Ova and Parasites: Comprehensive OAP
|Method(s)||Concentrate technique/Trichrome stain/light microscopy, Light microscopy/Direct Fluorescent Antibody|
|Transport||Inpatient: Stool collected in a dry, clean container and delivered immediately at room temperature. Outpatient: Several spoonfuls of stool transferred to a vial with SAF Fixative and delivered within 72 hours at room temperature.|
|Remarks||Three specimens collected on separate days should be submitted per standard recommendations as parasites may be shed intermittently. Further, only 1 specimen per day will be reimbursed by Medicaid and private insurers; therefore, only 1 specimen per day will be accepted for testing.|
Stool preserved in SAF: 1 month at Room Temperature. If specimen is unpreserved the stool is stable for 24 hours at 4°C.
|Unacceptable Conditions||Specimen collected on swab, stick or diaper. Specimens contaminated with oil, barium or urine. Dry specimens are inappropriate for testing.|
|CPTCode||87269, 87272, 87171|
|Notes||The "Comprehensive" exam should be ordered if the patient's immune status or travel history warrants examination for only intestinal parasites. It includes a DFA for Giardia & Crytosporidium plus a concentrate exam for additional intestinal protozoa and worms.|
|Preferred Specimen Collection Device(s)|
No ova and parasites seen.
Negative for Giardia by DFA.
Negative for Cryptosporidium by DFA.