Nontuberculous Slowly-growing Mycobacterium Susceptibility−Broth Dilution

CPT: 87186
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Synonyms

  • M kansasii Susceptibility Testing
  • AFB Susceptibility Testing
  • MOTT Susceptibility Testing
  • Slow-grower Susceptibility Testing

Test Includes

Susceptibility testing for amikacin, ciprofloxacin, clarithromycin, doxycycline, linezolid, minocycline, moxifloxacin, rifabutin, rifampin, streptomycin and trimethoprim/sulfamethoxazole


Expected Turnaround Time

35 - 40 days



Related Documents


Specimen Requirements


Specimen

Slowly-growing mycobacteria, other than M. tuberculosis or M. avium, isolated from a primary clinical specimen, on a submitted AFB conventional solid medium, or an AFB broth medium


Volume

Pure culture isolate on an AFB conventional solid medium or a minimum of 1 mL of AFB broth medium


Container

Conventional or broth medium, tightly sealed, in etiologic agent packaging


Storage Instructions

Maintain media at room temperature.


Causes for Rejection

Specimen received in leaking or in broken transport tube or vial; specimen received in expired transport medium; mixed culture; unlabeled culture or name discrepancy between specimen and request label


Test Details


Use

Determine the susceptibility of nontuberculous slowly-growing mycobacterial isolates to a profile of antimycobacterial agents. Clinical breakpoints for M. kansasii and Nontuberculosis Mycobacteria other than M. avium Complex are the same. Some fastidious isolates may not exhibit adequate growth for susceptibility testing (M. genvense, M. haemophilum). Others such as M. gordonae are rarely clinically relevant and susceptibility testing is not recommended. If patients are not responding to several months of therapy, repeat susceptibility testing is recommended.


Limitations

Susceptibilities cannot be reported if the organism fails to grow in the test medium. Susceptibilities cannot be performed on mixed cultures. An organism identification is required prior to reporting susceptibility results.

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.


Methodology

Sensititre® broth microdilution (MIC)


References

Clinical Laboratory Standards Institute (CLSI). Performance Standards for Susceptibility Testing of Mycobacteria, Nocardia spp., and Other Aerobic Actinomycetes. 1st ed. CLSI supplement M62. Wayne, PA: CLSI; 2018.
Clinical Laboratory Standards Institute (CLSI). Susceptibility Testing of Mycobacteria, Nocardia spp., and Other Aerobic Actinomycetes. 3rd ed. CLSI standard M24. Wayne, PA: CLSI; 2018.
Griffith DE, Aksamit T, Brown-Elliott BA, et al. An official ATS/IDSA statement: Diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases. Am J Respir Crit Care Med. 2007 Feb 15;175(4):367-416.17277290
Woods GL, Lin SYG, Brown BA, Desmond EP. Susceptibility Test Methods: Mycobacteria, Nocardia and Other Actinomycetes. Manual of Clinical Microbiology, 12th ed. 2018; 78:1398-1419.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
182923 Slow Grower Broth Suscep. 29579-0 182924 Organism ID 40699-1
182923 Slow Grower Broth Suscep. 29579-0 998568 Amikacin 12-5
182923 Slow Grower Broth Suscep. 29579-0 998569 Ciprofloxacin 185-9
182923 Slow Grower Broth Suscep. 29579-0 998570 Clarithromycin 189-1
182923 Slow Grower Broth Suscep. 29579-0 998243 Clofazimine 16623-1
182923 Slow Grower Broth Suscep. 29579-0 998214 Doxycycline 225-3
182923 Slow Grower Broth Suscep. 29579-0 998572 Linezolid 29254-0
182923 Slow Grower Broth Suscep. 29579-0 998769 Minocycline 335-0
182923 Slow Grower Broth Suscep. 29579-0 998573 Moxifloxacin 31037-5
182923 Slow Grower Broth Suscep. 29579-0 998215 Rifabutin 16100-0
182923 Slow Grower Broth Suscep. 29579-0 998574 Rifampin 428-3
182923 Slow Grower Broth Suscep. 29579-0 998576 Streptomycin 460-6
182923 Slow Grower Broth Suscep. 29579-0 998577 Trimethoprim/Sulfa 516-5
Reflex Table for Organism ID
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 000000 Antimicrobial Susceptibility 000000 Antimicrobial Susceptibility N/A

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