EPIC Code

LAB8619

Performing Lab

UCHealth University of Colorado Hospital Clinical Laboratory - Microbiology: 720-848-7084

Collect

See Lippincott Procedure "Blood Culture Sample Collection" and Blood Culture Job Aid for phlebotomy instructions.

One blood culture set requires drawing 20-22 mL: 10mL per bottle (aerobic and anaerobic) and, for line draws only, 1-2 mL for green top tube (heparin). Two sets of cultures are recommended, each set drawn from a diffferent site, or from the same site 10 minutes apart.

Collection by patient weight: See table below
 
Patient Weight Blood Culture Bottle
≤ 17 kg Pediatric Bottle
> 17 kg Standard Aerobic/Anaerobic Bottles
 
Collection Volumes:
 
Blood Culture Media Description Optimal Volume Minimum Volume
Aerobic Bottle Grey Cap/ Blue Label 8-10 ml 5 ml
Anaerobic Bottle Purple Cap/ Purple Label 8-10 ml 5 ml (if less, put all blood in aerobic bottle)

Pediatric Collection

 
Blood Culture Media Description Optimal Volume Minimum Volume
Pediatric Bottle Pink Cap/ Pink Label 0.5-3 ml 0.5 ml

Unacceptable Conditions

  • Sample not properly identified
  • Incorrect container
  • Blood culture bottles other than Bactec brand
  • Broken bottles
  • Pediatric blood culture bottles used for adult samples
  • Anaerobic bottle submitted without aerobic bottle

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Transport to the laboratory as soon as possible. DO NOT refrigerate. Transportation time must not exceed 16 hours.

Performed

Daily

Stability (from collection to initiation)

Ambient: Transport to laboratory as soon as possible, and not to exceed 16 hours, to achieve best results
Refrigerated: Unacceptable
Frozen: Unacceptable.

Remarks

Routine blood cultures detect aerobic and anaerobic bacteria as well as fungus (yeast). Single sets should only be used to document a continuous bacteremia after the initial sets have become positive. Blood cultures should be obtained by venipuncture unless otherwise ordered by the provider. Quantitative blood cultures drawn in heparin tubes are important to assess bacteremia that may be caused by an infected line.

Notes

Place labels which include the patient's full name and medical record number on each bottle and on the heparin tube. DO NOT COVER THE BAR CODE LABELS ON THE BOTTLES. Write on the label: 1) Site of blood draw; 2) Actual time of blood draw; 3) Date; and 4) Your initials.

 

Gram stain, identification, and susceptibility tests are billed separately from the culture.

Performed

Daily

Methodology

Nonradiometric, continuous monitor instrument, Bactec.

Organism(s) recovered in culture may be identified by MALDI-TOF. Identification by MALDI-TOF was developed and its performance characteristics determined by the University of Colorado Hospital Authority.  It has not been cleared or approved by the U.S. Food and Drug Administration.  The laboratory is regulated under CLIA as qualified to perform high-complexity testing.  This test is used for clinical purposes.  It should not be regarded as investigational or for research.

Reported

Bottles are read every 10 minutes by the instrument. Positive specimens are reported immediately to the provider. Negative cultures are reported after 7 days.

Synonyms

  • Sepsis
  • Bacteremia

EPIC Code

LAB8619

CPT Codes

87040

Collection

EPIC Code

LAB8619

Performing Lab

UCHealth University of Colorado Hospital Clinical Laboratory - Microbiology: 720-848-7084

Collect

See Lippincott Procedure "Blood Culture Sample Collection" and Blood Culture Job Aid for phlebotomy instructions.

One blood culture set requires drawing 20-22 mL: 10mL per bottle (aerobic and anaerobic) and, for line draws only, 1-2 mL for green top tube (heparin). Two sets of cultures are recommended, each set drawn from a diffferent site, or from the same site 10 minutes apart.

Collection by patient weight: See table below
 
Patient Weight Blood Culture Bottle
≤ 17 kg Pediatric Bottle
> 17 kg Standard Aerobic/Anaerobic Bottles
 
Collection Volumes:
 
Blood Culture Media Description Optimal Volume Minimum Volume
Aerobic Bottle Grey Cap/ Blue Label 8-10 ml 5 ml
Anaerobic Bottle Purple Cap/ Purple Label 8-10 ml 5 ml (if less, put all blood in aerobic bottle)

Pediatric Collection

 
Blood Culture Media Description Optimal Volume Minimum Volume
Pediatric Bottle Pink Cap/ Pink Label 0.5-3 ml 0.5 ml

Unacceptable Conditions

  • Sample not properly identified
  • Incorrect container
  • Blood culture bottles other than Bactec brand
  • Broken bottles
  • Pediatric blood culture bottles used for adult samples
  • Anaerobic bottle submitted without aerobic bottle

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Transport to the laboratory as soon as possible. DO NOT refrigerate. Transportation time must not exceed 16 hours.

Performed

Daily

Stability (from collection to initiation)

Ambient: Transport to laboratory as soon as possible, and not to exceed 16 hours, to achieve best results
Refrigerated: Unacceptable
Frozen: Unacceptable.

Remarks

Routine blood cultures detect aerobic and anaerobic bacteria as well as fungus (yeast). Single sets should only be used to document a continuous bacteremia after the initial sets have become positive. Blood cultures should be obtained by venipuncture unless otherwise ordered by the provider. Quantitative blood cultures drawn in heparin tubes are important to assess bacteremia that may be caused by an infected line.

Notes

Place labels which include the patient's full name and medical record number on each bottle and on the heparin tube. DO NOT COVER THE BAR CODE LABELS ON THE BOTTLES. Write on the label: 1) Site of blood draw; 2) Actual time of blood draw; 3) Date; and 4) Your initials.

 

Gram stain, identification, and susceptibility tests are billed separately from the culture.

Ordering

Performed

Daily

Methodology

Nonradiometric, continuous monitor instrument, Bactec.

Organism(s) recovered in culture may be identified by MALDI-TOF. Identification by MALDI-TOF was developed and its performance characteristics determined by the University of Colorado Hospital Authority.  It has not been cleared or approved by the U.S. Food and Drug Administration.  The laboratory is regulated under CLIA as qualified to perform high-complexity testing.  This test is used for clinical purposes.  It should not be regarded as investigational or for research.

Reported

Bottles are read every 10 minutes by the instrument. Positive specimens are reported immediately to the provider. Negative cultures are reported after 7 days.

Synonyms

  • Sepsis
  • Bacteremia

EPIC Code

LAB8619
Result Interpretation
Administrative

CPT Codes

87040