Malaria, Rapid Screen and Giemsa Stain
2001547
Time SensitiveTime Sensitive

Ordering Recommendation
Submit With Order
Mnemonic
BLD PARA
Methodology
Qualitative Immunochromatography/Stain
Performed
Sun-Sat
Reported
Within 2 days
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
 
Collect
Lavender (EDTA) or pink (K2EDTA).  
Specimen Preparation
Transport 5 mL whole blood (Min: 1 mL). Extended exposure to EDTA anticoagulants can result in altered parasite morphology. For best results, send five (5) thin blood smears (unstained, unfixed) AND five (5) thick smears (unstained, unfixed) in addition to whole blood. Thin and thick blood smears should be prepared immediately or within 1 hour after collection.
Thin smears are made as per routine hematology differentials. Thick smears are made by dropping 10 to 20 µL of blood onto a slide and spreading it into a dime-sized area with a glass, wooden, or plastic applicator.
For instructions on preparation of thick and thin smears, see http://www.dpd.cdc.gov/dpdx/HTML/DiagnosticProcedures.htm. Label and transport slides in slide holders. Specimen must be received within 24 hours of collection.
Remarks:
Rapid diagnosis of malaria is critical for appropriate patient management. Specimens for Malaria and Babesia are for confirmation only. Travel history required.  
Storage/Transport Temperature
Room temperature.  
Unacceptable Conditions
Whole blood in anticoagulants other than EDTA or K2EDTA.  
Remarks
Rapid diagnosis of malaria is critical for appropriate patient management. Specimens for Malaria and Babesia are for confirmation only from clients outside of the immediate Salt Lake City, Utah area. Travel history required.  
Stability
Whole blood: Ambient: 24 hours; Refrigerated: Unacceptable; Frozen: Unacceptable.
Slides:
Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable  
Reference Interval
Negative
Interpretive Data
Note
The rapid screen cannot detect parasitemia of less than 0.5 percent. The rapid screen result should not be used for therapeutic monitoring. Stat testing is performed on the rapid screen only
CPT Code(s)
87899; 87207
Components
Component Test Code*Component Chart Name
0049025Parasites Smear (Giemsa Stain), Blood
2001548Malaria, Rapid Screen
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Cross References
  • Giemsa Stain for Malaria
  • HRP2
  • P falciparum HRP2 antigen detection