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Culture of joint aspirate How the Test is Performed:
A sample of joint aspirate or fluid is placed on culture media in containers for the purpose of growing microorganisms (bacteria, fungus, or viruses) in the laboratory. Any microorganisms that grow will later be identified under the microscope. The microbiologist in the laboratory inspects the cultures daily for growth. If microorganisms are detected, other tests may be initiated to determine the sensitivity of the organisms to medications. Antibiotic therapy can then be determined based on these results.
How to Prepare:
A physician will withdraw fluid from a joint.
Adults:
There is no special preparation.
Infants and children:
The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experience, and level of trust. For specific information regarding how you can prepare your child, see the following topics as they correspond to your child's age:
How it Feels:
The sample may be obtained in the health care provider's office or in the hospital. The skin over the joint is cleansed with antibacterial soap. A local anesthetic is injected into the skin over the joint. The injection has a burning or stinging sensation. After the area has become numb, a larger needle is inserted into the joint, and fluid is withdrawn. There may be pressure in the joint. Some minor soreness may be present for several days.
Risks:
The risks are infection or bleeding in the joint.
Why this Test is Performed:
The test may be performed when there is unexplained pain and inflammation of a joint or suspected infection in a joint.
Normal Values:
No presence of organisms in the culture is normal.
Abnormal Results:
Abnormal results indicate an infection in the joint . The infection may be bacterial or fungal. The causative organism and an effective medication to treat the organism, if available, are indicated in the results.
Other associated conditions:
Cost:
The estimated cost is $85.
Special Considerations:
Not applicable.
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