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Anaerobic Bacteria Culture Test

Published: August 9, 2026Updated: August 16, 2026

This test identifies anaerobic bacteria that may be causing an infection in an implanted medical device, such as a prosthetic joint, heart valve, or other surgical implant.

Quick summary

{"The test detects anaerobic (oxygen-avoiding) bacteria from implanted devices","It helps diagnose deep-seated infections that may not respond to standard antibiotics","Results guide targeted antibiotic treatment for better outcomes","Sample is collected from the device or surrounding area during a procedure","Anaerobic infections often cause persistent symptoms despite treatment"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
87938-7
Short code
IMPDEVANA
Synonyms
Bacteria Implnt dev Anaerobe Cult
Category
chemistry
Sample
serum
Container
Anaerobic transport system (e.g., sterile anaerobic transport vial, Port-a-Cul, or eSwab in Amies medium), sterile screw-cap tube, or sterile container appropriate for anaerobic culture
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
anaerobic-culture
CPT
87075
SNOMED
441902008
Specimen volume
Minimum 1-2 mL of fluid, tissue fragment (≥1 cm³), or device component; catheter tips should be ≥5 cm in length
Stability
Room temperature: 2 hours; Refrigerated (2-8°C): 24 hours; do not freeze. Specimen should be processed as soon as possible to preserve viability of anaerobic organisms.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
72–336 hours
Order
routine

This test checks for bacteria that grow best in places with little or no oxygen. Your healthcare provider may order it if you have signs of an infection, such as pus, swelling, redness, or a wound that is not healing as expected.

This test is a specialized culture method that identifies anaerobic bacteria from an implanted medical device. Anaerobic bacteria are microorganisms that can survive and grow without oxygen. They are a common cause of infections in implanted devices because they thrive in the low-oxygen environment around artificial materials inside the body.

You may need this test if you have an abscess, a deep wound, an animal or human bite, or a serious infection in your abdomen, pelvis, sinuses, or bloodstream. It helps identify the exact bacteria causing the infection so the most effective antibiotic can be chosen.

Your doctor may order this test if you have an implanted device (such as a knee or hip replacement, pacemaker, heart valve, or breast implant) and are experiencing signs of infection that have not improved with standard treatment. Anaerobic bacteria are often difficult to detect with regular cultures, so this specialized test is needed to identify the exact cause of your infection.

A sample is collected from the infected area using a sterile swab, needle, or syringe. If the infection is deep inside your body, fluid or tissue may be taken during a minor procedure. The sample is sealed in a special container that keeps oxygen away from the bacteria so they can grow in the lab.

The sample is not a blood sample despite the serum designation in the system. In practice, the sample is typically collected from the implanted device itself, fluid or tissue around the device, or pus from the infected area. This is usually done during a surgical procedure to revise or clean the infected device, or sometimes through a needle aspiration guided by imaging.

A positive result means anaerobic bacteria were found in your sample and are likely causing your infection. A negative result means no anaerobic bacteria were detected, though other types of germs could still be present. Your provider will use these results together with your symptoms and exam findings to plan the right treatment for you.

A positive result means anaerobic bacteria have been identified in the sample, confirming an anaerobic infection. The specific type of bacteria will be reported, which helps your doctor choose the most effective antibiotic treatment. A negative result means no anaerobic bacteria were found, though this does not completely rule out infection—other types of bacteria or other causes may still be responsible.

Anaerobic bacteria are germs that live and multiply without needing oxygen. Many of them are harmless and normally live in your mouth, intestines, and on your skin, but they can cause serious infections when they enter deep tissues, wounds, or the bloodstream.

Anaerobic bacteria are germs that do not need oxygen to survive. They often cause infections in deep tissues, surgical sites, and around foreign objects like implants. Common anaerobic bacteria that infect implants include Propionibacterium acnes, Bacteroides species, and Clostridium species. These infections can be persistent and require long-term, targeted treatment.

Reference range

No anaerobic bacteria isolated. Identification reported qualitatively when present (e.g., Cutibacterium acnes, Peptostreptococcus spp., Bacteroides spp., Clostridium spp., Finegoldia magna).N/A

Specimen: serum

Specimen should be collected aseptically from the implanted device site, prosthesis, or device components (catheter tip, prosthetic joint tissue, pacemaker lead) prior to initiation of antibiotic therapy when possible. Discontinue topical antiseptic at collection site for at least 24 hours if clinically feasible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is clinically significant because anaerobic infections of implanted devices are often difficult to diagnose and treat. Standard antibiotic therapies may not work against anaerobic bacteria, leading to treatment failure and potential device failure. Identifying the specific anaerobic bacteria allows doctors to prescribe targeted antibiotics, improving the chances of curing the infection and saving the implant. This test is particularly important for patients with chronic or persistent infections that have not responded to initial treatments.

The results also help distinguish between a true infection and other causes of inflammation around an implant, such as foreign body reaction or mechanical loosening. Accurate diagnosis prevents unnecessary device removal and guides the duration of antibiotic therapy, which for anaerobic infections can extend from weeks to months.

Frequently asked questions

Is this test painful?
The sample collection is typically part of a surgical procedure or needle aspiration, so you may experience some discomfort. Local or general anesthesia is usually used during the collection process to minimize pain.
How long does it take to get results?
Bacterial culture results usually take 3 to 7 days. Anaerobic bacteria often grow slower than aerobic bacteria, so the full process may take up to two weeks in some cases.
What happens if the test is positive?
If anaerobic bacteria are identified, your doctor will prescribe specific antibiotics that are effective against those bacteria. You may need intravenous antibiotics followed by oral antibiotics for several weeks or months. In some cases, surgical cleaning or removal of the infected device may be necessary.
Can this test detect all types of infections?
No, this test specifically looks for anaerobic bacteria. Other tests may be needed to detect aerobic bacteria, fungi, or viruses that might also be causing the infection. Sometimes multiple tests are ordered together to get a complete picture.
Why is the sample type listed as serum?
This appears to be a data classification issue. In clinical practice, the sample for this test is typically fluid, tissue, or pus from around the implanted device, not blood serum. The test involves culturing material from the device site itself.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

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