Lab Guide
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Test ID: Legionella culture
Legionella culture
Selective culture for isolation of Legionella spp from lower respiratory tract specimens
Useful For

Detection of Legionella bacteria in suspected Legionnaire's disease

Isolation of the Legionella bacteria for epidemiological typing in patients with positive legionella antigen in urine

Method name and description

Selective culture on buffered charcoal yeast extract agar

Identification by matrix assisted laser desorption ionisation time of flight detection mass spectrometry (MALDI-TOF MS)

Reporting name

Legionella culture

Clinical information
Aliases
Specimen type / Specimen volume / Specimen container

Lower respiratory specimens such as broncheoalveolar lavage and sputum

Minimum 0.5 ml

In sterile container

Collection instructions / Special Precautions / Timing of collection

Collect in accordance with your organisations' policies and protocols

Avoid contamination with normal respiratory flora

Relevant clinical information to be provided

State if urinary legionella antigen test was positive

Any risk factors for Legionella infection

Storage and transport instructions

Transport to laboratory at room temperature within 2 hours

Specimen Rejection Criteria

Mislabelled or unlabelled specimen

Biological reference intervals and clinical decision values

Negative result:

Legionella not isolated.

Positive result:

Legionella isolated. Identification on MALDI-TOF will be reported.

Result will be phoned to physicians.

Factors affecting test performance and result interpretation

Specimen contaminated with normal respiratory flora

Turnaround time / Days and times test performed / Specimen retention time

Turnaround time: 12 days. Culture plates will be checked at regular intervals and if positive, a result will be issued on the same day. If negative, a final report will be issued at 12 days.

Days and times test performed: Daily 7am to 3pm

Specimen retention time: 48 hours after release of final report