Aspirate Wound Culture, Aerobic and Anaerobic
Test Catalog Information
| Test Catalog Synonyms | |
| EPIC Synonyms |
Aspirate Culture/Gram Stain surgical anaerobe deep wound perioperative aerobe sterile diabetic foot OR culture penetrating wound diabetic ulcer C ASP |
| Cerner Primary Mnemonic | Aspirate Culture/Gram Stain |
| EPIC Display Name | Aspirate Wound Culture, Aerobic and Anaerobic |
| Allscripts (AEHR) Order Name | Culture - Aspirate with Gram Stain |
| Sunrise Clinical Manager (SCM) Order Name | Culture - Aspirate with Gram Stain |
| EPIC Inpatient Orderable | Yes |
| EPIC Outpatient Orderable | Yes |
| Cerner Results | |
| Clinical Info |
A wide variety of microorganisms that reside on the skin and mucous membranes of the body, as well as those found in the environment, can cause skin and soft tissue infection. The organisms enter the body through breaks in the skin or mucous membranes, through wounds made by trauma or bites (exogenous) or a complication of surgery or foreign body implants (endogenous) or they can spread through the vascular system (hematogenous). Chronic wound infections such as decubiti, foot or leg ulcers are normally due to complications related to impaired vascular flow or metabolic disease (e.g., diabetes mellitus). Aspirates obtained through intact skin by needle aspiration are the best samples for culture. The primary agents of skin and tissue infections are Staphylococcus aureus, Pseudomonas aeruginosa, members of the Enterobacterales, beta-hemolytic streptococci and anaerobes. Notes: • Gram Stain is automatically included when C ASP is ordered. • Specimens should be collected prior to initiation of antimicrobial therapy. |
| Specimen Type |
Colon |
| Container |
E-swab or screw-capped sterile containers are acceptable for culture. Do not submit syringes with needles attached. Minimum volume: 0.5mL |
| Collection Instructions |
• Label container with patient’s name (first and last), date and actual time of collection, and type of specimen. • Collect specimen by first removing surface exudate by wiping with 70% alcohol. Aspirate, if possible, with a needle and syringe. • Maintain sterility and forward promptly at ambient temperature. Note: Specimen source is required on request form for processing. |
| Transport Instructions |
Maintain specimen at room temperature. |
| Specimen Stability |
Transport to the laboratory as soon as possible. |
| Methodology |
Bacterial culture and Gram Stain Routine isolation, identification procedures, and antibiotic susceptibility testing will be performed when appropriate. |
| Days Performed |
Monday through Sunday |
| Performing Laboratory |
Northwell Health Laboratories If culture is positive, additional charge(s)/CPT code(s) may apply for identification and/or antibiotic susceptibilities performed when appropriate. |
| CPT |
87070 - culture / 87205 - Gram stain |
| PDM |
6201336 |
Desired Epic Build Aspirate Wound Culture, Aerobic and Anaerobic
| Cerner Primary Mnemonic: | Aspirate Culture/Gram Stain |
| PDM | 6201336 |
| Informatics - Workgroup | ID Micro |
| Synonyms * | Aspirate Culture/Gram Stain surgical anaerobe deep wound perioperative aerobe sterile diabetic foot OR culture penetrating wound diabetic ulcer C ASP |
| Display Name * | Aspirate Wound Culture, Aerobic and Anaerobic |
| Order Entry Specimen Sources * |
Adenoids
Amniotic Sac
Aortic Valve
Arm L
Arm R
Axilla Left
Axilla Right
Back L
Back U
Breast L
Breast R
Buttock L
Buttock R
Bile duct
Cheek Left
Cheek Right
Chest
Chin
Colon
Decubitus ulcer
Duodenum
Finger Left
Finger Right
Foot L
Foot R
Forehead
Gallbladder
Gastric
Groin
Hand L
Hand R
Jaw Left
Jaw Right
Kidney L
Kidney R
Labia
Larynx
Leg L
Leg R
Lip L
Lip U
Liver
Lung LLL
Lung LUL
Lung RLL
Lung RML
Lung RUL
Lymph Node
Neck
Ovarian Cyst
Ovary
Pancreas
Pelvis
Prostate
Rectum
Scalp
Scrotum
Spleen
Stomach
Testicle
Thyroid
Toe L
Toe R
Tongue
Trachea
Vertebra
Vulva
|
| Order Entry Specimen Types |
Aspirate
|
| Specimen Navigator Specimen Types | |
| Specimen Navigator Specimen Sources | |
| Specimen Navigator Short Name | Cx/gram stain aspirate |
