Fungus Culture

Message
Specimen source is required.


Test Code
CXFUN


Alias/See Also
Epic: LAB240


Includes

Fungal Smear (Calcofluor) and Culture for Yeast and Molds

NOTE: If vaginal or mouth and only Yeast culture is necessary please alert the laboratory and incubation time will be shortened.




Preferred Specimen

Specimen Type: Body fluid
Collection Container: Sterile container
Specimen Volume: Entire collection


Specimen Type: Bone marrow
Collection Container: Sterile container, or green top ( sodium heparin)
Specimen Volume: Entire collection

Specimen Type: Fresh tissue
Collection Container: Sterile container
Specimen Volume: Pea sized

Specimen Type: Respiratory specimen
Collection Container: Sterile container
Specimen Volume: Entire collection

Specimen Type: Swab
Sources: Dermal, earl, mouth, ocular, throat, wound
Collection Container: E-Swab
Specimen Volume: Swab

Specimen Type: Urine
Collection Container: Sterile container
Specimen Volume: 2 mL





Minimum Volume

•2mL CSF •2mL Body Fluid •1 ESwab with Liquid Amies Medium •2mL Respiratory sample •5mL Bone Marrow in Green Top (heparin) tube •Corneal Eye Scraping •Pea size amount of tissue




Instructions
  • Abscess/Drainage/Wound: Using sterile technique, collect from the advancing margin of the lesion. Transport in a capped syringe without needle or sterile container. Swab samples are also acceptable but may result in decreased recovery of fungi and false negative result due to low collection volume
  • Bone Marrow: Collect 5ml in Green Top (heparin) tube
  • Eye (corneal scraping): Corneal scraping should be inoculated onto media at the time of collection. The physician should contact the laboratory to obtain appropriate slides and culture media (for fungal and bacterial culture as necessary). Agar media should be inoculated by lightly touching both sides of the spatula in a row of separate C streak marks
  • Eye (conjunctiva): Using sterile swab moistened with saline (or ESwab with Liquid Amies Medium) to collect sample. Since normal flora may be present consider sampling the uninfected eye to serve as a control to compare agents isolated from the infected eye.
  • Eye (intraocular fluid): Collect in sterile container
  • Sterile Fluids (CSF, Pleural, Pericardial, Joint, Peritoneal): Collect a minimum of 2ml in a sterile container.
  • Respiratory Samples (Upper- Oral, Oropharyngeal, Sinus): Collect sinus samples surgically. Utilize swab collection devices for oral lesions and oropharynx
  • Respiratory Samples (Lower- Sputum, Bronchial Aspirate, Bronchial Brush, BAL): After brushing teeth, collect 3 first morning sputum from a deep cough. Collect other samples following standard protocols. Transport in sterile container.
  • Tissue/Biopsy: Collect tissue and transport in sterile container with a small amount (<1ml) of sterile non-bacteriostatic saline to prevent drying
  • Other samples- Submit in sterile container, ESwab with Liquid Amies Medium is also acceptable but may result in decreased recovery of fungi and false negative result due to low sample volume


Specimen Stability
Must be received within 24hrs of collection (refrigerated unless otherwise indicated)


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Dried swabs, Samples received in formalin or other fixative


Methodology
Standard Fungal Culture. Morphological Identification of Molds


Setup Schedule
Daily


Report Available

Final Negative Report Issued After 4 weeks




Reference Range
Negative for fungal pathogens


Clinical Significance
Isolation of a fungal pathogen may indicate an infectious cause of symptoms. Additional laboratory data and the clinical status of the patient should be used to determine the significance of a culture positive for fungi, as colonization or contamination may also explain a positive result.


Performing Laboratory

Inova Laboratories

2832 Juniper Street

Fairfax, VA 22031




Last Updated: May 15, 2023
Last Review: N. Wolford, May 15, 2023


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.