Test Directory

Test Code
BCID2
Test Name
Blood Culture ID by NAA
CPT Codes
87154
Included Tests

Gram Negative Bacteria

  • Acinetobacter calcoaceticus-baumannii
  • Bacteroides fragilis
  • Enterobacterales
  • Enterobacter cloacae complex
  • Escherichia coli
  • Klebsiella aerogenes
  • Klebsiella oxytoca
  • Klebsiella pneumoniae group
  • Proteus spp.
  • Salmonella
  • Serratia marcescens
  • Haemophilus influenzae
  • Neisseria meningitidis
  • Pseudomonas aeruginosa
  • Stenotrophomonas maltophilia

Gram Positive Bacteria

  • Enterococcus faecalis
  • Enterococcus faecium
  • Listeria monocytogenes
  • Staphylococcus
  • Staphylococcus aureus
  • Staphylococcus epidermidis
  • Staphylococcus lugdunensis
  • Streptococcus
  • Streptococcus agalactiae
  • Streptococcus pneumoniae
  • Streptococcus pyogenes

Yeast

  • Candida albicans
  • Candida auris
  • Candida glabrata
  • Candida krusei
  • Candida parapsilosis
  • Candida tropicalis
  • Cryptococcus neoformans/gattii

Antimicrobial Resistance Markers

Carbapenemases

  • IMP
  • KPC
  • OXA-48-like
  • NDM
  • VIM

Colistin Resistance

  • mcr-1

ESBL

  • CTX-M

Methicillin/Oxacillin Resistance

  • mecA/C
  • mecA/C and MREJ

Vancomycin Resistance

  • vanA/B
Expected Turnaround Time
1 - 4 hours
Clinical Utility
Current guidelines recommend rapid, molecular diagnostic tests to identify the causative agents of infection and common resistance determinants. These panels have been shown to improve timely, appropriate antimicrobial therapy and contribute to reduced mortality and length of stay.
Processing and Submission Instructions

More information on the panel targets and interpretation are available at Blood Culture Identification Panel Guidance

Methodology
Multiplex Polymerase Chain Reaction (PCR)
Critical Values
Positive blood cultures are considered a critical value. A healthcare worker is phoned to notify them of a positive culture, the initial Gram stain, and to notify that the blood culture panel results are available in the patient's record for review.
Performing Location
Roble Road Core Laboratory
Alternate Names
  • Rapid Identification Blood Culture
Testing Schedule
Routine, daily