CDOS

Cyclospora Smear, Stool

Test Code: 183145

Performing Lab: LabCorp

CPT Code: 87206 001 87015 001

Test Link (Copy)

Synonym

CLB Smear; Cyclospora cayetanensis

Specimen Type

Stool

Specimen Container

Parasite (O&P) transport system (formalin vial only); Para Pak - Pink

Volume

5 g

Minimum Volume

5 g (NOTE:This volume does NOT allow for repeat testing).

Specimen Handling

Fecal specimens for parasitic examination should be collected before initiation of antidiarrheal therapy or antiparasitic therapy. The highest yield on hospitalized patients occurs when diarrhea is present on admission or within 72 hours of admission. The onset of diarrhea more than 72 hours after admission is usually caused by Clostridium difficile toxin rather than parasites or the usual stool pathogens. The following recommendations are made for efficient and cost-effective diagnosis of diarrheal disease in patients admitted with gastroenteritis. * Submit one or two specimens per diarrheal illness immediately. Consider requesting the EIA for Giardia (see tests Giardia lamblia, EIA and Ova and Parasite Examination [188110] and Giardia lamblia, Direct Detection, EIA [182204]) if that is the primary suspected organism. * If those are negative, submit an additional specimen after 5 days. * Patients who are immunocompromised by AIDS, malignancy, or immunosuppressive therapy may require additional testing for unusual stool pathogens (eg, Cyclospora [183145] or Cryptosporidium/Isospora [182378]).

Unacceptable Conditions

Inappropriate specimen transport conditions (eg, frozen) or device; inadequate labeling; specimen received after prolonged delay (usually >5 days); leaking specimen; specimen received in denture cup, "Cool Whip" container, margarine container, or similar container

Temperature

Maintain specimen at room temperature.

Methodology

Modified Kinyoun stain and autofluorescence

Result Code	Result Name	LOINC
183146	Cyclospora Smear, Stool	10659-1

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