A sputum stain for Mycobacteria is a laboratory test performed on a sample of your sputum, or phlegm. It’s also known as an acid-fast bacillus (AFB) stain or a tuberculosis (TB) smear. A doctor typically orders the test to determine if a person has tuberculosis (TB) or another type of mycobacterial infection.
To detect and identify infections caused by Mycobacterium tuberculosis, the cause of tuberculosis (TB), and other Mycobacterium species, which are known as acid-fast bacilli (AFB); to monitor the effectiveness of treatment.
A negative AFB smear may mean that no infection is present, that symptoms are caused by something other than mycobacteria, or that the mycobacteria were not present in sufficient numbers to be seen under the microscope. Positive AFB smears indicate a probable mycobacterial infection. However, a culture must be performed to confirm a diagnosis and identify the species of mycobacteria present.