Gastroenterology Book

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Stool Culture

Aka: Stool Culture
  1. Indications
    1. Replaced by Enteric Pathogens Nucleic Acid Test Panels
    2. Older indications
      1. Toxic appearance
      2. Prolonged Diarrhea >4-7 days
      3. Blood or pus in stool (or other signs of Inflammatory Diarrhea)
      4. Immunocompromised patients
      5. Very young or very old patients
  2. Efficacy
    1. Test Sensitivity: 5% at best for Bacterial cause identification
    2. Replaced by Enteric Pathogens Nucleic Acid Test Panels
  3. Components: Bacteria typically included in test (SSCE)
    1. Salmonella
    2. Shigella
    3. Campylobacter
    4. Escherichia coli 0157:H7 (STEC: Shiga Toxin E coli)
      1. Shiga Toxin (if bloody stool)
      2. Avoid antimicrobial agents
  4. Disadvantages
    1. Very expensive
    2. Low Test Sensitivity (see above)
    3. Typically does not alter management (most Diarrhea is not treated with antibiotics)

Stool culture (C0430414)

Concepts Laboratory Procedure (T059)
SnomedCT 117028002
CPT 87045, 87046
Italian Coprocoltura, Esame colturale delle feci, Coltura fecale, Coltura delle feci
Dutch ontlastingskweek, faeces kweek, feceskweek, kweek ontlasting
French Culture fécale, Coproculture
Portuguese Cultura de fezes, Cultura das fezes
Spanish Cultivo fecal, coprocultivo (procedimiento), coprocultivo, cultivo de heces, cultivo de materia fecal, cultivo microbiano de heces, Cultivo de heces
Japanese 便培養, ﾍﾞﾝﾊﾞｲﾖｳ
English stool culture, stool culture (lab test), Faecal culture, Fecal culture, Culture stool, cultures fecal, culture stool, faeces culture, Stool(s);culture, cultures stool, fecal culture, feces culture, culture fecal, Stool Culture, Faeces culture, Feces culture, Stool culture, Microbial stool culture, Stool culture (procedure)
Czech Kultivace stolice
Hungarian Széklettenyésztés, Széklet tenyészet, Széklet tenyésztés
German Stuhlkultur
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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