Routine sputum culture
Sputum culture
Routine sputum culture is a laboratory test that looks for germs that cause infection. Sputum is the material that comes up from air passages when you cough deeply
How the Test is Performed
A sputum sample is needed. You will be asked to cough deeply and spit any phlegm that comes up from your lungs into a special container. The sample is sent to a lab. There, it is placed in a special dish (culture). It is then watched to see if bacteria or other disease-causing germs grow.
How to Prepare for the Test
Drinking a lot of water and other fluids the night before the test may make it easier to cough up the sputum.
How the Test will Feel
You will need to cough. Sometimes the health care provider will tap on your chest to loosen deep sputum. Or, you may be asked to inhale a steamlike mist to help you cough up the sputum. You may have some discomfort from having to cough deeply.
Why the Test is Performed
The test helps identify the bacteria or other type of germs that are causing an infection in the lungs or airways (bronchi).
Normal Results
In a normal sputum sample there will be no disease-causing germs.
What Abnormal Results Mean
If the sputum sample is abnormal, the results are called "positive." Identifying the bacteria, fungus, or virus may help diagnose the cause of:
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Bronchitis
(swelling and inflammation in the main passages that carry air to the lungs)
Bronchitis
Acute bronchitis is swelling and inflamed tissue in the main passages that carry air to the lungs. This swelling narrows the airways, which makes it...
- Lung abscess (collection of pus in the lung)
-
Pneumonia
Pneumonia
Pneumonia is a breathing (respiratory) condition in which there is an infection of the lung. This article covers community-acquired pneumonia (CAP). ...
-
Tuberculosis
Tuberculosis
Pulmonary tuberculosis (TB) is a contagious bacterial infection that involves the lungs. It may spread to other organs.
-
Flare up of
chronic obstructive pulmonary disease
(COPD) or
cystic fibrosis
Chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease (COPD) is a common lung disease. Having COPD makes it hard to breathe. There are two main forms of COPD:Chroni...
Cystic fibrosis
Cystic fibrosis is a disease that causes thick, sticky mucus to build up in the lungs, digestive tract, and other areas of the body. It is one of th...
Risks
There are no risks with this test.
References
Chernecky CC, Berger BJ. Culture, routine. In: Chernecky CC, Berger BJ, eds. Laboratory Tests and Diagnostic Procedures . 6th ed. Philadelphia, PA: Elsevier Saunders; 2013:409-411.
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Sputum test - illustration
A sputum sample is obtained by coughing deeply and expelling the material that comes from the lungs into a sterile cup. The sample is taken to a labarotory and placed in a medium under conditions that allow the organisms to grow. A positive culture may identify disease-producing organisms that may help diagnose bronchitis, tuberculosis, a lung abscess, or pneumonia.
Sputum test
illustration
-
Sputum test - illustration
A sputum sample is obtained by coughing deeply and expelling the material that comes from the lungs into a sterile cup. The sample is taken to a labarotory and placed in a medium under conditions that allow the organisms to grow. A positive culture may identify disease-producing organisms that may help diagnose bronchitis, tuberculosis, a lung abscess, or pneumonia.
Sputum test
illustration
Review Date: 11/1/2015
Reviewed By: Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.