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/Workstation :

GFILM/MIC2

Specimen Type:

stool

Tube Type:

Specimen container or Cary Blair transport medium

Collection Volume:

Collect approximately 1 gram stool in specimen container or Cary Blair transport medium. If collected in Cary Blair transport, add sufficient stool to the "fill line" on the container.

Cause for Rejection:

Stool stored >2 hours at room temperature or stored >24 hours at 2-8C, or Frozen stool. Stool collected in Formalin

Storage:

Refrigerated 2-8C for <24 hours

Availability:

Daily

Methodology:

Film Array

Lab/Phone:

330-543-8406

TAT:

Two hours from the time the specimen arrives in the Akron laboratory when the Microbiology lab is staffed (8 AM to 9 PM Mon-Friday, 8-2PM on weekends)

Additional Info:

The Gastro-Intestinal (GI) Film Array Panel detects DNA or RNA for the following organisms: Campylobacter, Plesiomonas shigelloides, Salmonella, Yersinia enterocolitica, Vibrio, Vibrio cholerae, Enteroaggregative E. coli (EAEC), Enteropathogenic E. coli (EPEC), Enterotoxigenic E. coli (ETEC), 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.

CPT Code:

87507

Specimen Collection Procedures:

Stool Specimen Collection