Test Code LAB955 Parasites, samples other than Blood or Stool
Performing Laboratory
Barnes-Jewish Hospital Laboratory
Methodology
Wet Prep/Trichrome Stain
Specimen Requirements
Acceptable Specimens:
Abscess, Aspirate or biopsy: ≥1 mL in a leak-proof screw-capped, sterile container
CSF: >1 mL in a leak-proof screw-capped, sterile container (if free living amoeba - i.e. Acanthamoeba or Naegleria - is suspected)
Bronchial: ≥5 mL in a leak-proof screw-capped, sterile container
Sputum: ≥5 mL in a leak-proof screw-capped, sterile container
Arthropod, scabies, worm: any amount in a leak-proof, screw-capped, sterile container
Collection Procedure:
Note: If specific parasite is suspected, note on request form.
Note: Specimen source is required.
Aspirate
1. Aseptically collect ≥1 mL fluid. (Swab is not acceptable.)
2. Place specimen in a leakproof screw-capped, sterile container.
3. Maintain sterility and forward promptly.
CSF
1. Aseptically collect >1 mL fluid.
2. Place specimen in a leak-proof screw-capped, sterile container
3. Maintain sterility and forward promptly.
Bronchial
1. Aseptically collect ≥5 mL.
2. Place specimen in a leakproof screw-capped, sterile container.
3. Maintain sterility and forward promptly.
Sputum
1. Aseptically collect early-morning specimen in a leakproof screw-capped, sterile container. It is optimal to collect a specimen each day for 3 consecutive days. (Saliva is not acceptable.)
2. Instruct patient to brush his/her teeth and rinse mouth well with water.
3. Have patient remove dentures.
4. Instruct patient to take a deep breath, hold it momentarily, and then cough deeply and vigorously into a leakproof screw-capped, sterile container. Collect ≥5 mL of discharged material.
5. Maintain sterility and forward promptly.
Arthropod, Scabies, Worm
1. Aseptically collect in a leak-proof, screw-capped, sterile container.
2. Maintain sterility and forward promptly.
Day(s) Test Set Up
Monday through Friday
Turnaround Time:
STAT: not available
Routine: results available within 24 hours for specimens received Monday through Thursday and on Monday for specimens received Friday through Sunday.
Test Classification and CPT Coding
87177-O & P, direct smear, concentration and identification
87209-Smear, complex stain O & P
Reference Values
No parasites found
Literature Reference:
Garcia, Lynne S. Diagnostic medical parasitology. 6th ed. Washington, DC: ASM Press; 2016; 107-110, 116.
Specimen Transport Temperature
Ambient
Additional Information
For BJH Laboratory Use Only
Minimum Volume:
Aspirate: 0.5 mL in a leak-proof screw-capped, sterile container
Sputum: 0.5 mL in a leak-proof screw-capped, sterile container
Arthropod, Scabies, Worm: any amount in a leak-proof, screw-capped, sterile container
Laboratory Processing Instructions:
Test performed in BJH Microbiology.