Gastrointestinal Panel

Last Modified: 5/29/2019 3:01:44 PM


Medical Necessity Documentation: Stool culture, clostridium difficile, and an ova and parasite screen (OVAP) should not be ordered with this test, it is duplication.
Client Notes:  
Patient Preparation:  
Specimen Requirements:

  1 Orange Capped Fecal Swab Kit 

Collection Instructions:
**Must be transferred to fecal swab within 2 hours of passage

1.     
Open the peel pouch. Remove the swab. Do not touch the swab tip. Always hold the shaft applicator above the marked breakpoint.
     2.     Collect a small amount of stool by inserting all the tip of the flocked swab into stool sample and rotate it
a.      NOTE: Bloody, slimy or watery area of stools should be selected and sampled
     3.     Remove and examine to make sure there is fecal material visible on the tip of the swab. If needed, insert again the flocked swab into stool sample and rotate making sure all the area of the swab tip is in contact with the sample.
    4.     Transfer the swab into the FecalSwab™ tube and check that the maximum filling line (“MAX. FILL”) on the label is not exceeded.
a.      NOTE: If sample collected exceeds maximum fill line discard the swab and the tube and collect a new specimen using a different FecalSwab™.
    5.     Holding the swab shaft between thumb and finger, mash and mix the stool specimen against the side of the tube to evenly disperse and suspend the specimen in the fluid (medium)
    6.     Hold the tube away from face.
7.     Holding the end of the swab shaft, bend it at a 180 degrees angle to break at the marked breakpoint
8.     If needed, gently twist the shaft between thumb and forefinger to completely remove it. Discard the broken upper part of the swab shaft and tighten the cap.
9.     Shake the vial until the sample appears mixed thoroughly (homogeneous)
10. Write patient’s name and demographics on the tube or apply a label and send the sample to the laboratory

For patient collection instruction sheet see Addendum D
For patient collection instruction sheet Spanish see Addendum D
For patient collection instruction sheet Burmese see Addendum D
For patient collection instruction sheet Arabic see Addendum D




Transport & Storage: Temperature/Stability: 4 days Ambient (Store and Transport)
4 days Refrigerated
Rejection Criteria: Cary Blair SWAB, Endoscopy Stool Aspirates, Vomitus
Reference Range: No GI Pathogens Detected
Critical Ranges:  
Test Comments:  
Methodology: Multiplex PCR
Clinical Significance: Detection of viruses; bacteria; and parasites that cause infectious diarrhea.
Documentation:  For C. difficile testing on colonoscopy specimens please see test code CDFE
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 8 hours
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
PHL Test Code: GIBIO
EPIC Test Code: LAB2885
Alternate Test Names: BioFire Film Array GI Panel; Diarrhea Panel; Gastrointestinal Panel Biofire; GI Pathogens by PCR
Included Tests: Adenoviurs F 40/41; Astrovirus; Campylobacter; Clostridium difficile (toxin A/B);  Cryptosporidium; Cyclospora cayetanensis; E. coli (EAEC; EPEC; ETEC; STEC; EIEC); Entamoeba histolytica; Giardia lamblia; Norovirus GI/GII; Plesiomonas shigelloides; Rotavirus A; Sapovirus (I, II, IV, and V); Salmonella; Shiga Toxin-producing E.coli; Vibrio/Vibrio cholerae; Yersinia enterocolitica;
CPT Coding: 87507 | DEX Z-Code = ZB002

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