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Culture, fungi, definitive identification, each organism; yeast

CPT4 code

Name of the Procedure:

Culture, fungi, definitive identification, each organism; yeast

Summary

This procedure involves growing yeast organisms from a sample to identify the specific type of yeast present. It's used in diagnosing infections caused by yeast.

Purpose

The purpose of this procedure is to diagnose yeast infections accurately by identifying the specific species of yeast involved. This allows for targeted and effective treatment.

Indications

  • Symptoms such as persistent itching, redness, and discharge that suggest a yeast infection.
  • Patients with weakened immune systems who are prone to fungal infections.
  • Cases where initial treatments for a yeast infection have failed.

Preparation

  • Patients may be asked to avoid using antifungal medications for a specific period before the test.
  • No special fasting or preparation is generally required.
  • A sample (e.g., swab from the affected area, blood, or urine) may be collected prior to the procedure.

Procedure Description

  1. A sample is collected from the patient. This could be a swab from infected tissue, body fluids, or excretions.
  2. The sample is placed on a culture medium that supports yeast growth.
  3. The culture is incubated at a specific temperature to allow growth.
  4. Once yeast colonies appear, tests are conducted to identify the exact species.
  5. Advanced techniques, such as biochemical tests or molecular methods, may be used for definitive identification.

Tools and Equipment:

  • Culture media
  • Incubators
  • Microscopes
  • Biochemical test kits or molecular diagnostic tools

No anesthesia or sedation is needed for the procedure.

Duration

The culture process can take several days to a few weeks, depending on the growth rate and identification methods used.

Setting

The procedure is performed in a laboratory setting.

Personnel

  • Microbiologists or laboratory technicians
  • Pathologists

Risks and Complications

  • Risk of sample contamination leading to inaccurate results.
  • Delayed diagnosis if the yeast grows slowly.

Benefits

  • Accurate identification of the yeast species ensures appropriate and effective treatment.
  • Helps prevent the overuse or misuse of antifungal medications.

Recovery

  • There is no recovery time needed as it is a diagnostic procedure.
  • Patients should follow up with their healthcare provider for treatment based on the culture results.

Alternatives

  • Direct microscopic examination of the sample can give preliminary results but may not be as accurate.
  • Serological tests or rapid antigen tests can be used but may not provide species-level identification.

Patient Experience

  • The patient might feel mild discomfort during sample collection, especially if a swab is taken from sensitive areas.
  • Generally, the procedure is non-invasive and does not cause significant pain.

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