Test Code LDFC Legionella, Direct Fluorescent Antigen Smear with Culture
Methodology
Direct Fluorescent Antigen/Ten-Day CulturePerforming Laboratory
Munson Medical Center LaboratoriesSpecimen Requirements
Specimen must arrive within 24 hours of collection.
Submit only 1 of the following specimens:
Acceptable Specimens:
Bronchial washing, pleural fluid, sputum*, tissue, or transtracheal aspirate
*Sputum is acceptable but isolation of Legionella organism is less likely than with other specimens.
Bronchial Washing
1. Submit bronchial washing in a screw-capped, sterile container.
2. Label container with patient’s name (first and last), specimen source, and date and time of collection.
3. Send specimen refrigerated.
4. Maintain sterility and forward promptly.
Note: Specimen source is required.
Pleural Fluid
1. Submit 1 mL of pleural fluid in a screw-capped, sterile container.
2. Label container with patient’s name (first and last), specimen source, and date and time of collection.
3. Send specimen refrigerated.
4. Maintain sterility and forward promptly.
Note: Specimen source is required.
Sputum
1. Aseptically collect 5 to 10 mL of sputum from an early-morning collection and place in a screw-capped, sterile container.
2. Label container with patient’s name (first and last), specimen source, and date and time of collection.
3. Maintain sterility and forward promptly at ambient temperature only.
Note: Specimen source is required.
Tissue
1. Submit pea-sized tissue in a screw-capped, sterile container.
2. Label container with patient’s name (first and last), specimen source, and date and time of collection.
3. Send specimen refrigerated.
4. Maintain sterility and forward promptly.
Note: 1. Specimen source is required.
2. Frozen tissue and tissue collected in paraffin-embedded tissue is also acceptable.
Transtracheal Aspirate
1. Submit 1 mL of transtracheal aspirate in a screw-capped, sterile container.
2. Label container with patient’s name (first and last), specimen source, and date and time of collection.
3. Send specimen refrigerated.
4. Maintain sterility and forward promptly.
Note: Specimen source is required.
Reference Values
NegativeIf positive, Legionella confirmatory stain performed.