Parasite Examination, Blood

Test ID: 

704394

CPT code:

87207

Clinical Use:

Establish the diagnosis of Plasmodium or other parasitic infection; diagnose malarial parasitic infestation of blood; evaluate febrile disease of unknown origin.

Additional Information:

Release of trophozoites and RBC debris results in a febrile response. Periodicity of fever correlates with type of malaria (see table). Organisms are most likely to be detected just before onset of fever, which is predictable in many cases. Sampling immediately upon onset of fever is the most desirable time to obtain blood. Alternatively, in cases negative by these means but with a strong clinical history, multiple sampling at different times in the fever cycle may prove successful.

Specimen Type:

Smears made from fresh whole capillary (fingerstick) blood and/or capillary blood in EDTA (Microtainer™), or 3 to 5 mL fresh whole venous blood in EDTA.

Requested Volume:

Films (two thin and two thick) or 3 to 5 mL fresh whole venous blood in EDTA.

Container Type: 

Glass slide, lavender-top (EDTA) tube.

Collection:

Air dry

Patient Prep:

Prepare sterile venipuncture site.

Storage Instructions:

Maintain EDTA whole blood specimen at room temperature for no longer than 24 to 48 hours.

Rejection Criteria:

Specimen clotted; improper labeling.

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