Understanding Your Laboratory Test: What It Is, How It Is Performed, and How to Get Ready
This test identifies and grows aerobic bacteria from a sample collected from your airways to diagnose respiratory infections.
{"A sample from your bronchial tubes is collected and tested for bacteria","Results help doctors choose the right antibiotic treatment","The test takes 2-5 days to complete","No special preparation is needed before sample collection","Results show which specific bacteria are causing your infection"}
Key facts at a glance
- LOINC
- 604-9
- Short code
- BACBCULT
- Synonyms
- Bacteria Bronch Aerobe Cult
- Category
- chemistry
- Sample
- serum
- Container
- Sterile, leak-proof, screw-cap container or sterile transport tube. For bronchoscopy specimens: sterile sputum cup or specific bronchoalveolar lavage (BAL) collection container. Anaerobic transport media if anaerobes are suspected.
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- ≥ 0 years
- Method
- aerobic-culture
- CPT
- 87071
- SNOMED
- 398252004
- Specimen volume
- Bronchial washing/aspirate: minimum 1-2 mL; Bronchoalveolar lavage (BAL): 10-50 mL preferred; Bronchial brushings: brush placed in 1 mL sterile saline or transport medium; Transbronchial biopsy: tissue in sterile saline.
- Stability
- Transport to laboratory within 2 hours at room temperature for optimal organism recovery. If delay anticipated, refrigerate at 2-8°C and process within 24 hours. Specimens should not be frozen. For fastidious organisms (e.g., Neisseria, Haemophilus), immediate processing or use of appropriate transport medium is essential.
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 24–120 hours
- Order
- routine
A laboratory test is an analysis performed on a sample of your blood, urine, or other body fluid to help your healthcare provider evaluate your overall health, screen for certain conditions, diagnose an illness, or monitor how well a treatment is working over time.
The Bronchial Bacteria Culture test is a laboratory test that looks for harmful bacteria in a sample taken from your bronchial tubes or lungs. Your doctor may order this test if you have symptoms of a respiratory infection such as persistent cough, fever, difficulty breathing, or chest congestion. The sample is collected through a procedure called bronchoscopy or by collecting sputum (mucus you cough up).
Most samples are collected by a trained phlebotomist, who draws a small amount of blood from a vein in your arm using a sterile needle; the process usually takes only a few minutes. Depending on the test ordered, you may instead be asked to provide a urine specimen, a throat or nasal swab, or another sample at the collection site.
There are two common ways to collect a bronchial sample. The first is through bronchoscopy, where a thin tube with a camera is inserted through your nose or mouth into your airways to collect fluid or tissue. The second is by collecting sputum that you cough up from your lungs. Your healthcare provider will determine which method is appropriate based on your condition.
Once your sample arrives at the laboratory, trained technologists examine it using specialized instruments and chemical reagents to measure specific substances, count blood cells, or detect signs of infection or disease. Results are carefully reviewed for accuracy, then sent securely to your healthcare provider, who interprets them together with your medical history and explains what they mean for you.
In the lab, the sample is placed in special containers with nutrients that allow bacteria to grow. The laboratory technicians monitor the sample for 2-5 days to see which types of bacteria appear. If bacteria grow, they are identified and tested to see which antibiotics can effectively treat the infection. This process is called 'culture' and 'sensitivity testing.'
Preparation depends on the type of test your provider ordered. Some tests require fasting for 8 to 12 hours, so you should not eat or drink anything except water before your appointment, while others have no special requirements. Drink plenty of water unless instructed otherwise, wear a sleeve that rolls up easily, and tell the staff about any medications or supplements you take, since some can affect your results.
For sputum collection, rinse your mouth with water before collecting the sample to avoid contamination. Do not eat or drink before providing the sample if you're having a bronchoscopy. Follow all specific instructions given by your healthcare provider. Inform your doctor about any antibiotics you are currently taking, as they may affect the test results.
Reference range
No growth of pathogenic bacteria. Normal upper respiratory flora may be present. Results reported as: No growth, Normal flora, or identification of specific organisms with colony quantification (e.g., rare, few, moderate, many).N/A
No special patient preparation required. Patient should rinse mouth with water prior to specimen collection if possible to reduce oral contamination. Antibiotic therapy history should be documented, as prior antimicrobial use may affect culture results. Bronchoscopy should be performed by qualified personnel under appropriate sedation per institutional protocols.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
This test is crucial for diagnosing bacterial pneumonia, bronchitis, and other lower respiratory tract infections. It helps identify the exact bacteria causing your infection, allowing your doctor to prescribe the most effective antibiotic. This targeted approach leads to better treatment outcomes and helps prevent antibiotic resistance. The test is particularly important for people with weakened immune systems, chronic lung diseases, or those who have not responded to initial antibiotic treatment.
Frequently asked questions
Will the test be painful?
How long does it take to get results?
What do the results mean?
Do I need to stop taking antibiotics before the test?
Sources
- 1
- 2
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy