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Blood Culture Test: Detecting Bacteria in Your Blood to Diagnose Bacteremia and Sepsis

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

A laboratory test that detects and identifies bacteria in your blood to help diagnose infections.

Quick summary

{"The test involves growing bacteria from a blood sample in a laboratory","It helps doctors identify the specific type of bacteria causing infection","Results guide appropriate antibiotic selection","Results typically take 2-5 days","A positive result confirms bacterial infection"}

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

Key facts at a glance

LOINC
44845-6
Short code
BCTID5
Synonyms
Bacteria Spec Cult org #5
Category
chemistry
Sample
serum
Container
Sterile, leak-proof container appropriate for specimen type; transport media if delayed processing anticipated; specific containers vary by specimen source (e.g., blood culture bottles, sterile cups, swab transport systems)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–999 years
Method
culture
CPT
87077
SNOMED
119376003
Specimen volume
Variable by specimen type; minimum volume as required by laboratory protocol (typically 0.5-10 mL depending on source)
Stability
Process immediately or transport to laboratory promptly; refrigerated (2-8°C) for most specimens if delay >2 hours; room temperature acceptable for some specimens (e.g., urine for culture); refer to specific specimen type guidelines
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

What is this test and why might my doctor order it to check my blood?

A bacterial culture test is a laboratory procedure where a sample of your blood is placed in a special environment that allows bacteria to grow. This helps doctors identify whether bacteria are present in your bloodstream and determine exactly what type of bacteria is causing an infection. The term 'Bacteria # 5' refers to the laboratory process of identifying specific bacterial organisms found in the specimen through culture methods.

How is the test performed, and what should I expect during the blood draw?

A healthcare provider will draw a blood sample from a vein in your arm. The sample is then sent to a laboratory where it is placed in culture bottles containing nutrients that support bacterial growth. These bottles are incubated at body temperature and monitored daily for signs of bacterial growth. If bacteria grow, further tests are conducted to identify the specific type.

What do the results of this test mean for my health and treatment?

A positive result means bacteria were found in your blood, indicating a bacterial infection such as bacteremia or sepsis. Identifying the specific type of bacteria helps your doctor choose the most effective antibiotic treatment for your condition. A negative result means no bacteria were detected in the sample, but this does not completely rule out an infection, since the number of bacteria may be too small to detect or the infection may be located in a different part of the body.

Reference range

No growth of pathogenic bacteria (result reported as organism identified with colony count and antimicrobial susceptibility when clinically indicated)N/A

Specimen: serum

Specimen collection should be performed prior to initiation of antimicrobial therapy when possible. For specific specimen types, follow site-specific collection guidelines to minimize contamination. Patient should be informed about proper collection technique based on specimen source.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is crucial for diagnosing bloodstream infections, sepsis, and bacterial endocarditis. It helps differentiate between bacterial and viral infections, ensuring appropriate treatment. The identification of specific bacteria allows for targeted antibiotic therapy, improving outcomes and reducing the risk of antibiotic resistance. This test is particularly important for patients with fever of unknown origin, suspected septicemia, or those not responding to initial antibiotic treatment.

Frequently asked questions

Do I need to fast before this test?
No, you do not need to fast before a blood culture test. You can eat and drink normally unless your doctor gives you specific instructions.
How long does it take to get results?
Preliminary results may be available in 24-48 hours, but final identification of the specific bacteria typically takes 2-5 days. Some bacteria require longer incubation periods, so complete results may take up to 7 days.
Is the test painful?
You may feel a brief pinch or mild discomfort when the blood sample is drawn, similar to other blood tests. The procedure usually takes only a few minutes.
What happens if my test is positive?
If bacteria are identified, your doctor will determine the appropriate treatment based on the specific type of bacteria found. This may include starting or changing antibiotics to target the specific infection.
Can I have a negative result even if I have an infection?
Yes, it is possible to have an infection even with a negative result. Some infections may not show positive results if the number of bacteria is very low, if you have already started taking antibiotics before the sample was collected, or if the infection is in a different part of your body. Your doctor will consider your symptoms, physical examination findings, and other test results alongside this blood culture to reach an accurate diagnosis.
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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