Test Details
Methodology
Culture
Result Turnaround Time
8 - 10 days
Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.
Test Includes
Culture; smear for modified Gram stain (reported only if positive and culture does not grow); isolation and identification (additional charges/CPT code[s] may apply). CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed.
Use
Establish the presence and possible etiologic role of Helicobacter pylori in cases of chronic gastric ulcer, gastritis, duodenal ulcer, dyspepsia, etc
Footnotes
References
Custom Additional Information
For optimal recovery of Helicobacter pylori, it is strongly recommended that culture be performed within three hours of specimen collection. Helicobacter pylori has been implicated as a factor associated with chronic gastritis. The clinical significance of the organism in regard to gastric or duodenal ulcers, dyspepsia, and gastric carcinoma remains unclear.1 Other factors, such as pepsin, nonsteroidal anti-inflammatory agents (NSAIDs), aspirin, ischemia, stress, alcohol, and bile salts as well as H pylori, all may have a role in altering the material mucosal barrier. The relative etiologic role of H pylori remains a subject of speculation. H pylori is hypothesized to secrete products capable of degrading gastric mucin. The organism may be seen in Gram stains on imprints from tissue biopsies. In one study, imprint Gram stains performed by imprint technique on biopsies from both the antrum and fundus yielded positives in 100% of 32 culture-positive cases.2
Specimen Requirements
Specimen
Gastric material
Volume
Biopsy
Container
Anaerobic transport, aerobic/anaerobic bacterial swab transport system, CLO vial, urea agar medium, C&S transport (Cary Blair/orange Para-Pak)
Storage Instructions
Maintain specimen at room temperature.
Causes for Rejection
Inappropriate specimen transport device; improper labeling; specimen received after prolonged delay (usually more than 72 hours)
LOINC® Map
| Order Code | Order Code Name | Order Loinc | Result Code | Result Code Name | UofM | Result LOINC |
|---|---|---|---|---|---|---|
| 180885 | Helicobacter pylori Culture | 587-6 | 180885 | Helicobacter pylori Culture | 587-6 | |
| Order Code | 180885 | |||||
| Order Code Name | Helicobacter pylori Culture | |||||
| Order Loinc | 587-6 | |||||
| Result Code | 180885 | |||||
| Result Code Name | Helicobacter pylori Culture | |||||
| UofM | ||||||
| Result LOINC | 587-6 |
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
|---|---|---|---|---|---|---|
| Reflex 1 | 080386 | Result | 080387 | Result 1 | N/A | |
| Reflex 1 | ||||||
| Order Code | 080386 | |||||
| Order Name | Result | |||||
| Result Code | 080387 | |||||
| Result Name | Result 1 | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
|---|---|---|---|---|---|---|
| Reflex 1 | 080386 | Result | 080388 | Result 2 | N/A | |
| Reflex 1 | ||||||
| Order Code | 080386 | |||||
| Order Name | Result | |||||
| Result Code | 080388 | |||||
| Result Name | Result 2 | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
|---|---|---|---|---|---|---|
| Reflex 1 | 080386 | Result | 080389 | Result 3 | N/A | |
| Reflex 1 | ||||||
| Order Code | 080386 | |||||
| Order Name | Result | |||||
| Result Code | 080389 | |||||
| Result Name | Result 3 | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
|---|---|---|---|---|---|---|
| Reflex 1 | 080386 | Result | 080390 | Result 4 | N/A | |
| Reflex 1 | ||||||
| Order Code | 080386 | |||||
| Order Name | Result | |||||
| Result Code | 080390 | |||||
| Result Name | Result 4 | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
|---|---|---|---|---|---|---|
| Reflex 1 | 080386 | Result | 080391 | Antimicrobial Susceptibility | N/A | |
| Reflex 1 | ||||||
| Order Code | 080386 | |||||
| Order Name | Result | |||||
| Result Code | 080391 | |||||
| Result Name | Antimicrobial Susceptibility | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||