Carbapenem-resistant Enterobacteriaceae Rectal Screen Culture

CPT: 87081
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Test Details

Use

Detect the presence of carbapenem-resistant or carbapenemase-producing Klebsiella spp and E coli from rectal specimens from patients in hospitals or long-term nursing care environments.

Limitations

Patients may be colonized with CRE or carbapenemase-producing Enterobacteriaceae at a concentration that is not detectable by this method.

Methodology

Culture

Specimen Requirements

Specimen

Rectal or perianal swab

Volume

One swab

Container

Bacterial swab transport

Collection

Pass swab beyond anal sphincter, carefully rotate, and withdraw.

Storage Instructions

Maintain specimen at room temperature. Stability at room temperature: 48 hours

Causes for Rejection

Specimen received without proper identification; inappropriate specimen transport device; unlabeled specimen or name discrepancy on test request label; specimen received after prolonged delay (usually >48 hours); expired transport device

Clinical Information

Special Instructions

This test is intended only for detection of carbapenem-resistant or carbapenemase-producing Klebsiella spp and E coli from rectal swabs. For culture and isolation of other potential pathogens, a stool culture (or other test appropriate for the specimen source) should be ordered.

References

Centers for Disease Control and Prevention (CDC). CDC HAN 341: New Carbapenem-Resistant Enterobacteriaceae Warrant Additional Action by Healthcare Providers. February 14, 2013.
Centers for Disease Control and Prevention (CDC). Laboratory Protocol for Detection of Carbapenem-Resistant or Carbapenemase-Producing, Klebsiella spp. and E. coli from Rectal Swabs. www.cdc.gov/HAI/pdfs/labSettings/Klebsiella or Ecoli.pdf

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
183865 CRE Rectal Screen Culture 73834-4 183865 CRE Rectal Screen Culture 73834-4
Reflex Table for CRE Rectal Screen Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183864 Result 183862 Result 1 73834-4
Reflex Table for CRE Rectal Screen Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183864 Result 183866 Result 2 73834-4
Reflex Table for CRE Rectal Screen Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183864 Result 183867 Result 3 73834-4
Reflex Table for CRE Rectal Screen Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183864 Result 183868 Result 4 73834-4
Reflex Table for CRE Rectal Screen Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183864 Result 183869 Antimicrobial Susceptibility 23658-8

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The LOINC® codes are copyright © 1994-2017, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC® codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Additional information regarding LOINC® codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf