Ova and Parasites Examination, Urine

CPT: 87177
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Special Instructions

Include any pertinent clinical and travel history on the test request form.


Expected Turnaround Time

3 - 7 days


Related Documents


Specimen Requirements


Specimen

Urine


Volume

15 mL


Minimum Volume

3 mL


Container

Sterile cup, urine container, or Para-Pak® white (without preservative)


Collection

For suspected Schistosoma haematobium, collect urine sample without preservatives at midday.


Storage Instructions

Maintain specimen at room temperature.


Causes for Rejection

Grossly leaking specimens; unlabeled specimen or name discrepancy between specimen and test request label


Test Details


Use

Establish the diagnosis of parasitic infection, primarily with Schistosoma haematobium


Methodology

Microscopy


Additional Information

The diagnosis of Schistosoma haematobium infection is achieved by examination of urine specimens for eggs. Both 24-hour and spot urine samples should be examined to enhance detection. S haematobium egg excretion exhibits a circadium rhythm, with the peak occurring between noon and 3 PM. Egg output is enhanced by physical exercise combined with fluid intake prior to urination. In very light or chronic infections, eggs may be very difficult to detect in urine; consequently, multiple urine sample examinations may be required. Occasionally eggs of S mansoni may also be detected in urine.


References

Ash LR, Orihel TC. Parasites: A Guide to Laboratory Procedures and Identification. Chicago, Ill: ASCP Press;1991:80.
Garcia LS. Diagnostic Medical Parasitology. 4th ed. Washington DC: ASM Press; 2001:465-470.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
008629 Ova + Parasite Exam, Urine 008628 Ova + Parasite Exam, Urine 75665-0

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