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Test Code Billings Clinic: 6707 Potassium Hydroxide Preparation, Sputum

Performing Laboratory

Billings Clinic Laboratory

Methodology

Potassium hydroxide (KOH) preparation is used to determine the presence of fungus in various sites such as skin, nails, hair, sputum, etc.

Specimen Requirements

Submit only 1 of the following specimens:

 

Induced

1. Fill ultrasonic nebulizer with 10 mL of 3% sterile sodium chloride solution.
2. Seat patient in front of nebulizer.
3. Turn on nebulizer and note strong flow of nebulizer saline from end of flex tubing.
4. Instruct patient to put end of flex tubing inside lips and inhale aerosol slowly and deeply.
5. Instruct patient to cough deeply and expectorate 2 mL of sputum into a screw-capped, sterile container.

Note:  1. 24-Hour sputum collection is not acceptable.
2. “Deep” cough specimen, not saliva, must be collected for an adequate evaluation.
6. If patient cannot expectorate sputum, 5 to 10 minutes of chest percussion may be administered to stimulate cough and sputum production.

7. Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.

8. Maintain sterility and forward promptly.
Note:  Specimen source is required on request form for processing.

 

Spontaneous
1. Instruct patient to cough deeply and expectorate 2 mL of sputum into a screw-capped, sterile container.

Note:  1. 24-Hour sputum collection is not acceptable.
2. “Deep” cough specimen, not saliva, must be collected for an adequate evaluation.

 

2. Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.

3. Maintain sterility and forward promptly.
Note:  Specimen source is required on request form for processing.

Reference Values

No fungal elements seen
Note:  Cultures are more sensitive than smears; therefore, KOH preparation may be negative when culture is positive.

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

87220