Malaria Smear

Overview

  • EPIC Code:
  • LAB2677
  • Soft Test Code:
Alternate Names
  • MALA1
  • Malaria - Blood Parasite
  • Malaria Smear
  • Thick smear
  • Thick Smear – Malaria

Specimen Collection & Preparation

Client Notes

Please contact PHL Client Response at 266-1500 (Option 1) to request a STAT courier pick-up.


Required Forms & Information

Travel history (including dates) and previous malaria diagnosis are required at time of order entry. 

Required travel and malaria history form 


Specimen Overview

Blood taken just prior to the onset of fever is best. This is usually when parasitemia is the greatest. Since parasitemia may fluctuate, multiple blood draws may be needed. These can be taken at 8-12 hours over 2-3 days. 

Specimen Requirements:

-OR-

3.0 mL Whole Blood in a Lavender Top Tube - EDTA
Minimum Volume:
0.5 ml Whole Blood*

* This volume does not allow for repeat testing

Collection Instructions:

Mix the EDTA tube by gentle inversion directly after collection. 


Processing Instructions:

Smears should be made within 2 hours of collection to prevent changes in the red cells and the parasite morphology. 

Click link for thin prep slide preparation or go to this CDC Reference for more information on thin and thick slide preparation.


Rejection Criteria:

Clotted specimens


Transport and Storage:
  • Ambient (18-24°C): 8 Hours
  • Refrigerated (2-8°C): 8 Hours

Clinical Interpretation

Reference Range:

No Malarial Parasites Seen / Negative


Critical Ranges:

Parasite present


Test Comments:

Results are final verified by the pathologist. The presence of parasites is a critical lab value and if present on initial examination, will be called immediately to provider. Negative results will be called as a courtesy on the next business day. 


Methodology:
  • Microscopic

Production Schedule

Sites Performed
  • Parkview Bryan Hospital
  • Parkview DeKalb Hospital
  • Parkview Huntington Hospital
  • Parkview Kosciusko Hospital
  • Parkview LaGrange Hospital
  • Parkview Montpelier Hospital
  • Parkview Noble Hospital
  • Parkview Randallia Hospital
  • Parkview Regional Medical Center
  • Parkview Southwest
  • Parkview Wabash Hospital
  • Parkview Whitley Hospital
Days Performed
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Hematology
Turn Around Time

12 to 24 hours


Coding & Compliance

CDM

01434029


CPT Coding

87207