Nocardia culture, stain

Alphabetical Test listing

Nocardia culture, stain-12425

  
Nocardia culture, stain
  
12425
  
LAB12425
  
NOCA
  
  • Culture
  • Acid-fast stain
  • Identification, susceptibilities and serogrouping will be performed on all microbiology isolates considered by the laboratory to be significant
  

Nocardia species are bacteria found in soil and water, and their isolation in culture may represent colonization of the skin or upper respiratory tract, rather than infection. Infections result from trauma-related inoculation or inhalation. In the immunocompetent, Nocardia, predominantly N. brasiliensis, causes chronic subcutaneous infection (mycetoma), lymphocutaneous infections, skin abscesses, or cellulitis. In immunocompromised patients, Nocardia can cause invasive pulmonary infections and disseminated infections, including brain and skin lesions. More than 80% of Nocardia infections are caused by N. asteroides

  
Sputum
  
  

Multiple specimens should be collected for recovery of Nocardia in culture (3 early morning specimens collected on separate days). In mycetomas, sinus tract drainage and granules (microcolonies) are recommended for direct exam and culture.

Sputum collection

 

 

  

Screw cap plastic container (sterile)

  
Exudate, aspirate, body fluid, CSF, biopsy (lung, skin, other), tissue, bronchial specimens, BAL, or other specimens
  

Ambient - 24 hours

  
  • Improper label (unlabeled or mislabeled)
  • Time delay between time of collection and receipt of specimen
  • Improper transport container
  • Improper transport temperature
  • Inappropriate specimen type
  • Leaking container
  
AHL - Microbiology: M
  
Daily
  
Positive: as soon as available; Negative: 4 weeks
  

Culture

  

.

  
87070

Additional CPT codes (if appropriate): 87186 - Sensitivities
87077 - ID

This list may not be all inclusive if there is the need to send the ID or sensitivities out to a referral laboratory
  
03/05/2014
  
09/25/2019
  
03/04/2020