Routine sputum culture is a test of secretions from the lungs and bronchi (tubes that carry air to the lung) to look for organisms that cause infection.
A health care provider will often collect sputum samples in the morning. The doctor or nurse may have you rinse your mouth first. The goal is to bring sputum up from deeper in your airways and your throat.
You will be asked to take three deep breaths, then force up some sputum amount by coughing deeply. You will spit any sputum that comes up into a sterile cup. The sputum is then taken to the laboratory. There, it is placed in a special substance (medium) under conditions that allow the bacteria or fungi to grow.
Drinking a lot of water and other fluids the night before the test may help to get the sample.
You will need to cough. Sometimes the health care provider will tap on your chest to loosen deep sputum. There may be a steam-like mist to inhale to help you cough up the sample.
The culture is done on the sputum to help identify the bacteria, or other type of germs, that are causing an infection in the lungs or airways (bronchi). The doctor may collect a sputum sample the office or in the hospital.
The culture can prevent the need for more invasive procedures such as bronchoscopy.
In a normal sputum sample there will be no disease-causing organisms present. Often, bacteria that normally live in the mouth will grow in a sputum culture. This does not mean that you have a lung or airway infection.
If the sputum sample is abnormal, the results are called "positive." Identifying the bacteria, fungus, or virus may help diagnose the cause of:
There are no risks with this method of obtaining a sample, although severe coughing might cause some chest discomfort.
Limper AH. Overview of pneumonia.In: Goldman L, Schafer AI, eds.Cecil Medicine. 24th ed.Philadelphia,PA: Saunders Elsevier; 2011:chap 97.
Torres A, Menendez R, Wunderink R. Pyogenic bacterial pneumonia and lung abscess. In: Mason RJ, Broaddus VC, Martin TR, et al, eds.Murray and Nadel’s Textbook of Respiratory Medicine. 5th ed.Philadelphia,Pa: Saunders Elsevier; 2010:chap 32.