The Sputum for Acid-Fast Bacilli (AFB) Test is a laboratory examination used to detect acid-fast bacteria in a sputum sample. It is commonly requested when investigating suspected pulmonary tuberculosis (TB) and other mycobacterial infections.
The test helps healthcare professionals assess whether acid-fast bacilli are present in respiratory secretions.
The test examines sputum for the presence of acid-fast bacilli (AFB), which may include bacteria belonging to the Mycobacterium group.
Depending on the laboratory method, the examination may involve:
AFB Smear Microscopy: Examines a stained sputum sample under a microscope.
AFB Culture: Attempts to grow mycobacteria for further identification, if specifically requested.
A positive smear indicates the presence of acid-fast organisms but does not independently confirm tuberculosis.
Sample Type: Sputum Sample
Sample Quantity: To be confirmed by the laboratory.
Collection Container: Sterile, wide-mouth, leak-proof sputum container.
Collection Instructions: Collect sputum from the lungs rather than saliva. Avoid contamination with food, water, or other substances.
A deep-cough sputum sample, often collected early in the morning, may be preferred.
Rinse the mouth with plain water before collection.
Take a deep breath and cough deeply to bring up sputum from the chest.
Follow the laboratory's instructions regarding the number of samples and transportation.
A negative AFB smear does not completely exclude tuberculosis.
A positive AFB smear does not identify the exact mycobacterial species.
Molecular testing, such as GeneXpert MTB/RIF, or culture may be required for further investigation.
Smear, culture, and molecular testing are different investigations and should not be considered interchangeable.
Reporting Time: To be confirmed by the laboratory.
Please confirm test availability and sample collection requirements with the laboratory before booking.
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