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Anaerobic Organism Identification with Reflex to Susceptibility
0060198
Ordering Recommendation

Reflex panel to identify anaerobic bacterial isolate and determine in vitro susceptibility to antimicrobial agents.

Mnemonic
MC ANAIS
Methodology
Identification. Methods may include biochemical, mass spectrometry, or sequencing.
Performed
Sun-Sat
Reported
Varies
New York DOH Approval Status
This test is New York DOH approved.
Submit With Order
ARUP Consult®
Disease Topics
Specimen Required
Patient Preparation
 
Collect
Actively growing organism, in pure culture 
Specimen Preparation
Transport sealed container with pure culture on agar slant in anaerobic transport pouch or on a swab in anaerobic transport media. Place each specimen in an individually sealed bag. 
Storage/Transport Temperature
Room temperature. If culture is suspected of being a microorganism identified on the IATA list as an infectious substance affecting humans, submit specimen according to Biological Substance, Category A, shipping guidelines. 
Unacceptable Conditions
Mixed cultures or non-viable organisms. 
Remarks
Specimen source required. Indicate suspected pathogen. 
Stability
Ambient: 72 hours; Refrigerated: Unacceptable; Frozen: Unacceptable 
Reference Interval
Complete identification with susceptibility of clinically significant isolates.
Interpretive Data


Note
Testing performed and associated charges billed depends on specimen source and type of organism suspected. If a significant organism is identified, then the appropriate susceptibility panel will be added. An additional processing fee will be billed for all mixed cultures, as indicated in the specimen requirements. Although, susceptibility testing is not automatically performed on isolates of unknown clinical significance, testing may be requested by contacting the laboratory.

Submission of mixed cultures will result in delayed turnaround time and increased charges. Isolation of organism should be ensured prior to submission.  Order a separate test for each organism identification required.

Avoid submission of isolates in liquid media where possible. Submission of liquid media commonly results in mixed and/or non-viable cultures.

Anaerobe susceptibility testing is appropriate in the case of serious infections involving blood, bone, joint, tissue, or brain abscess. (Refer to Antimicrobial Susceptibility - Anaerobe, ARUP test code 0060202).

For identification by 16s rDNA sequencing only, order Organism Identification by 16s rDNA Sequencing (ARUP test code 0060720).
CPT Code(s)
87076; 87153; CPT codes for identification and susceptability tests vary based on method.
Components
Component Test Code*Component Chart NameLOINC
0060198Anaerobe ID w/Rflx to Susceptibility20878-5
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
  • Actinomyces Identification
  • anaerobe identification
  • anaerobic bacteria identification
  • antibiotic sensitivity
  • antibiotic susceptibility testing
  • bacterial susceptibility testing
  • Identification, Anaerobic
  • MALDI-ToF
  • MIC testing
  • Minimum inhibitory concentration
  • organism referred for identification