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Methicillin-Resistant Staphylococcus aureus / Methicillin-Susceptible Staphylococcus aureus Colonization Screening Culture

CPT 87081
Synonyms
  • MRSA/MSSA

Test Details

Methodology

Conventional culture

Result Turnaround Time

2 - 4 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.

Related Documents

Test Includes

Culture for isolation of Staphylococcus aureus and drug susceptibility testing (additional charge)

Use

Screen for methicillin-resistant Staphylococcus aureus (MRSA) and/or methicillin-susceptible Staphylococcus aureus (MSSA) colonization of patients prior to surgery, or staff in health care settings

Special Instructions

This test is intended for screening for MRSA/MSSA colonization only and is not intended to diagnose MRSA/MSSA infection. For culture and isolation of other potential pathogens, an Upper Respiratory Culture [008342] or other test appropriate for specimen source should be ordered.

Limitations

This test is not intended to establish diagnosis of MRSA/MSSA infection.

Specimen Requirements

Specimen

Nasal (preferred) or other site swab

Volume

One swab

Container

Bacterial culture transport swab with media

Collection Instructions

Nares:

Insert swab into one anterior naris. Apply slight pressure to the nostril and rotate swab to sample the inside surface. Insert the same swab into the other naris and repeat. Place swab into swab transport tube.

Other Sites:

Collect as appropriate using the bacterial culture swab transport.

Storage Instructions

Maintain specimen at room temperature.

Causes for Rejection

Specimen received without proper identification; inappropriate specimen transport device; unlabeled specimen or name discrepancy between request label; specimen received after prolonged delay (usually more than 72 hours); expired transport device

References

Baron E. The Detection, Significance, and Rational for Control of Methicillin-resistant Staphylococcus aureus, Clinical Microbiology Newsletter, Vol. 14, No. 17, New York, NY: Elsevier Science Publishing Co, 1992.
Edmiston CE Jr, Ledeboer NA, Buchan BW, Spencer M, Seabrook GR, Leaper D. Is Staphylococcal Screening and Suppression an Effective Interventional Strategy for Reduction of Surgical Site Infection? Surgical Infections. 2016 Apr;17(2):158-166.26836053
Murray PR, Baron EJ, Jorgensen JH, et al. Manual of Clinical Microbiology, 9th ed., Washington, DC: ASM Press, 2007.
Remel Spectra MRSA [package insert]. Lenexa, KS: Revised April 16, 2013.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
183074 MRSA MSSA Screening Culture 52969-3 183074 MRSA MSSA Screening Culture 52969-3
Order Code183074
Order Code NameMRSA MSSA Screening Culture
Order Loinc52969-3
Result Code183074
Result Code NameMRSA MSSA Screening Culture
UofM
Result LOINC52969-3
Reflex Table for MRSA MSSA Screening Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183075 Result 183076 Result 1 52969-3
Reflex 1
Order Code183075
Order NameResult
Result Code183076
Result NameResult 1
UofM
Result LOINC52969-3
Reflex Table for MRSA MSSA Screening Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183075 Result 183077 Result 2 52969-3
Reflex 1
Order Code183075
Order NameResult
Result Code183077
Result NameResult 2
UofM
Result LOINC52969-3
Reflex Table for MRSA MSSA Screening Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183075 Result 183097 Result 3 52969-3
Reflex 1
Order Code183075
Order NameResult
Result Code183097
Result NameResult 3
UofM
Result LOINC52969-3
Reflex Table for MRSA MSSA Screening Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183075 Result 183098 Result 4 52969-3
Reflex 1
Order Code183075
Order NameResult
Result Code183098
Result NameResult 4
UofM
Result LOINC52969-3
Reflex Table for MRSA MSSA Screening Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183075 Result 183099 Antimicrobial Susceptibility 23658-8
Reflex 1
Order Code183075
Order NameResult
Result Code183099
Result NameAntimicrobial Susceptibility
UofM
Result LOINC23658-8