Collect

Specimen Type Type of Container Volume of Specimen Status
Stool Sterile container 5 grams or 5 mL Preferred
Stool Cary-Blair transport container 5 grams or 5 mL Alternate

Outpatient Specimen Preparation

Stool: Transport to laboratory as soon as possible
          Do not freeze
          Raw stool must be placed into Cary-Blair media within 2 hours of collection
          Stool collected in diaper must be placed in appropriate container/media prior to sending to lab

Unacceptable Conditions

Frozen specimen, Rectal swab, Delayed or improper handling, Fixed specimen, Unpreserved stool received outside of specified time frame, Specimen contaminated with urine

Stability

Stool: Sterile container -Room temperature 2 hour(s)

Stool: Cary Blair transport container- Room temperature 24 hour(s)
Stool: Cary Blair transport container- Refrigerated 72 hour(s)
 

Remarks

Fresh stool in sterile container is preferred if sample can arrive in lab within 2 hours. If transport time is expected to exceed 2 hours, stool should be preserved in Cary Blair.

The FilmArray Gastrointestinal (FA-GI) Panel is a qualitative multiplexed nucleic acid-based in vitro diagnostic test intended for use with FilmArray systems. The FA-GI Panel is capable of the simultaneous detection and identification of nucleic acids from multiple bacteria, viruses, and parasites directly from stool samples in Cary Blair transport media obtained from individuals with signs and/or symptoms of gastrointestinal infection.

Testing includes- Bacteria: Camplyobacter (C.jejuni/C.coli/C.upsaliensis), Clostridium difficile (toxinA/B), Plesiomonas shigelloides, Salmonella, Vibrio (V. parahaemolyticus/V. vulnificus/v. cholerae), Vibro cholerae, Yersinia enterocolitica. Diarrheagenic E.Coli/Shigella: Enteroaggregatvie E.coli (EAEC), EnteropathogenicE.coli (EPEC), Enterotoxigenic E.coil (ETEC) it/st, Shiga-like toxin-producing E.coli (STEC) stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli (EIEC). Viruses: Adenovirus F 40/41, Astrovirus, Norovirus GI/GII, Rotavirus A, Sapovirus (Genogroups I, II, III, and IV). Parasites: Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia .

Result Reporting: A result for all reported analytes will be provided as Detected or Not Detected. Positive results for Plesiomonas, Vibrio, Salmonella/Shigella, and Yersinia will result in a culture and susceptibilities if the bacterium is recovered. Clostridium difficile will not be reported on patients <3 years of age, because asymptomatic carriage in this age group is common. Enteropathogenic E. coli (EPEC) and Enteroaggregative E.coli (EAEC) are part of the manufacturer's panel, but will not be reported due to high detection rates in pediatric patients, unclear significance, and concern for misattribution of disease associate with asymptomatic carriage.

Additional no charge testing for C diff toxin A/B will be performed if applicable.

Additional Stool Testing Conventional stool testing should not be ordered in addition to the GI Panel. If a stool culture, O&P exam, or parasite/viral antigen tests are ordered with the GI FilmArray panel, the panel test will be performed and not the individual assays.

Stool collected in diaper is acceptable following NCH Helping Hands-Stool collection guidelines.?Stool collected in diaper must be placed in appropriate container/media prior to sending to lab.

Stool in contact with urine will not be processed but rejected.

Clinical Information

Potential for false-positive Norovirus with Gastrointestinal Infection Array (GIIA) Testing

The manufacturer of the gastrointestinal infection array test has identified a potential signal of increased false-positive Norovirus results. The underlying cause is unknown at this time but until a correction is implemented, the laboratory will report all positive Norovirus results with the following comment: “Norovirus detection may be falsely positive. If the clinical history and presentation are inconsistent with positive result, please collect a new stool specimen (unpreserved) and order alternative testing: Norovirus RNA, Qualitative PCR performed at Quest Diagnostics. Refer to the Laboratory Test Directory for details.”

Providers should evaluate whether alternative testing should be performed if patient’s symptoms persist and clinical history and presentation are inconsistent with the positive Norovirus result. If recollection is warranted, collect a new, unpreserved stool in a sterile container and request the alternative test, Norovirus RNA, Qualitative Real Time PCR. The alternative Norovirus testing will not be charged to the patient. 
  • Follow up test code: XNORR
  • Test name: Norovirus RNA, Qualitative Real Time PCR
  • Specimen type: Fresh, unpreserved stool in a sterile container
  • Specimen stability/transport: Refrigerate immediately after collection

For questions, please contact NCH Client Services (614-722-5477) to be directed to the Clinical Microbiology Director on service.

