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Test Name:
Parasitology Stain, by Modified Acid-Fast, Feces


  • SBMF No:
    27018
  • Performance Lab Name:
    Microbiology
  • Test Mnemonic:
    PARA STAIN
  • ABN:
    Not required
  • CPT Code:
    87015; 87206
  • LOINC Code:
    10853-0
  • Also Known As:
    Stain for Cryptosporidium, Cyclospora, and/or Isospora
  • Also See:
    27010 – Ova & Parasites, Routine, Feces (Cryptosporidium and Giardia Antigens)
    45497 – Entamoeba histolytica Antigen, by EIA, Feces
    27012 – Ova & Parasites, Travel History/Immunocompromised/Specified Parasite(s)
  • Spec Type:
    Feces, fresh, random
  • Spec Container:
    Yellow cap SAF collection container (contains sodium acetate, acetic acid and formalin)
    Also acceptable, but not preferred: Pink capped ParaPak collection container (contains 10% buffered neutral formalin)
  • Pref Vol:
    Sufficient fecal sample to cause solution in container to rise even with "fill line"
  • Patient Prep:
    If necessary, acceptable to obtain samples with warm saline enema solutions or Fleet Phospho-Soda
    Do not obtain samples by using enemas containing mineral oil, bismuth, iron, or magnesium compounds
    Wait at least 1 week after barium procedures or laxatives before collecting O&P samples
  • Spec Collect:
    Add amount of feces to container sufficient to cause solution level to rise even with container "fill line"
    Do not over-fill – solution level must be at indicated "fill line"
    Mix feces and solution in container by gentle inversion
    Refer to: P-1003 Feces (Stool) Collection and Transport
  • Spec Store Transport:
    Room temperature
  • Spec Stability:
    2 weeks room temperature (20-30°C)
  • Spec Reject:
    Sample not preserved in O&P collection container
    Vial over-filled with sample (solution above "fill line")
    Multiple samples collected less than 24 hours apart
    SBMF does not accept animal samples for testing
  • Spec Remarks:
    Do not collect more than 1 sample within 24 hours
         – Multiple sample orders (3 samples recommended): wait 24-48 hours between collection of each sample
         – Multiple samples collected less than 24 hours apart will be pooled and processed as a single specimen
    O&P examination is not recommended for inpatients after fourth day of hospitalization
  • Methodology:
    Microscopic Examination
  • Use:
    Diagnose cryptosporidiosis, cyclosporiasis and/or isosporiasis
    For patients with suspected Cryptosporidium sp. infection, stool antigen testing is the optimal test method for diagnosis
  • Clinical Significance:
    Cryptosporidium sp. is recognized as a cause of severe diarrhea in immunodeficient. In addition, it can cause transient diarrhea in immunocompetent individuals.
  • Reference Range:
    No Cryptosporidium oocysts observed
  • Additional Test Info:
    One negative result does not rule out a parasitic infection
    Collect 1-2 more samples with 24-48 hours betwen each collection
  • Day Run:
    Varies
  • Time Run:
    Day shift
  • Time Reported:
    Daily
  • Test Type:
    PARASITE