Peritoneal fluid culture
Definition
Peritoneal fluid culture is a laboratory test performed on a sample of peritoneal fluid to isolate and identify the presence of microorganisms that cause infection (peritonitis).
Peritoneal fluid is the fluid from the peritoneal cavity, a space between two membranes lining the abdominal cavity.
Alternative Names
Culture - peritoneal fluid
How the Test is Performed
The test is performed by abdominal tap, a needle aspiration of the peritoneal cavity. A sample of fluid is sent to the laboratory for gram stain and culture preparation. The sample is examined regularly for the growth of microorganisms.
How to Prepare for the Test
Empty your bladder before your abdominal tap procedure.
How the Test Will Feel
A small area in your abdomen will be cleaned with an antiseptic. You will also receive local anesthesia. You will then feel pressure as the needle is inserted. If a large amount of fluid is withdrawn, you may feel dizzy or light-headed.
Why the Test is Performed
The test is done to find out if there is an infection in the peritoneal space.
Normal Results
Peritoneal fluid is a sterile fluid, so normally no organisms are present.
What Abnormal Results Mean
The growth of any microorganism, such as bacteria or fungi, from peritoneal fluid is abnormal and represents peritonitis.
Risks
There is a small risk of the needle puncturing the bowel, bladder, or a blood vessel in the abdomen, possibly resulting in bowel perforation, bleeding, and infection.
Considerations
The diagnosis of peritonitis is based on more than just the peritoneal fluid culture (which may remain negative even in the presence of peritonitis).
Review Date:
1/27/2008
Reviewed By:
D. Scott Smith, M.D., MSc, DTM&H, Chief of Infectious Disease & Geographic Medicine, Kaiser Redwood City, CA & Adjunct Assistant Professor, Stanford University. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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