| Ordering info (EPIC SmartText) | A wide variety of microorganisms that reside on the skin and mucous membranes of the body, as well as those found in the environment, can cause skin and soft tissue infection. The organisms enter the body through breaks in the skin or mucous membranes, through wounds made by trauma or bites (exogenous) or a complication of surgery or foreign body implants (endogenous) or they can spread through the vascular system (hematogenous). Chronic wound infections such as decubiti, foot or leg ulcers are normally due to complications related to impaired vascular flow or metabolic disease (e.g., diabetes mellitus). Aspirates obtained through intact skin by needle aspiration are the best samples for culture. The primary agents of skin and tissue infections are Staphylococcus aureus, Pseudomonas aeruginosa, members of the Enterobacterales, beta-hemolytic streptococci and anaerobes. Notes: • Gram Stain is automatically included when C ASP is ordered. • Specimens should be collected prior to initiation of antimicrobial therapy. |
| IP Orderable | Yes |
| OP Orderable | Yes |
|
AOEs * | |
| AP AOEs | |
| Special History | No |
| Build Comments | |
| Filter * | |
| Procedure Category Change | |
| Cerner Results | |
Current Actual EPIC Build as of 10/28/2024
| Procedure Id | 115781 |
| Pdm | 6201336 |
| Order Display Name | Aspirate Wound Culture, Aerobic and Anaerobic |
| Procedure Name | ASPIRATE CULTURE/GRAM STAIN |
| Procedure Master Number | LAB11760 |
| Short Procedure Name | ASPIRATE CULTURE/GRAM STAIN |
| Category Code | 4.0 |
| Category Code Record Name | LAB MICROBIOLOGY - GENERAL ORDERABLES |
| Synonyms | ASPIRATE CULTURE/GRAM STAIN SURGICAL ANAEROBE DEEP WOUND PERIOPERATIVE AEROBE STERILE DIABETIC FOOT OR CULTURE PENETRATING WOUND DIABETIC ULCER C ASP |
| Clinically Active | Yes |
| Orderable | Yes |
| Performable | Yes |
| Filter Genomics | |
| Reference Link Url | https://labs.northwell.edu/epic/test/115781 |
| Ordering Instructions | |
| Default Specimen Type | Aspirate |
| Specimen Type Pick List | Aspirate |
| Specimen Type List | |
| Op Specimen Type List | |
| Specimen Source Pick List | Adenoids Amniotic Sac Aortic Valve Arm, Left Arm, Right Axilla, Left Axilla, Right Back, Lower Back, Upper Breast, Left Breast, Right Buttock, Left Buttock, Right Bile Duct Cheek, Right Cheek, Left Chest Chin Colon Decubitus ulcers Duodenum Finger, Left Finger, Right Foot, Left Foot, Right Forehead Gallbladder Gastric Groin Hand, Left Hand, Right Jaw, Left Jaw, Right Kidney, Left Kidney, Right Labia Larynx Leg, Left Leg, Right Lip, Upper Lip, Lower Liver Lung, Left Lower Lobe Lung, Left Upper Lobe Lung, Right Lower Lobe Lung, Right Middle Lobe Lung, Right Upper Lobe Lymph Node Neck Ovarian Cyst Ovary Pancreas Pelvis Prostate Rectum Scalp Scrotum Spleen Stomach Testicle Thyroid Toe, Left Toe, Right Tongue Trachea Vertebra Vulva Salivary Gland, Left Salivary Gland, Right Thyroid, Isthmus Abdomen/Peritoneum Adrenal, Left Adrenal, Right Anus Appendix Brain Extranodal Lymphoid Fallopian Tube, Left Fallopian Tube, Right Ileum Jejunum Mediastinum Meninges/Dura Misc Muscle Nipple, Left Nipple, Right Ovary, Right Ovary, Left Paratubal Cyst Pelvic Penis Pericardium Retroperitoneum Soft Tissue Testis, Left Testis, Right Thyroid, Left Thyroid, Right Uterus Vagina Vas Deferens, Left Vas Deferens, Right Vascular Lung, Left Lung, Right Pancreatic Duct Abscess |
| Specimen Source Default - Male | |
| Specimen Source Default - Female | |
| Specimen Source List | |
| Op Specimen Source List | |
| Ip Lab Test Components For Report | |
| Op Lab Test Components For Report | |
| Order Questions | [] |
| Order Questions Record Name | |
| Inpatient Order Questions | [] |
| Inpatient Order Questions Record Name | |
| Order Specific Question Override | |
| Inpatient Question Override | |
| Location Restrict List Ip | |
| Location Restrict List Ip Record Name | |
| Location Restrict List Include Ip | |
| Location Restrict List Op | |
| Location Restrict List Op Record Name | |
| Location Restrict List Includes Op | |
| Edp Amb Order Specific Questions Record Name | |
| Edp Ip Order Specific Questions Record Name | |
| Edp Ip Specimen Source | |
| Edp Op Specimen Source | |
| Edp Ip Specimen Type | |
| Edp Op Specimen Type | |
| Derived Edp Ip Buttons S | |
| Derived Edp Ip Buttons T | |
| Derived Edp Op Buttons S | |
| Derived Edp Op Buttons T | |
| Ip Orderable | 1 |
| Op Orderable | 1 |
| EPIC OP AOEs | |
| EPIC IP AOEs | |
| EPIC Components (results) | |