Parasitological investigations of clinical specimens

SpecimenProcedureAmount of specimenConditions of transportation and storageTesting results obtained in (days)
Fresh stoolDetermination of ova and parasite (O&P) by Kato-Katz technique≥ 5–10gAt room temperature –1 h,
at 2–8°C – 24 h
1–2
Fresh stoolDetermination of intestinal protozoa by direct smear.
Intended for diarrhea patients.
≥ 5–10gStool must be delivered within 15–30 min. to check trophozotes motility1
Fresh or formalin (10%) preserved stoolDetermination ofova and parasite (O&P) by formalin-ethyl acetate sedimentation technique≥ 5–10gFresh: at room temperature – 1 h, at 2–8 C – 24 h. Formalin preserved at room temperature – up to 7 days.1–2
Fresh or PVA preserved stoolDetermination of intestinal protozoan trophozoites and cysts by technique of permanent smear stained with Trichrome≥ 5–10gFresh: at room temperature – 1 h. PVA preserved at room temperature – up to 7 days.1–3
Fresh or formalin preserved stoolDetermination of Cryptosporidium, Cyclospora and Isospora (intestinal protozoa) in permanent smear stained by modified Kinyoun's acid-fast technique≥ 5–10gFresh: at room temperature – 1 h. Formalin preserved at room temperature – up to 7 days.1–2
Fresh stool ≥ 5–10gAt room temperature –1 h, at 2–8°C – 24 h1–3
Fresh stoolDetermination of Entamoeba histolytica antigen by ELISA or immunochromatographic assay technique≥ 5–10gAt room temperature – 1 h, at 2–8°C – 24 h1–3
Fresh stoolDetermination of Cryptosporidium antigen by ELISA or immunochromatographicassay technique≥ 5–10gAt room temperature – 1 h, at 2–8°C – 24 h1–3
Perianal swabDetermination of pinworm (Enterobius vermicularis) or cestoda eggs on cellulose tape1 slideAt room temperature – 24 h,
at 2–8°C – 3 days
1–2
Cyst aspiratesDetermination of Echinoccocus scoleces and hooklets≥ 5 mlAt room temperature – 1 h, at 2–8°C – 24 h1–2
Thin and thick blood smearsDetermination of Malaria and other blood parasites1. 2 thin and 2 thick blood smears;
2. 5 ml venous blood in tube with EDTA
At room temperature – as soon as possible1
In case of tropical parasitic disease and other special requests – contact the reception.
Note: one teaspoon contains from 5 to 10 g of stool.

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