Anaerobic Organism Identification with Reflex to Susceptibility
Ordering Recommendation
Reflex panel to identify anaerobic bacterial isolate and determine in vitro susceptibility to antimicrobial agents.
New York DOH Approval Status
Specimen Required
Actively growing organism, in pure culture
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.
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 Infectious Substance, Category A, shipping guidelines.
Mixed cultures or non-viable organisms.
Specimen source required. Indicate suspected pathogen.
Ambient: 72 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
Methodology
Methods may include biochemical, mass spectrometry, or sequencing
Performed
Sun-Sat
Reported
Varies
Reference Interval
Complete identification with susceptibility of clinically significant isolates.
Interpretive Data
Depends on Specimen/Source/Method
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).
Hotline History
CPT Codes
CPT codes for identification and susceptibility tests vary based on method.
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0060198 | Anaerobe ID w/Rflx to Susceptibility | 20878-5 |
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