Days Performed

Daily

Set Up Schedule

Samples processed on all shifts

Typical Turnaround

24 hours

Lab Area

CMI, Microbiology

Battery Members

See Remarks section for agents tested

Methodology

Qualitative Polymerase Chain Reaction

CPT Codes

87507

Result Units

Detected or Not Detected

Synonyms

  • Camplyobacter,Clostridium difficile (toxinA/B),Plesiomonas shigelloides,Salmonella,Vibrio,Vibro cholerae,Yersinia enterocolitica , Enteroaggregatvie E.coli,Enteropathogenic E.coli,Enterotoxigenic E.coil it/st, Shiga-like toxin-producing E.coli stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli,Adenovirus F 40/41,Astrovirus,Norovirus GI/GII,Rotavirus A, Sapovirus(Genogroups I,II,III,and IV),Cryptosporidium,Cyclospora cayetanensis,Entamoeba histolytica,Giardia lamblia,GI,Stool Panel
  • Stool
  • Stool PCR

Collect

Specimen Type Type of Container Volume of Specimen Status
Stool Sterile container 5 grams or 5 mL Preferred
Stool Cary-Blair transport container 5 grams or 5 mL Alternate

Minimum Volume

Specimen Type Type of Container Minimum Volume
Stool Sterile container 1 gram or 1 mL
Stool Cary-Blair transport container 1 gram or 1 mL

Inpatient Specimen Preparation

Stool: Transport to laboratory as soon as possible
          Do not freeze
          Raw stool must be placed into Cary-Blair media within 2 hours of collection
          Stool collected in diaper must be placed in appropriate container/media prior to sending to lab

Unacceptable Conditions

Frozen specimen, Rectal swab, Delayed or improper handling, Fixed specimen, Unpreserved stool received outside of specified time frame, Specimen contaminated with urine

Stability

Stool: Sterile container -Room temperature 2 hour(s)

Stool: Cary Blair transport container- Room temperature 24 hour(s)
Stool: Cary Blair transport container- Refrigerated 72 hour(s)
 

Remarks

Fresh stool in sterile container is preferred if sample can arrive in lab within 2 hours. If transport time is expected to exceed 2 hours, stool should be preserved in Cary Blair.

The FilmArray Gastrointestinal (FA-GI) Panel is a qualitative multiplexed nucleic acid-based in vitro diagnostic test intended for use with FilmArray systems. The FA-GI Panel is capable of the simultaneous detection and identification of nucleic acids from multiple bacteria, viruses, and parasites directly from stool samples in Cary Blair transport media obtained from individuals with signs and/or symptoms of gastrointestinal infection.

Testing includes- Bacteria: Camplyobacter (C.jejuni/C.coli/C.upsaliensis), Clostridium difficile (toxinA/B), Plesiomonas shigelloides, Salmonella, Vibrio (V. parahaemolyticus/V. vulnificus/v. cholerae), Vibro cholerae, Yersinia enterocolitica. Diarrheagenic E.Coli/Shigella: Enteroaggregatvie E.coli (EAEC), EnteropathogenicE.coli (EPEC), Enterotoxigenic E.coil (ETEC) it/st, Shiga-like toxin-producing E.coli (STEC) stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli (EIEC). Viruses: Adenovirus F 40/41, Astrovirus, Norovirus GI/GII, Rotavirus A, Sapovirus (Genogroups I, II, III, and IV). Parasites: Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia .

Result Reporting: A result for all reported analytes will be provided as Detected or Not Detected. Positive results for Plesiomonas, Vibrio, Salmonella/Shigella, and Yersinia will result in a culture and susceptibilities if the bacterium is recovered. Clostridium difficile will not be reported on patients <3 years of age, because asymptomatic carriage in this age group is common. Enteropathogenic E. coli (EPEC) and Enteroaggregative E.coli (EAEC) are part of the manufacturer's panel, but will not be reported due to high detection rates in pediatric patients, unclear significance, and concern for misattribution of disease associate with asymptomatic carriage.

Additional no charge testing for C diff toxin A/B will be performed if applicable.

Additional Stool Testing Conventional stool testing should not be ordered in addition to the GI Panel. If a stool culture, O&P exam, or parasite/viral antigen tests are ordered with the GI FilmArray panel, the panel test will be performed and not the individual assays.

Stool collected in diaper is acceptable following NCH Helping Hands-Stool collection guidelines.?Stool collected in diaper must be placed in appropriate container/media prior to sending to lab.

Stool in contact with urine will not be processed but rejected.

Clinical Information

Potential for false-positive Norovirus with Gastrointestinal Infection Array (GIIA) Testing

The manufacturer of the gastrointestinal infection array test has identified a potential signal of increased false-positive Norovirus results. The underlying cause is unknown at this time but until a correction is implemented, the laboratory will report all positive Norovirus results with the following comment: “Norovirus detection may be falsely positive. If the clinical history and presentation are inconsistent with positive result, please collect a new stool specimen (unpreserved) and order alternative testing: Norovirus RNA, Qualitative PCR performed at Quest Diagnostics. Refer to the Laboratory Test Directory for details.”

Providers should evaluate whether alternative testing should be performed if patient’s symptoms persist and clinical history and presentation are inconsistent with the positive Norovirus result. If recollection is warranted, collect a new, unpreserved stool in a sterile container and request the alternative test, Norovirus RNA, Qualitative Real Time PCR. The alternative Norovirus testing will not be charged to the patient. 
  • Follow up test code: XNORR
  • Test name: Norovirus RNA, Qualitative Real Time PCR
  • Specimen type: Fresh, unpreserved stool in a sterile container
  • Specimen stability/transport: Refrigerate immediately after collection

For questions, please contact NCH Client Services (614-722-5477) to be directed to the Clinical Microbiology Director on service.

Battery Members

See Remarks section for agents tested

Days Performed

Daily

Set Up Schedule

Samples processed on all shifts

Typical Turnaround

24 hours

CPT Codes

87507

Lab Area

CMI, Microbiology

Result Units

Detected or Not Detected

Synonyms

  • Camplyobacter,Clostridium difficile (toxinA/B),Plesiomonas shigelloides,Salmonella,Vibrio,Vibro cholerae,Yersinia enterocolitica , Enteroaggregatvie E.coli,Enteropathogenic E.coli,Enterotoxigenic E.coil it/st, Shiga-like toxin-producing E.coli stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli,Adenovirus F 40/41,Astrovirus,Norovirus GI/GII,Rotavirus A, Sapovirus(Genogroups I,II,III,and IV),Cryptosporidium,Cyclospora cayetanensis,Entamoeba histolytica,Giardia lamblia,GI,Stool Panel
  • Stool
  • Stool PCR

Battery Members

See Remarks section for agents tested

Synonyms

  • Camplyobacter,Clostridium difficile (toxinA/B),Plesiomonas shigelloides,Salmonella,Vibrio,Vibro cholerae,Yersinia enterocolitica , Enteroaggregatvie E.coli,Enteropathogenic E.coli,Enterotoxigenic E.coil it/st, Shiga-like toxin-producing E.coli stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli,Adenovirus F 40/41,Astrovirus,Norovirus GI/GII,Rotavirus A, Sapovirus(Genogroups I,II,III,and IV),Cryptosporidium,Cyclospora cayetanensis,Entamoeba histolytica,Giardia lamblia,GI,Stool Panel
  • Stool
  • Stool PCR

CPT Codes

87507

Clinical Information

Potential for false-positive Norovirus with Gastrointestinal Infection Array (GIIA) Testing

The manufacturer of the gastrointestinal infection array test has identified a potential signal of increased false-positive Norovirus results. The underlying cause is unknown at this time but until a correction is implemented, the laboratory will report all positive Norovirus results with the following comment: “Norovirus detection may be falsely positive. If the clinical history and presentation are inconsistent with positive result, please collect a new stool specimen (unpreserved) and order alternative testing: Norovirus RNA, Qualitative PCR performed at Quest Diagnostics. Refer to the Laboratory Test Directory for details.”

Providers should evaluate whether alternative testing should be performed if patient’s symptoms persist and clinical history and presentation are inconsistent with the positive Norovirus result. If recollection is warranted, collect a new, unpreserved stool in a sterile container and request the alternative test, Norovirus RNA, Qualitative Real Time PCR. The alternative Norovirus testing will not be charged to the patient. 
  • Follow up test code: XNORR
  • Test name: Norovirus RNA, Qualitative Real Time PCR
  • Specimen type: Fresh, unpreserved stool in a sterile container
  • Specimen stability/transport: Refrigerate immediately after collection

For questions, please contact NCH Client Services (614-722-5477) to be directed to the Clinical Microbiology Director on service.

Methodology

Qualitative Polymerase Chain Reaction

Result Units

Detected or Not Detected

Collect

Specimen Type Type of Container Volume of Specimen Status
Stool Sterile container 5 grams or 5 mL Preferred
Stool Cary-Blair transport container 5 grams or 5 mL Alternate

Minimum Volume

Specimen Type Type of Container Minimum Volume
Stool Sterile container 1 gram or 1 mL
Stool Cary-Blair transport container 1 gram or 1 mL

Inpatient Specimen Preparation

Stool: Transport to laboratory as soon as possible
          Do not freeze
          Raw stool must be placed into Cary-Blair media within 2 hours of collection
          Stool collected in diaper must be placed in appropriate container/media prior to sending to lab

Outpatient Specimen Preparation

Stool: Transport to laboratory as soon as possible
          Do not freeze
          Raw stool must be placed into Cary-Blair media within 2 hours of collection
          Stool collected in diaper must be placed in appropriate container/media prior to sending to lab

InLab Processing

Raw stool must be placed into Cary-Blair media within 2 hours of collection

Stability

Stool: Sterile container -Room temperature 2 hour(s)

Stool: Cary Blair transport container- Room temperature 24 hour(s)
Stool: Cary Blair transport container- Refrigerated 72 hour(s)
 

Unacceptable Conditions

Frozen specimen, Rectal swab, Delayed or improper handling, Fixed specimen, Unpreserved stool received outside of specified time frame, Specimen contaminated with urine

Days Performed

Daily

Set Up Schedule

Samples processed on all shifts

Typical Turnaround

24 hours

Remarks

Fresh stool in sterile container is preferred if sample can arrive in lab within 2 hours. If transport time is expected to exceed 2 hours, stool should be preserved in Cary Blair.

The FilmArray Gastrointestinal (FA-GI) Panel is a qualitative multiplexed nucleic acid-based in vitro diagnostic test intended for use with FilmArray systems. The FA-GI Panel is capable of the simultaneous detection and identification of nucleic acids from multiple bacteria, viruses, and parasites directly from stool samples in Cary Blair transport media obtained from individuals with signs and/or symptoms of gastrointestinal infection.

Testing includes- Bacteria: Camplyobacter (C.jejuni/C.coli/C.upsaliensis), Clostridium difficile (toxinA/B), Plesiomonas shigelloides, Salmonella, Vibrio (V. parahaemolyticus/V. vulnificus/v. cholerae), Vibro cholerae, Yersinia enterocolitica. Diarrheagenic E.Coli/Shigella: Enteroaggregatvie E.coli (EAEC), EnteropathogenicE.coli (EPEC), Enterotoxigenic E.coil (ETEC) it/st, Shiga-like toxin-producing E.coli (STEC) stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli (EIEC). Viruses: Adenovirus F 40/41, Astrovirus, Norovirus GI/GII, Rotavirus A, Sapovirus (Genogroups I, II, III, and IV). Parasites: Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia .

Result Reporting: A result for all reported analytes will be provided as Detected or Not Detected. Positive results for Plesiomonas, Vibrio, Salmonella/Shigella, and Yersinia will result in a culture and susceptibilities if the bacterium is recovered. Clostridium difficile will not be reported on patients <3 years of age, because asymptomatic carriage in this age group is common. Enteropathogenic E. coli (EPEC) and Enteroaggregative E.coli (EAEC) are part of the manufacturer's panel, but will not be reported due to high detection rates in pediatric patients, unclear significance, and concern for misattribution of disease associate with asymptomatic carriage.

Additional no charge testing for C diff toxin A/B will be performed if applicable.

Additional Stool Testing Conventional stool testing should not be ordered in addition to the GI Panel. If a stool culture, O&P exam, or parasite/viral antigen tests are ordered with the GI FilmArray panel, the panel test will be performed and not the individual assays.

Stool collected in diaper is acceptable following NCH Helping Hands-Stool collection guidelines.?Stool collected in diaper must be placed in appropriate container/media prior to sending to lab.

Stool in contact with urine will not be processed but rejected.

Clinical Information

Potential for false-positive Norovirus with Gastrointestinal Infection Array (GIIA) Testing

The manufacturer of the gastrointestinal infection array test has identified a potential signal of increased false-positive Norovirus results. The underlying cause is unknown at this time but until a correction is implemented, the laboratory will report all positive Norovirus results with the following comment: “Norovirus detection may be falsely positive. If the clinical history and presentation are inconsistent with positive result, please collect a new stool specimen (unpreserved) and order alternative testing: Norovirus RNA, Qualitative PCR performed at Quest Diagnostics. Refer to the Laboratory Test Directory for details.”

Providers should evaluate whether alternative testing should be performed if patient’s symptoms persist and clinical history and presentation are inconsistent with the positive Norovirus result. If recollection is warranted, collect a new, unpreserved stool in a sterile container and request the alternative test, Norovirus RNA, Qualitative Real Time PCR. The alternative Norovirus testing will not be charged to the patient. 
  • Follow up test code: XNORR
  • Test name: Norovirus RNA, Qualitative Real Time PCR
  • Specimen type: Fresh, unpreserved stool in a sterile container
  • Specimen stability/transport: Refrigerate immediately after collection

For questions, please contact NCH Client Services (614-722-5477) to be directed to the Clinical Microbiology Director on service.

Battery Members

See Remarks section for agents tested

Synonyms

  • Camplyobacter,Clostridium difficile (toxinA/B),Plesiomonas shigelloides,Salmonella,Vibrio,Vibro cholerae,Yersinia enterocolitica , Enteroaggregatvie E.coli,Enteropathogenic E.coli,Enterotoxigenic E.coil it/st, Shiga-like toxin-producing E.coli stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli,Adenovirus F 40/41,Astrovirus,Norovirus GI/GII,Rotavirus A, Sapovirus(Genogroups I,II,III,and IV),Cryptosporidium,Cyclospora cayetanensis,Entamoeba histolytica,Giardia lamblia,GI,Stool Panel
  • Stool
  • Stool PCR

Result Units

Detected or Not Detected

Methodology

Qualitative Polymerase Chain Reaction

CPT Codes

87507

DC Code

5373

Downtime Availability

1-Continuous availability
Outpatient Requirements

Collect

Specimen Type Type of Container Volume of Specimen Status
Stool Sterile container 5 grams or 5 mL Preferred
Stool Cary-Blair transport container 5 grams or 5 mL Alternate

Outpatient Specimen Preparation

Stool: Transport to laboratory as soon as possible
          Do not freeze
          Raw stool must be placed into Cary-Blair media within 2 hours of collection
          Stool collected in diaper must be placed in appropriate container/media prior to sending to lab

Unacceptable Conditions

Frozen specimen, Rectal swab, Delayed or improper handling, Fixed specimen, Unpreserved stool received outside of specified time frame, Specimen contaminated with urine

Stability

Stool: Sterile container -Room temperature 2 hour(s)

Stool: Cary Blair transport container- Room temperature 24 hour(s)
Stool: Cary Blair transport container- Refrigerated 72 hour(s)
 

Remarks

Fresh stool in sterile container is preferred if sample can arrive in lab within 2 hours. If transport time is expected to exceed 2 hours, stool should be preserved in Cary Blair.

The FilmArray Gastrointestinal (FA-GI) Panel is a qualitative multiplexed nucleic acid-based in vitro diagnostic test intended for use with FilmArray systems. The FA-GI Panel is capable of the simultaneous detection and identification of nucleic acids from multiple bacteria, viruses, and parasites directly from stool samples in Cary Blair transport media obtained from individuals with signs and/or symptoms of gastrointestinal infection.

Testing includes- Bacteria: Camplyobacter (C.jejuni/C.coli/C.upsaliensis), Clostridium difficile (toxinA/B), Plesiomonas shigelloides, Salmonella, Vibrio (V. parahaemolyticus/V. vulnificus/v. cholerae), Vibro cholerae, Yersinia enterocolitica. Diarrheagenic E.Coli/Shigella: Enteroaggregatvie E.coli (EAEC), EnteropathogenicE.coli (EPEC), Enterotoxigenic E.coil (ETEC) it/st, Shiga-like toxin-producing E.coli (STEC) stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli (EIEC). Viruses: Adenovirus F 40/41, Astrovirus, Norovirus GI/GII, Rotavirus A, Sapovirus (Genogroups I, II, III, and IV). Parasites: Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia .

Result Reporting: A result for all reported analytes will be provided as Detected or Not Detected. Positive results for Plesiomonas, Vibrio, Salmonella/Shigella, and Yersinia will result in a culture and susceptibilities if the bacterium is recovered. Clostridium difficile will not be reported on patients <3 years of age, because asymptomatic carriage in this age group is common. Enteropathogenic E. coli (EPEC) and Enteroaggregative E.coli (EAEC) are part of the manufacturer's panel, but will not be reported due to high detection rates in pediatric patients, unclear significance, and concern for misattribution of disease associate with asymptomatic carriage.

Additional no charge testing for C diff toxin A/B will be performed if applicable.

Additional Stool Testing Conventional stool testing should not be ordered in addition to the GI Panel. If a stool culture, O&P exam, or parasite/viral antigen tests are ordered with the GI FilmArray panel, the panel test will be performed and not the individual assays.

Stool collected in diaper is acceptable following NCH Helping Hands-Stool collection guidelines.?Stool collected in diaper must be placed in appropriate container/media prior to sending to lab.

Stool in contact with urine will not be processed but rejected.

Clinical Information

Potential for false-positive Norovirus with Gastrointestinal Infection Array (GIIA) Testing

The manufacturer of the gastrointestinal infection array test has identified a potential signal of increased false-positive Norovirus results. The underlying cause is unknown at this time but until a correction is implemented, the laboratory will report all positive Norovirus results with the following comment: “Norovirus detection may be falsely positive. If the clinical history and presentation are inconsistent with positive result, please collect a new stool specimen (unpreserved) and order alternative testing: Norovirus RNA, Qualitative PCR performed at Quest Diagnostics. Refer to the Laboratory Test Directory for details.”

Providers should evaluate whether alternative testing should be performed if patient’s symptoms persist and clinical history and presentation are inconsistent with the positive Norovirus result. If recollection is warranted, collect a new, unpreserved stool in a sterile container and request the alternative test, Norovirus RNA, Qualitative Real Time PCR. The alternative Norovirus testing will not be charged to the patient. 
  • Follow up test code: XNORR
  • Test name: Norovirus RNA, Qualitative Real Time PCR
  • Specimen type: Fresh, unpreserved stool in a sterile container
  • Specimen stability/transport: Refrigerate immediately after collection

For questions, please contact NCH Client Services (614-722-5477) to be directed to the Clinical Microbiology Director on service.

