a leakproof screw-capped, sterile container
Tissue: any amount is a leakproof screw-capped, sterile container
Laboratory Processing Instructions:
Test performed in BJH Microbiology.