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Bacteriamaraerobecult

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

This test detects and identifies aerobic bacteria in a bone marrow sample to diagnose infections.

Quick summary

{"A bone marrow culture checks for bacterial infections in your bone marrow","The test helps diagnose conditions like osteomyelitis and unexplained fevers","A small sample of bone marrow is collected and placed in conditions that allow bacteria to grow","Results typically take 2-5 days to complete","Positive results indicate a bacterial infection that requires treatment"}

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

Key facts at a glance

LOINC
19126-2
Short code
BMARID
Synonyms
Bacteria Mar Aerobe Cult
Category
chemistry
Sample
serum
Container
Sterile blood culture bottle (aerobic and anaerobic pairs) or sterile transport container with transport medium; sterile screw-cap tube for bone marrow aspirate
Units
N/A
Ref low
5
Ref high
7
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
aerobic-culture
CPT
87040
SNOMED
40133007
Specimen volume
1-3 mL of bone marrow aspirate for pediatric patients; 3-5 mL for adults; inoculated into blood culture bottles or sterile container
Stability
Specimen should be transported to the laboratory immediately at room temperature (20-25°C). If delayed, bone marrow aspirate may be stored at room temperature for up to 24 hours. Do not refrigerate blood culture bottles.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
48–336 hours
Order
routine

What is this test?

A Bone Marrow Aerobic Culture is a laboratory test that detects and identifies aerobic (oxygen-requiring) bacteria in a sample of bone marrow. Bone marrow is the spongy tissue inside bones where blood cells are produced. This test helps doctors determine if there is a bacterial infection in the bone marrow or surrounding bone tissue.

Why do I need this test?

Your doctor may order this test if you have symptoms suggesting a bone or bone marrow infection, such as persistent fever, bone pain, or swelling. It is commonly used to diagnose osteomyelitis (bone infection), to investigate fevers of unknown origin, or to check for infections in patients with weakened immune systems. The test may also be performed as part of a workup for certain blood disorders or cancers.

How is the sample collected?

A healthcare provider will collect a small sample of bone marrow, usually from the hip bone (iliac crest) or breastbone (sternum). The area will be cleaned and numbed with local anesthesia. A special needle is then inserted to draw out a small amount of bone marrow fluid. This procedure is called a bone marrow aspiration. The sample is immediately placed in special containers and sent to the laboratory for culture.

What do the results mean?

If the culture shows no bacterial growth, it may indicate no bacterial infection is present. If bacteria are identified, the laboratory will determine the specific type of bacteria causing the infection. This information helps your doctor prescribe the most effective antibiotic treatment. A negative result does not completely rule out infection, as some bacteria may not grow in aerobic culture conditions or may require special growth conditions.

Reference range

No growth of pathogenic bacteria. Results reported as organism identified or 'No growth' after standard incubation period (typically 5-7 days, up to 14 days for slow-growing organisms).N/A

Specimen: serum

No special patient preparation required. Inform patient about the invasive nature of bone marrow aspiration. Discontinue antibiotics prior to collection only if clinically feasible and as directed by physician (typically 48-72 hours before specimen collection if possible, to improve recovery).

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Is the bone marrow collection procedure painful?
You will receive local anesthesia to numb the area, so you should not feel pain during the procedure. You may feel some pressure or discomfort when the needle is inserted. After the procedure, you may experience mild soreness at the collection site for a few days.
How long does it take to get results?
Bone marrow culture results typically take 2-5 days. If bacteria are present, they need time to grow in the laboratory to allow for identification. In some cases, if no bacteria grow after 5 days, the culture may be reported as negative, but your doctor may order additional tests if clinical suspicion remains high.
What happens if my test is positive?
If bacteria are identified in your bone marrow culture, your doctor will determine the appropriate treatment. This usually involves a course of antibiotics targeted specifically at the bacteria found. The type and duration of treatment will depend on the specific bacteria identified and the severity of the infection.
Are there any risks associated with this test?
The main risks include bleeding, infection, or discomfort at the puncture site. In rare cases, there may be persistent bleeding or damage to the surrounding tissue. Your healthcare provider will discuss these risks with you and take appropriate precautions.
Do I need to prepare for this test?
You may need to fast for a few hours before the test if bone marrow aspiration is combined with other blood tests. Inform your doctor about any medications you are taking, as some may need to be paused. Be sure to mention any bleeding disorders or allergies to anesthesia.
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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