Stool Culture, Campylobacter sp Only

CPT: 87046
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Test Details

Synonyms

  • Campylobacter jejuni Culture
  • Campylobacter Culture, Stool
  • Culture, Stool, Campylobacter sp

Test Includes

Culture for Campylobacter only; isolation and identification if culture warrants (additional charges/CPT code[s] may apply). CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed.

Use

Determine the presence or absence of Campylobacter species in stool

Methodology

Culture

Reference Interval

No Campylobacter isolated

Additional Information

Campylobacter is the most common cause of bacterial gastroenteritis.

Specimen Requirements

Specimen

Stool or rectal swab placed in stool culture transport vial

Volume

1 to 2 g in stool C&S transport vial

Container

Stool culture transport vial (Para-Pak® orange) is required.

Collection

If collected in sterile bedpan, specimen must not be contaminated with urine, residual soap, or disinfectant.

A single stool specimen cannot be used to rule out bacteria as a cause of diarrhea. It is recommended that two or three stool specimens, collected on separate days, be submitted to increase the probability of isolating a bacterial pathogen. Hospitalized patients who develop diarrhea while hospitalized and more than 72 hours after admission should be tested for Clostridium difficile by detection of toxin A and/or toxin B.

Studies have shown that patients who did not have gastroenteritis or other GI symptoms on admission are unlikely to have diarrheal illness due to Salmonella, Shigella, Campylobacter, or enterohemorrhagic E coli.

Storage Instructions

Maintain specimen at room temperature.

Causes for Rejection

Specimen received in grossly leaking transport container; diapers; dry specimen; specimen submitted in fixative or additive; specimen received in expired transport media or incorrect transport device; inappropriate specimen transport conditions (not in a C&S vial or in an overfilled C&S vial); specimen received after prolonged delay in transport (usually more than 72 hours); specimen stored or transported frozen; wooden shaft swab in transport device; unlabeled specimen or name discrepancy between specimen and request label

Clinical Information

Special Instructions

Fecal specimens for different tests often need different transport containers. Specimens should be portioned out to separate devices of each type for each test requested before sending to the laboratory. Stool for bacterial culture should be submitted in the C&S transport vial; only a thumbnail size portion of stool, about 1 to 2 g or 1 to 2 mL of stool should be added to the vial. Overfilling the vial will reduce recovery of stool pathogens.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
180141 Campylobacter Culture 6331-3 180141 Campylobacter Culture 6331-3
Reflex Table for Campylobacter Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080172 Result 080173 Result 1 6463-4
Reflex Table for Campylobacter Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080172 Result 080174 Result 2 6463-4
Reflex Table for Campylobacter Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080172 Result 080175 Result 3 6463-4
Reflex Table for Campylobacter Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080172 Result 080177 Result 4 6463-4
Reflex Table for Campylobacter Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080172 Result 080178 Antimicrobial Susceptibility 23658-8

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