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Test Code GIPCR Gastrointestinal Panel with reflex to C.difficile toxin A/B

Important Note

As of 12/13/2021, all C.difficile positive results will automatically reflex to C.difficile toxin A/B assay testing.  Order code CDFTX

 

Infectious

Additional Codes

LAB3285

Specimen Transport Temperature in Cary Blair Media

Refrigerated:  4 days

Ambient:         4 days

C.difficile Toxin  24 hours Refrigerated.

Specimen Requirements

Outpatient -

Collect raw stool specimen and place in Cary Blair transport container within 2 hours of collection

Inpatient -

Collect raw stool specimen in sterile container and transport to lab immediately (within 1 hour)

Methodology

 Multiplexed Nucleic Acid Test using Filmarray Instrument.

 

Includes the detection of :

  • Campylobacter (C.jejuni/C.coli/C.upsaliensis)
  • Clostridium difficile (C. difficile) toxin A/B
  • Plesiomonas shigelloides
  • Salmonella
  • Vibrio (V. parahaemolyticus/V. vulnificus/V. cholera), including specific identification of Vibrio cholerae
  • Yersinia enterocolitica
  • Enteropathogenic Escherichia coli (EPEC)
  • Enteroaggregative Escherichia coli (EAEC)
  • Enterotoxigenic Escherichia coli (ETAC) lt/st
  • Shiga-like toxin-producing Escherichia coli (STEC) stx1/stx2 (including specific identification of the E.coli O157 serogroup within STEC)
  • Cryptosporidium
  • Cyclospora cayetensis
  • Entamoeba histolytica
  • Giardia duodenalis
  • Adenovirus F 40/41
  • Astrovirus
  • Norovirus GI/GII
  • Rotavirus A
  • Sapovirus (Genogroups I,II,IV, and V)

Testing and Treatment Algorithm

 

 

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

CPT 87507

CPT 87324

 

Reference Values

Normal result: Negative for viral nucleic acid

Abnormal result: Positive for viral nucleic acid

Clinical Utility

The FilmArray Gastrointestinal (GI) Panel is a qualitative multiplexed nucleic acid-based in vitro diagnostic test intended for use with FilmArray systems. The FilmArray 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. The following bacteria (including several diarrheagenic E. coli/Shigella pathotypes), parasites, and viruses are identified using the FilmArray GI Panel:

 

• Campylobacter (C. jejuni/C. coli/C. upsaliensis)

• Clostridium difficile (C. difficile) toxin A/B

• Plesiomonas shigelloides

• Salmonella

• Vibrio (V. parahaemolyticus/V. vulnificus/ V. cholerae), including specific identification of

  Vibrio cholerae

• Yersinia enterocolitica

• Enteroaggregative Escherichia coli (EAEC)

• Enteropathogenic Escherichia coli (EPEC)

• Enterotoxigenic Escherichia coli (ETEC) lt/st

• Shiga-like toxin-producing Escherichia coli (STEC) stx1/stx2 (including specific identification

   of the E. coli O157 serogroup within STEC)

• Shigella/ Enteroinvasive Escherichia coli (EIEC)

• Cryptosporidium

• Cyclospora cayetanensis

• Entamoeba histolytica

• Giardia duodenalis (also known as G. intestinalis and G. lamblia)

• Adenovirus F 40/41

• Astrovirus

• Norovirus GI/GII

• Rotavirus A

• Sapovirus (Genogroups I, II, IV, and V)

 

The FilmArray GI Panel is indicated as an aid in the diagnosis of specific agents of gastrointestinal illness and 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 FilmArray GI Panel. The agent detected may not be the definite cause of the disease.

 

Concomitant culture is necessary for organism recovery and further typing of bacterial agents.

 

This device is not intended to monitor or guide treatment for C. difficile infection.