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Order Code LABBCID Blood Culture Id Panel - Lab Use Only

Important Note

Specimen must arrive at RMC within 48 hours of collection.

Useful For

The FilmArray® BCID2 is intended for in vitro use for the detection and identification of multiple pathogens and antibiotic resistance genes associated with blood stream infections when tested on the FilmArray® instrument.

 

Note:  To determine if Bacteremia is coming from a Line/Porta Cath, the same volume of blood must be placed in the catheter drawn blood culture bottle as the one drawn peripherally.

Specimen Requirements

Adults

  1. Cleanse venipuncture site with ChloraPrep One-Step Frepp Applicator. Pinch wings on applicator to break ampule and release antiseptic. Do not touch sponge. Wet sponge by repeatedly pressing and releasing sponge against treatment area until liquid is visible on skin. Use repeated back-and-forth strokes of applicator for approximately 30 seconds. Completely wet treatment area with antiseptic. Allow area to air dry for 30 seconds. Do not blot or wipe away.
  2. Clean tops of resin and lytic blood culture bottles with 70% to 95% alcohol prep. Allow each to dry for 1 minute.
  3. Draw 20 mL of blood consecutively from each of 2 sites, utilizing 2 sterile syringes or blood collection sets.  Note: Blood should be drawn prior to antibiotic therapy (if applicable), if patient is on antibiotic therapy, draw blood prior to next dose (approximately 30 minutes).
  4. Inoculate aerobic and anaerobic BACTEC blood culture bottles with blood drawn from each site. Do not put >10 mL of blood into each blood culture bottle.  Minimum volume for each adult blood culture bottles is 3mL.
  5. Label each bottle with patient’s name, date of birth or hospital medical record number, specimen source, date and time of collection, collector’s initials, and draw number (if a series).

 

Pediatrics

  1. Cleanse venipuncture site with Sepp prep and tops of pediatric resin small volume blood culture bottles with 70% to 95% alcohol prep. Allow each to dry for 1 minute.
  2. Blood should be drawn prior to antibiotic therapy (if applicable).  If patient is on antibiotic therapy, draw blood prior to next dose (approximately 30 mintues).
  3. Inoculate pediatric BACTEC blood culture bottles with blood drawn from venipuncture site. Do not put >3 mL of blood into each pediatric resin small volume blood culture bottle or >10 mL into each adult resin and lytic blood culture bottle.  Minimum volume for pediatric blood culture bottles is 1 mL.
  4. Label each bottle with  patient’s name, date of birth or hospital medical record number, specimen source, date and time of collection, collector’s initials, and draw number (if a series).

Specimen Stability

Specimen Type                       Temperature                 Stability (prior to incubation)                   
Blood Culture Bottles Ambient 48 hours

Reference Values

  • Not Detected

Critical value (automatic call-back):  any positive result
 

Detected by BCID FilmArray Panel and reported at RMC:

Resistance Markers Gram Negative Bacteria:

  • ESBL: CTX-M
  • Carbapenemase: IMP, KPC, VIM, NDM, OXA-48-like
  • Colistin resistance: mrc-1
  • Methicillin resistance: mecA/C
  • mecA/C and MREJ (MRSA)
  • Vancomycin resistance: van A/B



Acinetobacter calcoaceticus baumannii complex
Bacteroides fragilis
Enterobacteriaceae
Enterobacter cloacae complex
Escherichia coli
Klebsiella aerogenes
Klebsiella oxytoca
Klebsiella pneumoniae group
Proteus spp.
Salmonella spp.
Serratia marcescens
Haemophilus influenzae
Neisseria meningitidis
Pseudomonas aeruginosa
Stenotrophomonas maltophilia

Enterococcus faecalis

Enterococcus faecium

Listeria monocytogenes

Staphylococcus spp.

Staphylococcus aureus

Staphylococcus epidermidis

Staphylococcus lugdenesis

Streptococcus spp.

Streptococcus agalactiae

Streptococcus pneumoniae

Streptococcus pyogenes
Candida albicans
Candida auris
Candida glabrata
Candida krusei
Candida parapsilosis
Candida tropicalis
Cryptococcus neoformans/gattii

Day(s) Test Set Up

Monday through Sunday

Performing Laboratory

Ridgeview Medical Center Laboratory

Test Classification and CPT Coding

87800