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HelpTest Code LAB9501A Gastrointestinal Pathogen Panel, PCR, Full, (Inpatient, Acute Illness/Immunocompromised)
Intended Use
The Film Array GI Panel is a multiplexed nucleic acid test capable of simultaneous qualitative detection and identification of nucleic acids from multiple bacteria, viruses, and parasites directly from stool samples obtained from individuals with sign and/or symptoms of gastrointestinal infection.
Results are meant to be used in conjunction with other clinical, laboratory, and epidemiological data. Positive results do not rule out co-infection with organisms not included in the
Film Array GI Panel. The agent detected may not be the definite cause of the disease.
Reflex testing: Stools positive for Clostridium difficile with reflex to C. difficile Toxin A/B EIA test to help distinguish between active infection and colonization. Stool Culture is performed if Salmonella or Shigella is detected.
Methodology
Multiplex Polymerase Chain reaction (PCR)
| Bacteria | Diarrheagenic E. coli/Shigella |
| Campylobacter (C. jejuni/C. coli/C. upsaliensis) | Enteroaggregative E. coli |
| Clostridium difficile (Toxin A/B) | Enteropathogenic E. coli |
| Plesiomonas shigelloides | Enterotoxigenic E. coli lt/st |
| Salmonella | Shiga-like toxin-producing E. coli stx1/stx2 |
| Vibrio cholerae | E. coli O157 |
| Vibrio (V. parahaemolyticus/V, vulnificus/V. cholerae) | Shigella/Enteroinvasive E. coli |
| Yersinia enterocolitica | |
| Viruses | Parasites |
| Adenovirus F 40/41 | Cryptosporidium |
| Astrovirus | |
| Norovirus GI/GII | Entamoeba histolytica |
|
Sapovirus (Genogroups I, II, IV and V) |
Giardia lamblia |
| Rotavirus |
Performing Laboratory
RCH-SPH
Specimen Requirements
Specimen Requirements:
Specimen Type: Both raw stool and stool in Cary Blair transport medium (FecalSwab or C&S Medium) should be submitted.
Container: Stool specimen container and FecalSwab or C&S Medium
Transport temperature: Refrigerated (2-8°C) up to 4 days.
Collection Instructions: link to FecalSwab collection instructions
1. Collect fresh stool and place in a clean preservative-free container.
2. Following the manufacture's instructions, place a portion of stool in Cary-Blair transport medium. Stool must be placed in transportr medium within 2 hours of collection.
Submit both raw stool in a clean container and Cary-Blair transport media.
Specimen Stability
Must be refrigerated: 2-8°C for up to 4 days
Day(s) Test Set Up
Monday through Sunday 24 hours a day
Test Classification and CPT Coding
87507-GI Pathogen Panel
87324-C. difficile Toxin A/B EIA
87045, 87186-Stool culture and susceptibility for Salmonella or Shigella
** ABN/Procedure Not Covered, may be applicable**