Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)
CPT4 code
Name of the Procedure:
Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)
Summary
A blood culture test is performed to detect infections in the blood caused by aerobic (oxygen-requiring) bacteria. This test includes isolating and initially identifying any bacteria found. If necessary, an anaerobic culture (for bacteria that do not require oxygen) is also conducted.
Purpose
This procedure is used to identify the type of bacteria causing an infection in the bloodstream. The goal is to diagnose blood infections and guide appropriate antibiotic treatment.
Indications
- Symptoms of sepsis or bloodstream infection, such as fever, chills, rapid heartbeat, or confusion
- Unexplained infections or prolonged fever
- Severe infections with confirmed or suspected bacterial cause
- Immunocompromised patients at higher risk for bloodstream infections
Preparation
- No specific preparation is needed.
- Patients may be advised to inform their healthcare provider of any medications they are taking, as some drugs might interfere with test results.
Procedure Description
- A healthcare provider will clean the skin with an antiseptic at the site where blood will be drawn.
- Blood samples are typically taken from a vein in the arm using a sterile needle and syringe.
- The blood is then placed in culture bottles designed to promote bacterial growth under aerobic and, if needed, anaerobic conditions.
- These culture bottles are incubated and monitored for signs of bacterial growth.
- If bacteria are detected, further tests are performed to identify the type of bacteria and determine their antibiotic sensitivity.
Duration
The blood draw itself takes about 10-15 minutes. However, culturing the bacteria can take several days, usually 2-7 days, to allow for bacterial growth and identification.
Setting
The blood draw is usually performed in a hospital, outpatient clinic, or diagnostic laboratory.
Personnel
- Phlebotomist or nurse to draw blood
- Laboratory technicians or microbiologists to process and analyze the blood cultures
- Infectious disease specialists may be consulted for treatment based on culture results
Risks and Complications
- Minimal risks associated with the blood draw, such as minor bleeding, bruising, or infection at the puncture site
- Rarely, fainting or feeling lightheaded
Benefits
- Accurate identification of bloodstream infections
- Informs appropriate antibiotic treatment, which can be life-saving
- Helps to prevent complications by timely diagnosis and management
Recovery
- No special recovery is needed after the blood draw
- Patients can usually return to normal activities immediately
- Follow-up with healthcare provider for test results and treatment plan
Alternatives
- Other diagnostic tests like complete blood count (CBC) or imaging studies to identify the source of infection
- Empirical antibiotic treatment based on clinical judgment without culture confirmation, though less precise
Patient Experience
- Mild discomfort or pain during the blood draw
- Slight risk of infection or bruising at the puncture site
- Waiting period for culture results may cause anxiety; clear communication with healthcare providers can help manage this
Pain management and comfort measures:
- Use of a smaller needle to reduce discomfort
- Local anesthetic or numbing cream can be applied to minimize pain during the blood draw upon request