Days Performed

Daily

Set Up Schedule

Samples processed on all shifts

Typical Turnaround

24 hours

Lab Area

CMI, Microbiology

Battery Members

See Remarks section for agents tested

Methodology

Qualitative Polymerase Chain Reaction

CPT Codes

87507

Result Units

Detected or Not Detected

Synonyms

  • Camplyobacter,Clostridium difficile (toxinA/B),Plesiomonas shigelloides,Salmonella,Vibrio,Vibro cholerae,Yersinia enterocolitica , Enteroaggregatvie E.coli,Enteropathogenic E.coli,Enterotoxigenic E.coil it/st, Shiga-like toxin-producing E.coli stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli,Adenovirus F 40/41,Astrovirus,Norovirus GI/GII,Rotavirus A, Sapovirus(Genogroups I,II,III,and IV),Cryptosporidium,Cyclospora cayetanensis,Entamoeba histolytica,Giardia lamblia,GI,Stool Panel
  • Stool
  • Stool PCR
Inpatient Requirements

Collect

Specimen Type Type of Container Volume of Specimen Status
Stool Sterile container 5 grams or 5 mL Preferred
Stool Cary-Blair transport container 5 grams or 5 mL Alternate

Minimum Volume

Specimen Type Type of Container Minimum Volume
Stool Sterile container 1 gram or 1 mL
Stool Cary-Blair transport container 1 gram or 1 mL

Inpatient Specimen Preparation

Stool: Transport to laboratory as soon as possible
          Do not freeze
          Raw stool must be placed into Cary-Blair media within 2 hours of collection
          Stool collected in diaper must be placed in appropriate container/media prior to sending to lab

Unacceptable Conditions

Frozen specimen, Rectal swab, Delayed or improper handling, Fixed specimen, Unpreserved stool received outside of specified time frame, Specimen contaminated with urine

Stability

Stool: Sterile container -Room temperature 2 hour(s)

Stool: Cary Blair transport container- Room temperature 24 hour(s)
Stool: Cary Blair transport container- Refrigerated 72 hour(s)
 

Remarks

Fresh stool in sterile container is preferred if sample can arrive in lab within 2 hours. If transport time is expected to exceed 2 hours, stool should be preserved in Cary Blair.

The FilmArray Gastrointestinal (FA-GI) Panel is a qualitative multiplexed nucleic acid-based in vitro diagnostic test intended for use with FilmArray systems. The FA-GI Panel is capable of the simultaneous detection and identification of nucleic acids from multiple bacteria, viruses, and parasites directly from stool samples in Cary Blair transport media obtained from individuals with signs and/or symptoms of gastrointestinal infection.

Testing includes- Bacteria: Camplyobacter (C.jejuni/C.coli/C.upsaliensis), Clostridium difficile (toxinA/B), Plesiomonas shigelloides, Salmonella, Vibrio (V. parahaemolyticus/V. vulnificus/v. cholerae), Vibro cholerae, Yersinia enterocolitica. Diarrheagenic E.Coli/Shigella: Enteroaggregatvie E.coli (EAEC), EnteropathogenicE.coli (EPEC), Enterotoxigenic E.coil (ETEC) it/st, Shiga-like toxin-producing E.coli (STEC) stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli (EIEC). Viruses: Adenovirus F 40/41, Astrovirus, Norovirus GI/GII, Rotavirus A, Sapovirus (Genogroups I, II, III, and IV). Parasites: Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia .

Result Reporting: A result for all reported analytes will be provided as Detected or Not Detected. Positive results for Plesiomonas, Vibrio, Salmonella/Shigella, and Yersinia will result in a culture and susceptibilities if the bacterium is recovered. Clostridium difficile will not be reported on patients <3 years of age, because asymptomatic carriage in this age group is common. Enteropathogenic E. coli (EPEC) and Enteroaggregative E.coli (EAEC) are part of the manufacturer's panel, but will not be reported due to high detection rates in pediatric patients, unclear significance, and concern for misattribution of disease associate with asymptomatic carriage.

Additional no charge testing for C diff toxin A/B will be performed if applicable.

Additional Stool Testing Conventional stool testing should not be ordered in addition to the GI Panel. If a stool culture, O&P exam, or parasite/viral antigen tests are ordered with the GI FilmArray panel, the panel test will be performed and not the individual assays.

Stool collected in diaper is acceptable following NCH Helping Hands-Stool collection guidelines.?Stool collected in diaper must be placed in appropriate container/media prior to sending to lab.

Stool in contact with urine will not be processed but rejected.

Clinical Information

Potential for false-positive Norovirus with Gastrointestinal Infection Array (GIIA) Testing

The manufacturer of the gastrointestinal infection array test has identified a potential signal of increased false-positive Norovirus results. The underlying cause is unknown at this time but until a correction is implemented, the laboratory will report all positive Norovirus results with the following comment: “Norovirus detection may be falsely positive. If the clinical history and presentation are inconsistent with positive result, please collect a new stool specimen (unpreserved) and order alternative testing: Norovirus RNA, Qualitative PCR performed at Quest Diagnostics. Refer to the Laboratory Test Directory for details.”

