Synonyms
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- ACID FAST BACILLI
- ACID FAST BACILLUS
- ACID FAST STOOL
- ACID-FAST
- AF STL
- CULTURE - ACID FAST - STOOL W/SMEAR
- LAB11495
- MTB
- MYCOBACTERIUM
- NTM
- TB
- TUBERCULOSIS
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Cerner Name
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Acid Fast Stool
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Clinical Info
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Mycobacteria, particularly Mycobacterium tuberculosis, pose a significant global public health challenge, with early diagnosis being crucial for preventing transmission and initiating prompt treatment. Additionally, approximately 200 known species of nontuberculous mycobacteria (NTM), commonly found in the environment (soil and water), are emerging as opportunistic human pathogens, with a rising prevalence of pulmonary NTM infections.
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Specimen Sources
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Stool
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Specimen Types
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Stool
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Specimen Volume
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1ml of liquid stool or solid stool the size of a pea.
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Container
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Stool Container
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Collection Instructions
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1. Collect 1 mL (minimum volume: 0.5ml) of liquid stool or solid stool the size of a pea, in a screw-capped, sterile container. 2. Label container with the patients, name, date of birth, at least 2 patient identifiers 3. Send specimen refrigerated. 4. Maintain sterility and forward promptly. Note: Specimen source is required on request form for processing. *Rejection Criteria: Quantity not sufficient, specimen leaking, unlabeled or mislabeled specimen, specimen without a minimum of 2 patient identifiers, specimen received after prolonged delay (more than 7 days), specimen in fixative.
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Transport Instructions
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Refrigerated (2°-8°C), transport to the laboratory as soon as possible.
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Specimen Stability
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Up to 3 days at 2°-8°C (refrigerated)
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Methodology
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The specimen is processed and an acid fast smear is performed to detect acid-fast bacilli. . All specimens are cultured in broth and solid media for up to 6 weeks for the detection and identification of M. tuberculosis complex and nontuberculous mycobacteria. M. tuberculosis complex isolates are referred to the department of health for further speciation and susceptibility testing.
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Days Performed
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Monday through Sunday
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Performing Laboratories
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Northwell Health Laboratories - Little Neck Parkway If culture is positive, additional charge(s)/CPT code(s) may apply for identification and/or antibiotic susceptibilities performed when appropriate.
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CPT
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87116 - culture 87206 - smear
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PDM
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6201258
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Results
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Result Interpretation
Acid-fast smear = No acid-fast bacilli seen by fluorochrome stain.
Culture = No acid-fast bacilli isolated after 6 weeks
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Forms
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