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Culture & Sensitivity, Aerobic bacteria Body Fluids Specify type

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Identify aerobic bacterial pathogens causing infections in sterile body cavities

2991600

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🧪 Culture & Sensitivity – Aerobic Bacteria (Body Fluids)

🧫 Sample types: Pleural, Ascitic, Pericardial, Synovial, CSF, Peritoneal Dialysate, etc.

🔍 Overview

This test is performed to detect aerobic bacterial infections in sterile body fluids and to determine the antibiotic sensitivity of any isolated organisms. Early detection is critical to prevent complications like sepsis or organ failure.

📌 Test Details

Parameter

Description

Sample Type

Body fluid – must specify the source (e.g., pleural, ascitic, CSF, synovial)

Collection Method

Sterile aspiration (paracentesis, thoracentesis, lumbar puncture, etc.)

Fasting Required

❌ Not required

Volume Required

Minimum 2–5 mL (depending on the type of fluid)

Turnaround Time

Preliminary: 24–48 hours
Final: 5–7 days

Departments Involved

Microbiology & Infectious Disease

🎯 Purpose of the Test

  • Identify aerobic bacterial pathogens causing infections in sterile body cavities
  • Perform antibiotic sensitivity testing (AST) to guide precise treatment
  • Distinguish between infective and non-infective inflammation

🦠 Common Organisms Detected

Fluid Type

Possible Aerobic Pathogens

Pleural Fluid

Streptococcus pneumoniae, Staph aureus, E. coli

Ascitic Fluid

E. coli, Klebsiella, Enterococcus

CSF (Meningitis)

Neisseria meningitidis, H. influenzae, Strep pneumoniae

Synovial Fluid

Staph aureus, Strep spp., Pseudomonas

Pericardial Fluid

Mycobacterium tuberculosis (via other culture) + aerobic flora

Peritoneal Dialysate

Staph epidermidis, Enterococcus

📈 Interpreting the Results

Result

Interpretation

No Growth

No aerobic organisms detected

⚠️ Positive Growth

Infection detected; organism identification + antibiotic sensitivity to follow

Contaminant

Rare, but possible if aseptic technique not followed during sample collection

💊 Sensitivity Testing (AST)

Determines the antibiotics that the bacteria are:

  • Sensitive (S) – effective
  • ⚠️ Intermediate (I) – may respond partially
  • Resistant (R) – not effective

Helps tailor antibiotic therapy and avoid resistance.

🛑 Pre-Test Guidelines

Guideline

Importance

Use sterile technique

Prevent contamination

Label fluid type clearly

Guides culture media and incubation conditions

Collect before antibiotics

Reduces false negatives

Transport immediately

Prevents overgrowth or organism death

🧪 Recommended Additional Tests

Alongside Culture

Purpose

Gram Stain / ZN stain

Preliminary identification of organism type

Cell count & differential

Evaluate inflammation (WBCs, RBCs, PMNs)

Protein, glucose, LDH

Assess exudate vs transudate nature

AFB culture / TB PCR

If TB is suspected (esp. pleural/ascitic fluid)

Fungal Culture

In immunocompromised or chronic infections

🧠 Summary Table

Aspect

Details

Sample

Body fluid (e.g., CSF, pleural, ascitic) – specify source

Tests For

Aerobic bacteria and antibiotic sensitivity

Used To Diagnose

Meningitis, pleuritis, peritonitis, synovitis, pericarditis, etc.

Next Steps

Tailored antibiotic treatment

How our test process works!

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