What is Pus (aerobic) culture test? 

Culture tests are done to identify infectious organisms in the body. The aerobic culture (pus) test detects aerobic bacteria in pus, which is the yellowish liquid that forms at the site of infection.

Aerobic bacteria need oxygen to survive and grow, and hence they typically cause infection close to the skin surface. Some of the examples of aerobic bacteria include group B Streptococci, Enterococcus faecalis, Staphylococcus aureus, Klebsiella, Proteus, Escherichia coli (E coli), Pseudomonas aeruginosa, Bacillus and Nocardia.

Pus may contain different types of organisms, which can be identified to initiate the treatment for infection at the earliest and promote rapid healing.

The pus used for the culture test is obtained from skin or tooth abscess (pus confined within a tissue), sores or wounds on the skin, eye, ear, urethra, umbilical cord, throat, nails or at the site of sutures after surgery. Once isolated, the pus is added to a substance in a dish that promotes the growth of bacteria. If aerobic bacteria grow in the dish, it indicates the presence of infection.

  1. Why is Pus (aerobic) culture test performed?
  2. How do you prepare for a Pus (aerobic) culture test?
  3. How is a Pus (aerobic) culture test performed?
  4. What do Pus (aerobic) culture test results mean?

Your doctor may order this test if you have an infection in an area of inflammation or a wound. Symptoms that indicate an infection in the wound or inflammation include:

  • The affected area feels warm to touch
  • Redness in the affected area
  • Swelling or a lump in the affected area
  • Pain
  • Pus draining from the inflamed area or wound
  • Bumps around the wound that look like boils or a rash

In addition to the above symptoms, severe infection is also associated with:

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You do not have to prepare specially for this test. Inform the doctor if you are taking any medicine, vitamins or mineral supplements.

This test requires a sample of pus or fluid from the infected area. Based on the site of infection and the amount of pus present, your doctor may use either a swab (cotton bud) or a syringe to obtain a sample. Sometimes, a tissue sample is taken from the wound for testing. Here is how the sample will be collected: 

  • Your doctor will clean the area with 70% alcohol or an iodine solution and will allow it to dry. 
  • If the wound is superficial, the doctor may use a swab to obtain a sample. He/she will rotate the swab several times over the clean wound surfaces to collect the pus. If the pus is minimal, the doctor will apply gentle pressure when rotating the swab to express sufficient fluid from the wound. 
  • In case of deeper or closed wounds, he/she may use a syringe to aspirate a small quantity of fluid or takes a tissue sample for the test.
  • In case of ulcers, the doctor may either take a tissue sample or use a needle to aspirate from the edge of the ulcer. Sometimes, he/she may irrigate the ulcer with saline (salt solution), massage the edge of the ulcer and then use a syringe to aspirate a required sample of fluid. 
  • The swab or fluid collected will be immediately placed in a suitable container.
  • The container will be labelled appropriately and sent to the laboratory for testing.

Results take about 7 to 14 days to show up.

This test is not associated with any risk factors or side effects. 

Normal results: 

When no aerobic bacteria grow in the culture, the results are reported as negative.

Normal results indicate that you don’t have an infection from aerobic bacteria in the affected area.

Abnormal results: 

If aerobic bacteria grow in the culture, the results are reported as positive.

Your doctor will prescribe suitable antibiotics for treating the infection on the basis of the type of bacteria obtained in the test.

Disclaimer: All results must be clinically correlated with the patient’s complaints to make a complete and accurate diagnosis. The above information is provided from a purely educational point of view and is in no way a substitute for medical advice by a qualified doctor.

References

  1. University of California Museum of Paleontology [Internet]. Berkeley. California. US; Bacteria: Life History and Ecology
  2. Columbia University [Internet]. New York. US; Bacterial Classification, Structure and Function
  3. Michigan Medicine: University of Michigan [internet]; Skin and Wound Cultures
  4. Pathology handbook: University of Michigan [internet]. Ann Arbor. Michigan. US; Aerobic Culture, Wound
  5. Shah Amit, Ramola Vikas, and Nautiyal Vijay. Aerobic microbiology and culture sensitivity of head and neck space infection of odontogenic origin. Natl J Maxillofac Surg. 2016 Jan-Jun; 7(1): 56–61. PMID: 28163480.
  6. Fischbach FT. A Manual of Laboratory and Diagnostic Tests. 7th ed. 2003. Lippincott Williams & Wilkins Publishers. Pp: 329
  7. University of Rochester Medical Center [Internet]. Rochester (NY): University of Rochester Medical Center; Wound Culture
  8. Centers for Disease Control and Prevention [internet]. Atlanta (GA): US Department of Health and Human Services; Collecting Cultures: a Clinician Guide
  9. National Health Service [internet]. UK; UK Standards for Microbiology Investigations
  10. Washington State Department of Health [Internet]. Washington D.C. US; Microbiology Laboratory Test Menu
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