Providers should evaluate whether alternative testing should be performed if patient’s symptoms persist and clinical history and presentation are inconsistent with the positive Norovirus result. If recollection is warranted, collect a new, unpreserved stool in a sterile container and request the alternative test, Norovirus RNA, Qualitative Real Time PCR. The alternative Norovirus testing will not be charged to the patient. 
  • Follow up test code: XNORR
  • Test name: Norovirus RNA, Qualitative Real Time PCR
  • Specimen type: Fresh, unpreserved stool in a sterile container
  • Specimen stability/transport: Refrigerate immediately after collection

For questions, please contact NCH Client Services (614-722-5477) to be directed to the Clinical Microbiology Director on service.

Battery Members

See Remarks section for agents tested

Days Performed

Daily

Set Up Schedule

Samples processed on all shifts

Typical Turnaround

24 hours

CPT Codes

87507

Lab Area

CMI, Microbiology

Result Units

Detected or Not Detected

Synonyms

  • Camplyobacter,Clostridium difficile (toxinA/B),Plesiomonas shigelloides,Salmonella,Vibrio,Vibro cholerae,Yersinia enterocolitica , Enteroaggregatvie E.coli,Enteropathogenic E.coli,Enterotoxigenic E.coil it/st, Shiga-like toxin-producing E.coli stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli,Adenovirus F 40/41,Astrovirus,Norovirus GI/GII,Rotavirus A, Sapovirus(Genogroups I,II,III,and IV),Cryptosporidium,Cyclospora cayetanensis,Entamoeba histolytica,Giardia lamblia,GI,Stool Panel
  • Stool
  • Stool PCR
Overview/Billing

Battery Members

See Remarks section for agents tested

Synonyms

  • Camplyobacter,Clostridium difficile (toxinA/B),Plesiomonas shigelloides,Salmonella,Vibrio,Vibro cholerae,Yersinia enterocolitica , Enteroaggregatvie E.coli,Enteropathogenic E.coli,Enterotoxigenic E.coil it/st, Shiga-like toxin-producing E.coli stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli,Adenovirus F 40/41,Astrovirus,Norovirus GI/GII,Rotavirus A, Sapovirus(Genogroups I,II,III,and IV),Cryptosporidium,Cyclospora cayetanensis,Entamoeba histolytica,Giardia lamblia,GI,Stool Panel
  • Stool
  • Stool PCR

CPT Codes

87507
Interpretation

Clinical Information

Potential for false-positive Norovirus with Gastrointestinal Infection Array (GIIA) Testing

The manufacturer of the gastrointestinal infection array test has identified a potential signal of increased false-positive Norovirus results. The underlying cause is unknown at this time but until a correction is implemented, the laboratory will report all positive Norovirus results with the following comment: “Norovirus detection may be falsely positive. If the clinical history and presentation are inconsistent with positive result, please collect a new stool specimen (unpreserved) and order alternative testing: Norovirus RNA, Qualitative PCR performed at Quest Diagnostics. Refer to the Laboratory Test Directory for details.”

Providers should evaluate whether alternative testing should be performed if patient’s symptoms persist and clinical history and presentation are inconsistent with the positive Norovirus result. If recollection is warranted, collect a new, unpreserved stool in a sterile container and request the alternative test, Norovirus RNA, Qualitative Real Time PCR. The alternative Norovirus testing will not be charged to the patient. 
  • Follow up test code: XNORR
  • Test name: Norovirus RNA, Qualitative Real Time PCR
  • Specimen type: Fresh, unpreserved stool in a sterile container
  • Specimen stability/transport: Refrigerate immediately after collection

For questions, please contact NCH Client Services (614-722-5477) to be directed to the Clinical Microbiology Director on service.

Methodology

Qualitative Polymerase Chain Reaction

Result Units

Detected or Not Detected
NCH Lab Only

Collect

Specimen Type Type of Container Volume of Specimen Status
Stool Sterile container 5 grams or 5 mL Preferred
Stool Cary-Blair transport container 5 grams or 5 mL Alternate

Minimum Volume

Specimen Type Type of Container Minimum Volume
Stool Sterile container 1 gram or 1 mL
Stool Cary-Blair transport container 1 gram or 1 mL

Inpatient Specimen Preparation

Stool: Transport to laboratory as soon as possible
          Do not freeze
          Raw stool must be placed into Cary-Blair media within 2 hours of collection
          Stool collected in diaper must be placed in appropriate container/media prior to sending to lab

Outpatient Specimen Preparation

Stool: Transport to laboratory as soon as possible
          Do not freeze
          Raw stool must be placed into Cary-Blair media within 2 hours of collection
          Stool collected in diaper must be placed in appropriate container/media prior to sending to lab

InLab Processing

Raw stool must be placed into Cary-Blair media within 2 hours of collection

Stability

Stool: Sterile container -Room temperature 2 hour(s)

Stool: Cary Blair transport container- Room temperature 24 hour(s)
Stool: Cary Blair transport container- Refrigerated 72 hour(s)
 

Unacceptable Conditions

Frozen specimen, Rectal swab, Delayed or improper handling, Fixed specimen, Unpreserved stool received outside of specified time frame, Specimen contaminated with urine

Days Performed

Daily

Set Up Schedule

Samples processed on all shifts

Typical Turnaround

24 hours

Remarks

Fresh stool in sterile container is preferred if sample can arrive in lab within 2 hours. If transport time is expected to exceed 2 hours, stool should be preserved in Cary Blair.

