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Ova and Parasites Examination – 008623

$16.00

T

Test Details


Use

Establish the diagnosis of parasitic infestation


Limitations

One negative result does not rule out the possibility of parasitic infestation. Stool examination for Giardia may be negative in early stages of infection, in patients who shed organisms cyclically, and in chronic infections.1 The sensitivity of microscopic methods for the detection of Giardia range from 46% to 95%.2 Tests for Giardia antigen may have a higher yield.3


Methodology

Formalin concentrate and trichrome stain


Contraindications

Administration of barium, bismuth, Metamucil®, castor oil, mineral oil, tetracycline therapy, administration of antiamebic drugs within one week prior to test. Purgation contraindicated for pregnancy, ulcerative colitis, cardiovascular disease, child younger than five years of age, appendicitis or possible appendicitis.

Test Includes

Concentration of material and examination of specimen for ova and parasites by conventional iodine/saline and trichrome staining. This will not detect CryptosporidiumCyclospora cayetanensis, or Microsporidium.

Specimen Requirements


Specimen

Sputum or feces


Volume

3 to 4 mL sputum or 5 mL feces


Minimum Volume

3 mL (Note: This volume does not allow for repeat testing.)


Container

O & P transport container with formalin and PVA (Para-Pak® pink and gray)

Additional Information

Amebas and certain other parasites cannot be seen in stools containing barium. Amebic cysts, Giardia cysts, and helminth eggs are often recovered from formed stools. Mushy or liquid stools (either normally passed or obtained by purgation) often yield trophozoites. Purgation does not enhance the yield of Giardia. Formalin will preserve protozoan cysts and larvae and the eggs of helminths. It is used for concentration procedures. PVA will preserve the trophozoite stage of protozoa. A trichrome-stained smear may be prepared from PVA-fixed material. PVA cannot be concentrated; therefore, they should always be accompanied by a portion of the specimen in formalin.

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