Wound Bacterial Culture and Sensitivity with Gram Stain

General Information

Lab Name

Wound C/S w/Gram

Lab Code

WNDC

Epic Name

Wound C/S w/Gram

Description

This test is intended for the aerobic culture only of superficial sites such as wound drainages, skin, boil, furuncle, cyst, ulcer, superficial abrasion, first degree burn, impetigo, folliculitis, and cellulitis. The culture does NOT include anaerobic workup.

For abscess, hardware, deep and/or sterile wound sites, or when rule out anaerobes is required, see Wound Bacterial Culture and Sensitivity (Special Anaerobic) with Gram Stain [WNDANC]

To rule out S. aureus only, see R/O Staph aureus Bacterial Culture only without Gram [STAPHC].

Body fluids or drains, see Place Holder for Body Fluid Bacterial Culture and Sensitivity with Gram Stain (includes anaerobes) [FLDPHC].

Tissues or biopsies, see Tissue Bacterial Culture and Sensitivity with Gram [TISC].

Genital cultures, see Genital Bacterial Culture and Sensitivity (Routine) without Gram Stain [GUC] or Genital Bacterial Culture and Sensitivity (Anaerobic) with Gram Stain [GUWANC].

Synonyms

Abscess Bacterial Culture, Superficial wound, WNDPHC, Wound Bacterial Culture

Components

Code Name
SDES Specimen Description
SREQ Special Requests
GS Gram Smear
CULT Culture
RPT Report Status

Interpretation

Reference Range

See individual components

Guidelines

Ordering & Collection

Specimen Type

Superficial wound, wound drainage

Collection

Remove surface exudate before collecting specimen.

Swab: Preferred method of transport is ESwab. Gel swab is acceptable.

Fluid or aspirate: Collect fluid in a syringe, remove needle and cap syringe.

Unacceptable: Specimens collected in Universal Transport Medium (UTM); dry swabs; syringes with needles; specimens collected with expired swabs/transport media.

Handling Instructions

Specify exact source of specimen for optimal workup

Swabs: Transport at room temperature, ideally within 4 hours of collection, but not more than 24 hours after collection.

Fluid or aspirate: Transport in syringe (remove needle and cap syringe) or sterile leak-proof container at room temperature, ideally within 2 hours of collection, but not more than 24 hours after collection.

Specimens will be rejected if received > 24 hours after collection. Viability of organisms is significantly reduced after 24 hours.

Quantity

requested: Eswab or as much fluid as possible
minimum: Eswab or 1 mL fluid

Processing

Log in as WNDANC, not WNDC, if R/O ANAEROBES or AER & ANA is specified, or if specimen is described as abscess.

Performance

LIS Dept Code

Microbiology (MC)

Performing Location(s)

HMC Microbiology
206-744-5858

325 9th Ave, Rm # GWH-47, Seattle, WA 98104-2420

UW-MT Microbiology
206-520-4600

Clinical Lab, Room # NW177,
University of Washington Medical Center,
1959 NE Pacific street, Seattle, WA 98195

Other Locations/Notes

UW-MT Microbiology performs testing for UW-MT and UW-NW.

Frequency

Processed upon receipt

Available STAT?

Yes--Gram stain

Billing & Coding

CPT codes

87070, 87205

LOINC

632-0

Interfaced Order Code

UOW3233