Helicobacter pylori Antigen, Stool

Message
The ImmunoCard STAT HpSa is a rapid in vitro qualitative procedure for the detection of Helicobacter pylori antigens in human stool. The stool antigen detection is intended to aid in the diagnosis of H.pylori infection and to demonstrate loss of H.Pylori antigen following treatment. Conventional medical practice recommends that testing by any method to confirm loss of antigen be done at least four weeks following completion of therapy.


Test Code
H.PYLORI AG,STOOL


Preferred Specimen
Solid or formed, semisolid and liquid stool samples are acceptable.


Instructions
Antimicrobials, proton pump inhibitors and bismuth preparations are known to suppress H. pylori, and ingestion of these prior to H. pylori testing (culture, histology, rapid urease, UBT, antigen) may cause false-negative results. If a patient has ingested these compounds within two weeks prior to performing the ImmunoCard STAT! HpSA test, a false-negative result may occur. In such cases, the test should be repeated on a new specimen obtained two weeks after discontinuing treatment. A positive result for a patient ingesting these compounds within two weeks prior to performing the ImmunoCard STAT! HpSA test, should be considered accurate.


Specimen Stability
2-8°C for 72 hrs or frozen at -20° for up to 14 days.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
QNS
DO NOT USE STOOL IN TRANSPORT MEDIA, OR SWABS, OR MIXED WITH PRESERVATIVES.


Methodology
Fluorescent immunoassay

Limitations
Interfering substances:
The following substances were found to have no effect on results when present in stool at the concentrations indicated.

Tums® Antacid (5 mg/mL), Tagamet® (5 mg/mL), Prilosec® (5 mg/mL), Mylanta® Antacid (1:20), Pepto-Bismol® (1:20), Barium sulfate (5%), Whole Blood (50%), Leukocytes (50%), Mucin (3.4%), Stearic acid/palmitic acid (fecal fat) (4%), Hemoglobin (tarry stool) (12.5%)


Reference Range
Neg


Performing Laboratory
Testing performed in the WX Immunology Lab.
Contact: Cassandra Mota 857-203-5941


Last Updated: March 20, 2023


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.