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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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SPUT<br />

8095<br />

UR<br />

8105<br />

ANAE<br />

84292<br />

Bacterial Culture, Aerobic, Respiratory<br />

Clinical Information: Common bacterial agents of acute pneumonia include: Streptococcus<br />

pneumoniae, Staphylococcus aureus, Haemophilus influenzae, Pseudomonas aeruginosa, and members of<br />

the Enterobacteriaceae (Escherichia coli, Klebsiella spp., and Enterobacter spp.) Clinical history, physical<br />

examination, and chest X-ray are usually adequate for the diagnosis of pneumonia, and antimicrobial<br />

treatment is typically based on these findings. Culture of expectorated sputum is used by some for the<br />

evaluation of pneumonia, although controversy exists regarding this practice; both sensitivity and<br />

specificity of sputum cultures are generally regarded as poor (100,000 cfu/mL of a urinary pathogen is indicative of<br />

UTI. Isolation of 2 or more organisms >10,000 cfu/mL may suggest specimen contamination.<br />

Reference Values:<br />

Identification of probable pathogens with colony count ranges<br />

Clinical References: Mandell GL, Bennett JE, Dolin R: Mandell, Douglas, and Bennett's Principles<br />

and Practice of Infectious Diseases. 4th edition. New York, Churchill Livingstone,1995, pp 662-690<br />

Bacterial Culture, Anaerobic<br />

Clinical Information: Anaerobic bacteria are the greatest component of the human body's normal<br />

bacterial flora colonizing the skin, oral cavity, and genitourinary and lower gastrointestinal tracts. Their<br />

presence is important in preserving vitamin and other nutrient absorption and in preventing infection with<br />

pathogenic bacteria. Anaerobes generally are of low pathogenicity but may possess virulence factors such<br />

as endotoxin or polysaccharide capsules or produce extracellular toxins. Disease occurs when a large<br />

inoculum develops in an area lacking oxygen and/or poor blood supply. Typical anaerobic infections<br />

include periodontitis, abdominal or pelvic abscesses, endometritis, pelvic inflammatory disease, aspiration<br />

pneumonia, empyema and lung abscesses, sinusitis, brain abscesses, gas gangrene, and other soft tissue<br />

Current as of January 3, 2013 2:22 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong>Laboratories.com Page 218

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