Provision of relevant clinical information is important to ensure a clinically relevant result Notes: Do not order ova and parasite examination if the patient has had barium studies, antacids, mineral oil, or recent mineral laxatives Antibiotics may reduce amoeboid parasite levels significantly for up to 3 weeks, resulting in false negative results
Collection Device/Tube Type:
60 mL sterile, plastic container
Specimen Requirement(s):
Submit one stool specimen only, regardless of the patient's clinical circumstances Hospitalized Patients: Testing is only appropriate for symptom onset within the first four hospital days
DO NOT overfill the SAF (sodium acetate/acetic acid/formalin) container. Add stool to the fill-line, only Adequate mixing of the stool specimen in the SAF is critical for optimal preservation
Handling/Storage Comments:
• Deliver specimen and requisition to the laboratory as soon as possible • Unpreserved stool, less than 2 hours old, may be transferred to SAF • If deliver to the lab is delayed, refrigerate up to a maximum of 24 hours
Rejection Criteria:
Samples are rejected if: • the specimen or requisition are mislabelled or unlabelled • there is insufficient quantity of sample • the container is leaking • rectal swabs are collected using Amies swabs • multiple samples are received on the same day
Diarrheal stool specimens are screened using BD MAX™ Enteric Parasite Panel, a commercial polymerase chain reaction (PCR) assay that detects Giardia species, Cryptosporidium hominis/parvum and Entamoeba histolytica. These pathogens compromise a significant majority of the parasitic infections encountered in clinical practice
All positive stool culture results are reported to the Regional Public Health Office, the ordering Physician, and Infection Control when applicable