You will produce a sputum sample from your lungs by coughing up mucus from deep inside your lungs. (This mucus is not the same as saliva or spit from the mouth.)

The sample is sent to a lab. There, a fluorescent dye is added to the sample. If micro-organisms are present, a bright glow (fluorescence) can be seen in the sputum sample using a special microscope.

If coughing does not produce sputum, a breathing treatment may be given before the test to trigger sputum production.

There is no discomfort with this test.

Your health care provider may order this test if you have signs of certain lung infections.

Normally, there is no fluorescence.

Abnormal results may be due to an infection such as:

• Legionnaire disease
• Pneumonia due to certain bacteria, viruses, fungi, or other micro-organisms

There are no risks with this test.

Direct immunofluorescence test; Direct fluorescent antibody - sputum

Banaei N, Deresinski SC, Pinsky BA. Microbiologic diagnosis of lung infection. In: Broaddus VC, Ernst JD, King TE, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 7th ed. Philadelphia, PA: Elsevier; 2022:chap 19.

Patel R. The clinician and the microbiology laboratory: test ordering, specimen collection, and result interpretation. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 16.

Updated by: Todd Gersten, MD, Hematology/Oncology, Florida Cancer Specialists & Research Institute, Wellington, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.