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Culture, Intrauterine Device

Actinomyces, Anaerobe, Anaerobic, IUD

Test Codes

EPIC: LAB7230

Instructions

• Only Actinomyces spp. will be further identified from intrauterine devices.
• Gram stains will not be performed on intrauterine devices.

Specimen Collection Criteria

 Collect: Place intrauterine device in a sterile collection container.

Physician Office/Draw Specimen Preparation

Deliver to the Laboratory in a sterile container at room temperature (20-26°C or 68-78.8°F) within 4 hours of collection.

Preparation for Courier Transport

Transport: Room temperature (20-26°C or 68-78.8°F).

Rejection Criteria

Specimens in non-sterile or leaking containers.

Inpatient Specimen Preparation

Transport all specimen types to the Laboratory immediately after collection.

In-Lab Processing

If an intrauterine device culture is ordered on an inappropriate site/source or collection device, the order will be changed to match the appropriate test code.

Storage

Specimen Stability for Testing:

Room Temperature (20-26°C or 68-78.8°F): 24 hours
Refrigerated (2-8°C or 36-46°F): Unacceptable
Frozen (-20°C/-4°F or below): Unacceptable

Specimen Storage in Department Prior to Disposal:

Refrigerated (2-8°C or 36-46°F): 7 days

Laboratory

Farmington Hills sent to Royal Oak Microbiology Laboratory for testing.
Grosse Pointe sent to Royal Oak Microbiology Laboratory for testing.
Royal Oak Microbiology Laboratory
Troy sent to Royal Oak Microbiology Laboratory for testing.

Performed

Sunday – Saturday, 24 hours a day.
Final negative results available within one week.

Reference Range

No organisms recovered.

Test Methodology

Anaerobic culture and identification. Anaerobic susceptibility testing must be approved by the Microbiology Director.

Interpretation

The recovery of Actinomyces spp. may be indicative of an infectious disease process.

Clinical Utility

This test is used to recover and identify Actinomyces spp. that may be involved in human infections. Pelvic Actinomyces israelii has been described in association with the use of intrauterine devices (IUDs).

If an IUD infection is suspected consider ordering a Vaginosis Screen or Chlamydia trachomatis and Neisseria gonorrhoeae Detection by Nucleic Acid Amplification.

Reference

1. Vandamme, P.A.R., 2015. Specimen Collection, Transport and Processing: Bacteriology. Manual of Clinical Microbiology, 11^th ed., ASM Press, Washington , D.C.
2. Hall, G.S. and J. Holden, 2016. Collection and Transport of Clinical Specimens for Anaerobic Culture. Clinical Microbiology Procedures Handbook. 4^th ed. ASM Press. Washington, D.C.

CPT Codes

87075 (Anaerobic Culture). Additional charges will be incurred for identification and susceptibility testing (prior approval required).

Contacts

Last Updated

11/2/2020