ARUP's Laboratory Test Directory

Ova & Parasite Exam, Fecal (Immunocompromised or Travel History) : 0060240

Mnemonic: OP

Methodology: Concentration Technique/Trichrome Stain/Microscopic Evaluation
Performed: Sun-Sat
Reported: 3-7 days
Specimen Required: Collect:  Stool.  Preserve each stool collection in 10% formalin AND modified PVA within one hour of collection. ARUP Supply #16355. Recommended collection: three separate stool specimens within a 10-day period.  An individual order must be submitted for each specimen.

Transport:  Stool preserved in 10% formalin AND modified PVA at 20-25°C.

Remarks:  Optimal collection is three separate stool specimens within a 10-day period.  An individual order must be submitted for each specimen.
Indicate suspected parasites. Specimens analyzed to determine the efficacy of treatment should be collected three to four weeks after completion of therapy. Kits for preservation are available from ARUP (10% formalin and modified PVA). Antibiotics may affect results of exam.


Unacceptable Conditions:  Dry specimens, leaking containers, specimens contaminated with oil, barium or urine, multiple specimens (more than one in 24 hours), unpreserved specimens, rectal swabs.

Stability:  Preserved stool: Ambient: 9 months
Reference Interval:
Negative
Interpretive Data: Methodology for identification of Ova and Parasites includes wet mount and trichrome stain.

CDC reports that Giardia lamblia, Cryptosporidium sp., and Entamoeba histolytica are the most common causes of gastrointestinal parasitic disease in the United States. For patients with suspected gastrointestinal infection from these parasites, stool antigen testing is the optimal test method for diagnosis. A complete microscopic examination for ova and parasites should be limited to patients with immunocompromised condition, pertinent travel history, exposure history, or high pre-test probability for parasitic infection. In select clinical contexts, species-specific serology may be the preferred test.

The ova and parasite exam does not include a test to specifically detect Cryptosporidium, Cyclospora, Isospora and Microsporidium. For Cryptosporidium, please refer to the Cryptosporidium Antigen by EIA (0060045). For Cyclospora and Isospora, refer to Parasitology Stain by Modified Acid-Fast (0060046). For Microsporidium, refer to Microsporidia Stain (0060050).
Note: For Ova and Parasite exams from non-stool sources, refer to Ova & Parasite Exam, Body Fluid (0060067).  For Cryptosporidium, Cyclospora and Isospora stains refer to Parasitology Stain by Modified Acid-Fast (0060046).
CPT Code(s): 87177 Ova & parasite; 87209 Trichrome stain
 
 

 

 

 
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