Test ID LABF Lactate, Body Fluid
Useful For
Aid in differentiating between bacterial and viral meningitis
Aid in identifying increased glycolysis or hypoxia associated with bacterial meningitis, cerebral infarction, cerebral arteriosclerosis, intracranial hemorrhage, hydrocephalus, traumatic brain injury, cerebral edema, epilepsy, and inborn errors of metabolism
Method Name
Photometric, Lactate Oxidase/Peroxidase (Vitros Dry Slide)
Reporting Name
Lactate, BFSpecimen Type
Body FluidSpecimen Type: Spinal fluid
Container/Tube: Sterile container
Specimen Volume: 1 mL
Collection Instructions:
1. Centrifuge to remove any cellular material.
2. Indicate specimen source. Spinal fluid is the only acceptable source.
Specimen Minimum Volume
0.5 mL
Specimen Stability Information
Specimen Type | Temperature | Time |
---|---|---|
Body Fluid | Frozen (preferred) | 30 days |
Refrigerated | 14 days |
Clinical Information
Lactate found in cerebrospinal fluid (CSF) is predominantly produced by central nervous system (CNS) glycolysis and is independent of serum lactate. Increased CSF lactate concentrations are related to increased cerebral glycolysis or hypoxia associated with bacterial meningitis, cerebral infarction, cerebral arteriosclerosis, intracranial hemorrhage, hydrocephalus, traumatic brain injury, cerebral edema, epilepsy, and inborn errors of metabolism. Lactate measurement in CSF has been proposed as a test to differentiate bacterial from viral meningitis.
Reference Values
Not applicable
Cautions
Cerebrospinal fluid (CSF) lactate concentrations should be interpreted in conjunction with clinical findings and other laboratory results.
CSF lactate concentrations decrease after treatment with antibiotics, therefore specimens should be collected prior to initiation of antibiotics in order to differentiate bacterial from ascetic meningitis.
Day(s) Performed
Monday through Sunday, Continuously
Report Available
1 day/2 hoursPerforming Laboratory

Test Classification
This test has been modified from the manufacturer’s instructions. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements.CPT Code Information
83605