A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #

Vaginitis Panel by DNA Probe

Test Code
VAGDN


Alias/See Also
Bacterial Vaginitis, Garderella, Trichomonas,Candidiasis, T. Vaginalis, TRICD, GARDD, CANDD


Preferred Specimen
Standard Vaginal Sample Collection and preservation using the Affirm VPIII Ambient Temperature Transport System (ATTS) 
  1. Remove all components of the plastic ATTS pouch.
  2. Tear open the foil pouch and remove the ATTS Reagent Dropper.
  3. Break ampule in ATTS Reagent Dropper by firmly squeezing vial with finger and thumb. 
    Caution:  Break ampule close to its center one time only.  Do not manipulate dropper any further, as the plastic may puncture and injury may occur.
  4. Dispense reagent from ATTS Reagent Dropper into Sample Collection Tube.
  5. Peel wrapper to expose patient swab.  Remove swab, discard wrapper.
  6. Collect patient specimen and take sample.
    • Place the patient in position for a pelvic examination. Insert an UNLUBRICATED speculum (WITHOUT JELLY OR WATER) into the vagina to permit visualization of the posterior vaginal fornix.
    • Using the sterile swab, obtain a sample from the posterior vaginal fornix. Twist or roll the swab against the vaginal wall two or three times, ensuring the entire circumference of the swab has touched the vaginal wall. Swab the lateral vaginal wall while removing the swab.
  7.  Immediately place the patient swab in the Sample Collection Tube containing the ATTS Reagent.
  8. Break swab shaft at pre-scored line just above the top of the tube.  Discard remaining shaft into an infectious waste container.
  9. Place the Sample Collection Cap over the exposed end of the swab and firmly press the cap onto the Sample Collection Tube.  The cap will 'snap' onto the tube when it is properly seated.
  10. Label the Sample Collection Tube with patient/lab identification information.  Include date and time that sample was taken.
  11. Transport to lab.
Alternate method for transport using swab from reagent kit, not the ATTS preservative tube:  Vaginal Sample Collection
 
  1. Place the patient in position for a pelvic examination. Insert an UNLUBRICATED speculum (WITHOUT JELLY OR WATER) into the vagina to permit visualization of the posterior vaginal fornix.
  2. Using the sterile swab, obtain a sample from the posterior vaginal fornix. Twist or roll the swab against the vaginal wall two or three times, ensuring the entire circumference of the swab has touched the vaginal wall. Swab the lateral vaginal wall while removing the swab.
  3. Immediately place the swab into the Sample Collection Tube (SCT).
  4. With the swab touching the BOTTOM of the collection tube, grasp the pre-scored handle of the swab just above the top of the tube and bend until the swab breaks. When the swab is fully inserted into the collection tube, the score mark on the swab is approximately 1 cm above the top of the collection tube. Discard the broken handle into an infectious waste container.
  5. Place the cap over the exposed end of the swab and firmly press the cap onto the tube. The cap will “snap” onto the tube when it is properly seated.


Instructions
Includes Garderella, Trichomonas,Candida.


Setup Schedule
24x7


Reference Range
Negative


Clinical Significance
Vaginitis, one of the most common problems in clinical medicine, accounts for more than 10 million office visits each year.1 The three main categories of vaginitis are bacterial vaginosis (BV), yeast vaginitis (candidiasis) and T. vaginalis vaginitis (trichomoniasis).


Performing Laboratory
CRMC Microbiology



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.