Gastro-Intestinal (GI) Panel Film Array

Infectious Disease Laboratories - : Microbiology

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Gastro-Intestinal (GI) Panel Film Array
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SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

GFILM

Test Workstation :

MIC2

Specimen Type:

500mg (marble sized amount) of solid stool or 1 mL liquid stool in sterile container or in Cary-Blair medium.

Minimum Volume:

Formed stool minimum volume is 250mg (pea sized amount). Liquid stool minimum volume is 0.5 mL.

Cause for Rejection:

Reject if Stool >2 hours at room temperature, or >24 hours at 28C or Frozen. Sticks left in container will dry out stool.

Storage:

Refrigerated 2-8 C for <24 hours.

Availability:

Mon-Sun (0700-1600)

Methodology:

Multiplexed nucleic acid test intended for the simultaneous qualitative detection and differentiation of nucleic acids from multiple viral, bacterial, and parasitic gastrointestinal organisms

Lab/Phone:

330-543-8406

TAT:

24 hours

CPT Code:

87507

Panel Includes:

The Gastro-Intestinal (GI) Film Array Panel detects DNA or RNA for the following organisms: Campylobacter, Plesiomonas shigelloides, Salmonella, Yersinia enterocolitica, Vibrio, Vibrio cholerae, Shiga-like toxin-producing E. coli (STEC) stx1/stx2, E. coli 0157, Shigella/Enteroinvasive E. coli (EIEC), Cryptospoidium, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia, Adenovirus F40/41, Astrovirus, Norovirus GI/GII, Rotavirus A, and Sapovirus.

Synonyms:

GFILM