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Methodology: Culture
Edit Date: 4/13/2010
Performed: Daily
Released: Preliminary at 24 and 48 hours. Final at 72 hours.
CPT Code: 87081
Specimen Collection Details
Collection: Stool in enteric transport (C&S) medium. Also acceptable: Rectal specimen on Routine Culture transport swab. Brochure provided with C&S medium contains instructions for collection. No more than one specimen should be collected in a 24-hour period.
Stability: C&S medium stable 24 hours ambient or 48 hours refrigerated; transport swab stable 24 hours ambient or refrigerated. All specimen types unstable frozen.
Standard Volume: 5 gm solid stool or 5 mL liquid stool.
Minimum Volume: 2 gm solid stool or 2 mL liquid stool.
Transport: Ambient or refrigerated.
Comments: This test detects the presence of Campylobacter only.

For diagnostic testing: Ideally 2-3 specimens should be collected on consecutive days. However, specimens collected after the third day of hospital stay are of limited value. Testing for Clostridium difficile should be considered as an alternative to culture in all patients over the age of 6 months with clinically significant diarrhea and a history of antibiotic exposure. An identification by DNA probe will be done on presumptive isolates of Campylobacter. An additional charge will be added for this test.

Rejection Criteria: Delayed transport; rectal swab with no visible fecal material; specimen mixed with water or urine; swab not in transport media; frozen specimen; more than one specimen collected within a 24-hour period.

No Campylobacter isolated.

PeaceHealth Laboratories