Ordering Recommendations

If parasite infection is suspected as cause of persistent diarrhea (>14 days), specific pathogen testing is recommended (refer to Gastrointestinal Parasite Panel by PCR (2011150); Giardia Antigen by EIA (0060048); Entamoeba histolytica Antigen, EIA (0058001); or Cryptosporidium Antigen by EIA (0060045)). Do not order for patients who develop diarrhea during a prolonged hospitalization.

Performed

Sun-Sat

Department

Sendout

Reported

3-7 days

Synonyms

  • Ascaris
  • Chlonorchis sinensis
  • Eggs or Cysts
  • Fasciola
  • Giardia Exam
  • Helminths
  • Isospora, Isospora belli, Cystoisospora
  • O and P
  • Opisthorchis sinensis
  • Parasites
  • Parasitic Exam
  • Parasitic examination, stool
  • parasitic worms
  • Parasitology Examination
  • Protozoa
  • S. haematobium
  • S. japonicum
  • Sarcocystis
  • Schistosoma mansoni
  • Strongyloides

Notes

For ova and parasite exams from nonstool sources, refer to Ova and Parasite Exam, Body Fluid or Urine (ARUP test code 3001663). For Cryptosporidium, Cyclospora, and Cystoisospora stains, refer to Parasitology Stain by Modified Acid-Fast (ARUP test code 0060046). For macroscopic parasite identification (worms or proglottids), refer to Parasite Examination, Macroscopic (ARUP test code 2007361). For additional test information refer to ARUP Consult, https://arupconsult.com/content/diarrhea

Patient Preparation

Specimens analyzed to determine the efficacy of treatment should be collected three to four weeks after completion of therapy. Antibiotics may affect results of exam.

Preferred Specimen Container

If stool specimen is not collected inpatient, please utilize the AlcorFix Transport Media.

Click here for video guide on collection.

Collect

Stool. Recommended collection: 3 separate stool specimens within a 5-7-day period (an individual order must be submitted for each specimen).

Specimen Preparation

Transfer 2 g of stool within one hour of collection into AlcorFix (ARUP Supply #52059) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at 800-522-2787. (Min: 1 g)
Also acceptable: Transfer 5 g of stool within one hour of collection into both 10 percent formalin and modified PVA (10 g total). (Min: 10 g total)
Additional specimen collection instructions can be found at https://www.aruplab.com/parasep

Unacceptable Conditions

Rectal swabs, unpreserved, SAF (sodium acetate formalin), and any PVA fixative containing mercury such as LV-PVA (low viscosity PVA). Multiple specimens collected within a 24 hour period. Specimens containing barium, bismuth, or urine.

Storage/Transport Temperature

Room temperature.

Stability (from collection to initiation)

Ambient: 9 months; Refrigerated: 9 months; Frozen: Unacceptable

Remarks

Indicate suspected parasites.

Reference Interval

Negative

Interpretive Data

Method for identification of ova and parasites includes wet mount and trichrome stain.

Due to the various shedding cycles of many parasites, three separate stool specimens collected over a 5-7-day period are recommended for ova and parasite examination. A single negative result does not rule out the possibility of a parasitic infection. The ova and parasite exam does not specifically detect Cryptosporidium, Cyclospora, Cystoisospora, and Microsporidia. For additional test information refer to ARUP Consult, https://arupconsult.com/content/diarrhea

Methodology

Qualitative Concentration/Trichrome Stain/Microscopy

CPT Codes

87177; 87209

LOINC

  • 10704-5
  • 43227-8

ARUP Test Code

3001662
Ordering

Ordering Recommendations

If parasite infection is suspected as cause of persistent diarrhea (>14 days), specific pathogen testing is recommended (refer to Gastrointestinal Parasite Panel by PCR (2011150); Giardia Antigen by EIA (0060048); Entamoeba histolytica Antigen, EIA (0058001); or Cryptosporidium Antigen by EIA (0060045)). Do not order for patients who develop diarrhea during a prolonged hospitalization.

Performed

Sun-Sat

Department

Sendout

Reported

3-7 days

Synonyms

  • Ascaris
  • Chlonorchis sinensis
  • Eggs or Cysts
  • Fasciola
  • Giardia Exam
  • Helminths
  • Isospora, Isospora belli, Cystoisospora
  • O and P
  • Opisthorchis sinensis
  • Parasites
  • Parasitic Exam
  • Parasitic examination, stool
  • parasitic worms
  • Parasitology Examination
  • Protozoa
  • S. haematobium
  • S. japonicum
  • Sarcocystis
  • Schistosoma mansoni
  • Strongyloides

Notes

For ova and parasite exams from nonstool sources, refer to Ova and Parasite Exam, Body Fluid or Urine (ARUP test code 3001663). For Cryptosporidium, Cyclospora, and Cystoisospora stains, refer to Parasitology Stain by Modified Acid-Fast (ARUP test code 0060046). For macroscopic parasite identification (worms or proglottids), refer to Parasite Examination, Macroscopic (ARUP test code 2007361). For additional test information refer to ARUP Consult, https://arupconsult.com/content/diarrhea
Collect

Patient Preparation

Specimens analyzed to determine the efficacy of treatment should be collected three to four weeks after completion of therapy. Antibiotics may affect results of exam.

Preferred Specimen Container

If stool specimen is not collected inpatient, please utilize the AlcorFix Transport Media.

Click here for video guide on collection.

Collect

Stool. Recommended collection: 3 separate stool specimens within a 5-7-day period (an individual order must be submitted for each specimen).

Specimen Preparation

Transfer 2 g of stool within one hour of collection into AlcorFix (ARUP Supply #52059) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at 800-522-2787. (Min: 1 g)
Also acceptable: Transfer 5 g of stool within one hour of collection into both 10 percent formalin and modified PVA (10 g total). (Min: 10 g total)
Additional specimen collection instructions can be found at https://www.aruplab.com/parasep

Unacceptable Conditions

Rectal swabs, unpreserved, SAF (sodium acetate formalin), and any PVA fixative containing mercury such as LV-PVA (low viscosity PVA). Multiple specimens collected within a 24 hour period. Specimens containing barium, bismuth, or urine.

Storage/Transport Temperature

Room temperature.

Stability (from collection to initiation)

Ambient: 9 months; Refrigerated: 9 months; Frozen: Unacceptable

Remarks

Indicate suspected parasites.
Result Interpretation

Reference Interval

Negative

Interpretive Data

Method for identification of ova and parasites includes wet mount and trichrome stain.

Due to the various shedding cycles of many parasites, three separate stool specimens collected over a 5-7-day period are recommended for ova and parasite examination. A single negative result does not rule out the possibility of a parasitic infection. The ova and parasite exam does not specifically detect Cryptosporidium, Cyclospora, Cystoisospora, and Microsporidia. For additional test information refer to ARUP Consult, https://arupconsult.com/content/diarrhea

Methodology

Qualitative Concentration/Trichrome Stain/Microscopy
Billing

CPT Codes

87177; 87209

LOINC

  • 10704-5
  • 43227-8

ARUP Test Code

3001662
SBL Lab Use ONLY