Giardia and Cryptosporidium Screen

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. Giardia and Cryptosporidium Screen
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

OPSCR

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 is >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:

Immunochromatographic Assay

Lab/Phone:

330-543-8406

TAT:

48 hours

Additional Info:

Test only screens for the presence of Giardia and Cryptosporidium antigen in stool. If the physician suspects parasitic infection other than Giardia or Cryptosporidium, call Microbiology (330-543-8412) and request send out test Ova and Parasite Microscopy, Concentrate, and Permanent Smear (LAB3201).

CPT Code:

87328 X2

Synonyms:

Ova and Parasite screen

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Giardia and Cryptosporidium Screen

Infectious Disease Laboratories - : Microbiology

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