TESTING FOR CYCLOSPORA
Mid Gastrointestinal Pathogen Panel
Order Code: MIDGI
Fee Code: LA047 (CPT 87506)
LOINC: 82195-9
The Michigan Department of Health and Human Services (MDHHS) and local health departments are investigating a recent increase in cyclosporiasis cases, primarily affecting Southeast Michigan counties along the Ohio border. Cyclosporiasis cases typically increase during the summer months; however, the current increase is above expected seasonal incidence. Investigations are underway to identify a potential common exposure or source.
MDHHS recommends testing for cyclosporiasis if suspected. The preferred diagnostic test for cyclosporiasis is the Mid Gastrointestinal Pathogen Panel which has a faster turnaround time and greater sensitivity than the Ova and Parasites, Stool (OPE) or Cystoisopora (Isospora) Exam (OPC). The Mid Gastrointestinal Pathogen Panel (order code MIDGI) requires stool submitted in Stool Culture (Cary-Blair) transport (orange top container):
Collection Instructions: Collect fresh random stool specimen. Transfer fresh stool specimen to Cary Blair transport within 2 hours of collection if held at room temp or within 24 hours if held refrigerated. Fill transport until liquid reaches fill line. Emulsify specimen thoroughly in transport fluid. If necessary, place a urine bag on the patient to prevent urine contamination. Acceptable specimens are stool sent in Stool Culture transport (orange cap - Cary Blair) stored at room temperature or refrigerated for up to 4 days. If an unacceptable specimen is received, the client will be notified before disposal of the original specimen. See MLabs Stool Specimen Collection Instructions available online at https://mlabs.umich.edu/media/175 for patient instructions.