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.
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 Infectious 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



Compliance Category

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
N/A
CPT Codes

87076; 87153; CPT codes for identification and susceptability tests vary based on method.

Components
Component Test Code* Component Chart Name LOINC
0060198 Anaerobe ID w/Rflx to Susceptibility 20878-5
* 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
Anaerobic Organism Identification with Reflex to Susceptibility