Here are the special specimen collection procedures for culture:
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Urine
- Transportation Temperature: Urine specimens should be transported at 2−8∘C (refrigerated) if processing is delayed beyond 2 hours.
- Transport Media: For delays up to 24 hours, a urine transport tube containing boric acid can be used. Otherwise, a sterile, leak-proof container is sufficient if processed promptly.
- Preservation for Culture: Refrigeration at 2−8∘C for up to 24 hours helps prevent overgrowth of commensal bacteria and preserves pathogens.
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Sputum
- Transportation Temperature: Sputum should be transported at room temperature (20−25∘C) if processed within 1-2 hours. If a delay is anticipated, refrigerate at 2−8∘C.
- Transport Media: No specific transport media is typically required for routine bacterial culture if collected in a sterile, leak-proof container and processed promptly.
- Preservation for Culture: Refrigeration at 2−8∘C for up to 24 hours is recommended to maintain the viability of pathogens and inhibit overgrowth of oral flora.
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Cerebrospinal Fluid (CSF)
- Transportation Temperature: CSF specimens are critical and must be transported immediately at room temperature (20−25∘C). Refrigeration is contraindicated as it can kill fastidious organisms like Neisseria meningitidis and Haemophilus influenzae.
- Transport Media: No transport media is used for CSF. It is collected in sterile tubes and must be processed without delay.
- Preservation for Culture: The best preservation for CSF is immediate processing. If a very short delay is unavoidable, keep the specimen at room temperature. For enhanced recovery, especially if processing is delayed, some laboratories inoculate CSF directly into a blood culture bottle.
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