Lower Respiratory Culture, Bronchial Build info

Synonyms	LOWER RESPIRATORY CULTURE, BRONCHIAL LAVAGE FLUID BRONCHOALVEOLAR LAVAGE BRONCHIAL CULTURE BRONCH BRONCHIAL WASH C BR SPUTUM TRACHEAL ASPIRATE BALF BAL LAB267
Short Name	CULTURE, RESPIRATORY BRONCHIAL
Procedure Master Number	LAB267
Procedure ID	1182
Clinical Info	The respiratory tract begins with the nasal or oral passages, which serve to humidify inspired air, and extends past the nasopharynx and oropharynx to the trachea and then into the lungs. The trachea divides into bronchi, which subdivide into bronchioles, the smallest branches of which terminate in the alveoli. Upper respiratory specimens include nose, throat, and nasopharyngeal swabs. Lower respiratory specimens include sputum, tracheostomy aspirates, bronchial washings, bronchial lavages, and bronchial brushings. Most etiological agents of respiratory tract disease must first adhere to the mucosa of the respiratory tract. The presence of normal flora and the overall state of the host affect the ability of microorganisms to adhere. Adherence, toxin production, and growing in host tissue are ways which possible pathogens can cause disease. Notes: • Gram Stain is automatically included when C BR is ordered. • Specimens should be collected prior to initiation of antimicrobial therapy. .
Specimen Type	Combi-Cath
Container	Sterile container. 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 bronchial washes, lavages and aspirates under the direct supervision of a physician and place into a sterile container and transport refrigerated. • Brushes are to be placed in a sterile container with saline (1 ml) • Brush slides are to be placed in a sterile container and transported at room temperature with 24hrs.
Transport Instructions	Transport refrigerated sample.
Specimen Stability	Sample is stable for 48 hrs. refrigerated after collection.
Methodology	Bacterial culture
Days Performed	Upon receipt
Performing Laboratory	Northwell Health Laboratories
CPT	87070 - culture 87205 - Gram stain
PDM	6201050
Results