The FilmArray Gastrointestinal (FA-GI) Panel is a qualitative multiplexed nucleic acid-based in vitro diagnostic test intended for use with FilmArray systems. The FA-GI Panel is capable of the simultaneous detection and identification of nucleic acids from multiple bacteria, viruses, and parasites directly from stool samples in Cary Blair transport media obtained from individuals with signs and/or symptoms of gastrointestinal infection.

Testing includes- Bacteria: Camplyobacter (C.jejuni/C.coli/C.upsaliensis), Clostridium difficile (toxinA/B), Plesiomonas shigelloides, Salmonella, Vibrio (V. parahaemolyticus/V. vulnificus/v. cholerae), Vibro cholerae, Yersinia enterocolitica. Diarrheagenic E.Coli/Shigella: Enteroaggregatvie E.coli (EAEC), EnteropathogenicE.coli (EPEC), Enterotoxigenic E.coil (ETEC) it/st, Shiga-like toxin-producing E.coli (STEC) stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli (EIEC). Viruses: Adenovirus F 40/41, Astrovirus, Norovirus GI/GII, Rotavirus A, Sapovirus (Genogroups I, II, III, and IV). Parasites: Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia .

Result Reporting: A result for all reported analytes will be provided as Detected or Not Detected. Positive results for Plesiomonas, Vibrio, Salmonella/Shigella, and Yersinia will result in a culture and susceptibilities if the bacterium is recovered. Clostridium difficile will not be reported on patients <3 years of age, because asymptomatic carriage in this age group is common. Enteropathogenic E. coli (EPEC) and Enteroaggregative E.coli (EAEC) are part of the manufacturer's panel, but will not be reported due to high detection rates in pediatric patients, unclear significance, and concern for misattribution of disease associate with asymptomatic carriage.

Additional no charge testing for C diff toxin A/B will be performed if applicable.

Additional Stool Testing Conventional stool testing should not be ordered in addition to the GI Panel. If a stool culture, O&P exam, or parasite/viral antigen tests are ordered with the GI FilmArray panel, the panel test will be performed and not the individual assays.

Stool collected in diaper is acceptable following NCH Helping Hands-Stool collection guidelines.?Stool collected in diaper must be placed in appropriate container/media prior to sending to lab.

Stool in contact with urine will not be processed but rejected.

Clinical Information

Potential for false-positive Norovirus with Gastrointestinal Infection Array (GIIA) Testing

The manufacturer of the gastrointestinal infection array test has identified a potential signal of increased false-positive Norovirus results. The underlying cause is unknown at this time but until a correction is implemented, the laboratory will report all positive Norovirus results with the following comment: “Norovirus detection may be falsely positive. If the clinical history and presentation are inconsistent with positive result, please collect a new stool specimen (unpreserved) and order alternative testing: Norovirus RNA, Qualitative PCR performed at Quest Diagnostics. Refer to the Laboratory Test Directory for details.”

Providers should evaluate whether alternative testing should be performed if patient’s symptoms persist and clinical history and presentation are inconsistent with the positive Norovirus result. If recollection is warranted, collect a new, unpreserved stool in a sterile container and request the alternative test, Norovirus RNA, Qualitative Real Time PCR. The alternative Norovirus testing will not be charged to the patient. 
  • Follow up test code: XNORR
  • Test name: Norovirus RNA, Qualitative Real Time PCR
  • Specimen type: Fresh, unpreserved stool in a sterile container
  • Specimen stability/transport: Refrigerate immediately after collection

For questions, please contact NCH Client Services (614-722-5477) to be directed to the Clinical Microbiology Director on service.

Battery Members

See Remarks section for agents tested

Synonyms

  • Camplyobacter,Clostridium difficile (toxinA/B),Plesiomonas shigelloides,Salmonella,Vibrio,Vibro cholerae,Yersinia enterocolitica , Enteroaggregatvie E.coli,Enteropathogenic E.coli,Enterotoxigenic E.coil it/st, Shiga-like toxin-producing E.coli stx1/stx2, E.coli 0157, Shigella/Enteroinvasive E.coli,Adenovirus F 40/41,Astrovirus,Norovirus GI/GII,Rotavirus A, Sapovirus(Genogroups I,II,III,and IV),Cryptosporidium,Cyclospora cayetanensis,Entamoeba histolytica,Giardia lamblia,GI,Stool Panel
  • Stool
  • Stool PCR

Result Units

Detected or Not Detected

Methodology

Qualitative Polymerase Chain Reaction

CPT Codes

87507

DC Code

5373

Downtime Availability

1-Continuous availability

Lab Area

Lab Area
CMI, Microbiology