Blood, arterial Blood, central line Blood, ECMO Blood, peripheral Blood, umbilical cord
Clinical Prerequisite(s):
Technique of choice: Venipuncture
Requisition/Forms:
Always record the following on the requisition: • collection site • antibiotic therapy, dose, route, and start date • clinical history and suspected diagnosis. Specify if: • endocarditis is suspected • Brucellosis,tularemia or other fastidious organisms are suspected
*Store at Room Temperature DO NOT incubate DO NOT refrigerate
Handling/Storage Comments:
Transport to the testing laboratory as soon as possible - within 4 hours of collection if collected in: • Calgary • Edmonton • hospitals with a Microbiology lab
Blood culture specimens from other collection locations must be received at the testing lab within 24 hours of collection.
Transport Temperature:
Room temperature
Rejection Criteria:
Specimens will be rejected if the sample(s) or the requisition(s) are mislabelled or unlabelled
DO NOT use contaminated bottles; before use, check for signs of contamination: • bottle media appears cloudy • bulging or indented septums or there is gas • bottom of the Biomerieux BacT/ALERT bottle is bright yellow
DO NOT use damaged bottles. Check for: • cracked or distended bottles • bottles that have lost their caps • a star-like crack-pattern on the bottom of the bottle - indicates impact that compromised the container
DO NOT use bottles past the expiry date. Results may not be reliable
Blood cultures are monitored continuously for 5 days. Positive results are reported when growth is detected> Preliminary negative results are reported after 48 hours and final, negative results after 5 days.
Blood cultures submitted for bacterial culture are only held for 5 days. This applies to both non-endocarditis and suspect-endocarditis cases. Prolonged incubation (beyond 5 days) of blood cultures in standard, automated blood culture instruments does not improve the yield of clinically significant microorganisms (bacteria/yeast)