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Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart

CPT4 code

Name of the Procedure:

Culture, Presumptive, Pathogenic Organisms, Screening Only; with Colony Estimation from Density Chart

  • Common Name(s): Bacterial Culture Screening, Pathogen Density Estimation
  • Technical/Medical Terms: Presumptive Identification, Colony Density Chart

Summary

This procedure involves taking a sample (such as blood, urine, or throat swab), growing any pathogens present on a culture medium, and estimating their quantity by comparing colony growth to a density chart. It’s a preliminary test to screen for potentially harmful bacteria.

Purpose

The procedure helps identify the presence of pathogenic organisms in a sample. This enables doctors to diagnose infections and tailor treatments accordingly. It’s a screening tool to spot harmful bacteria and estimate their quantity quickly.

Indications

  • Symptoms of infection (e.g., fever, pain, swelling, abnormal discharge)
  • Suspected bacterial infection in patients
  • Follow-up on previous infections to check for eradication or recurrence

Preparation

  • Patients may be advised to avoid antibiotics before the test to prevent interference.
  • No special preparations are generally needed unless specified by the healthcare provider.

Procedure Description

  1. Sample Collection: A healthcare professional collects a sample from the suspected infected area.
  2. Inoculation: The sample is placed on a culture medium.
  3. Incubation: The medium is incubated to allow bacteria to grow.
  4. Colony Assessment: Colonies of bacteria are counted and estimated using a density chart.
  5. Presumptive Identification: Based on growth patterns, a preliminary identification of pathogens is made.
  • Tools: Culture media, incubator, density chart.
  • No anesthesia or sedation is required.

Duration

Typically, the procedure can take 24 to 48 hours depending on the growth rate of bacteria.

Setting

The procedure is performed in a laboratory setting, often within hospitals or specialized diagnostic clinics.

Personnel

  • Medical Laboratory Technologists
  • Microbiologists
  • Healthcare Providers (for sample collection)

Risks and Complications

  • Risks: Minimal risk in sample collection, potential discomfort or minor bleeding.
  • Complications: Uncommon; rarely, contamination of samples could lead to skewed results.

Benefits

  • Expected Benefits: Early detection of infections; helps in prompt and appropriate treatment.
  • Timeframe: Results are typically available within a few days.

Recovery

  • Post-Procedure Care: None needed.
  • Recovery Time: Immediate; no downtime required.
  • Follow-Up: Doctor may review results and plan further treatment.

Alternatives

  • Culture with specific identification: More detailed but takes longer.
  • Rapid tests: Quicker but might not provide quantitative details.
  • Molecular methods: More precise but generally more expensive.

Patient Experience

  • During Procedure: May experience mild discomfort during sample collection.
  • After Procedure: No significant pain or discomfort expected; normal activities can usually be resumed immediately.
  • Pain Management: Not typically necessary.

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