Test Catalog

Test Id : FVAG

Fungal Culture, Vaginal

Useful For
Suggests clinical disorders or settings where the test may be helpful

Monitoring therapy for vulvovaginitis

 

Managing chronic recurring disease

 

Determining the etiology of infectious vaginitis when other tests have been uninformative

Reflex Tests
Lists tests that may or may not be performed, at an additional charge, depending on the result and interpretation of the initial tests.

Test Id Reporting Name Available Separately Always Performed
D2F D2 Fungal Sequencing Identification No, Bill Only No
FUNA Fungal Ident Panel A No, Bill Only No
FUNB Fungal Ident Panel B No, Bill Only No
LCCI Ident Rapid PCR Coccidioides No, Bill Only No
LCHB Id, Histoplasma/Blastomyces PCR No, Bill Only No
RMALF Id MALDI-TOF Mass Spec Fungi No, Bill Only No
RMALY Id MALDI-TOF Mass Spec Yeast No, Bill Only No
LCCA Id, Candida auris Rapid PCR No, Bill Only No

Testing Algorithm
Delineates situations when tests are added to the initial order. This includes reflex and additional tests.

When this test is ordered, the reflex tests may be performed at an additional charge.

Method Name
A short description of the method used to perform the test

Plated to Inhibitory Mold Agar

NY State Available
Indicates the status of NY State approval and if the test is orderable for NY State clients.

Yes

Reporting Name
Lists a shorter or abbreviated version of the Published Name for a test

Fungal Culture, Vaginal

Aliases
Lists additional common names for a test, as an aid in searching

Culture, Yeast

Fungus Culture

Mold

Mycology Culture

Yeast Culture

Fungi Culture

50020-FVAG

Testing Algorithm
Delineates situations when tests are added to the initial order. This includes reflex and additional tests.

When this test is ordered, the reflex tests may be performed at an additional charge.

Specimen Type
Describes the specimen type validated for testing

Varies

Shipping Instructions

Specimen should arrive within 24 hours of collection.

Necessary Information

Specimen source is required.

Specimen Required
Defines the optimal specimen required to perform the test and the preferred volume to complete testing

Specimen Type: Swab

Source: Vaginal secretions

Container/Tube: Culture transport swab (noncharcoal)

Collection Instructions:

1. Before collecting specimen, wipe away any excessive amount of secretion and discharge.

2. Obtain secretions from the mucosal membrane of the vaginal vault with a sterile swab.

3. If smear and culture are requested or both a bacterial culture and fungal culture are requested, collect a second swab to maximize test sensitivity.

Forms

If not ordering electronically, complete, print, and send a Microbiology Test Request (T244) with the specimen.

Specimen Minimum Volume
Defines the amount of sample necessary to provide a clinically relevant result as determined by the Testing Laboratory

See Specimen Required

Reject Due To
Identifies specimen types and conditions that may cause the specimen to be rejected

Viral transport media (including but not limited to M4, M5, BD viral transport media, thioglycolate broth)
Petri dish
Reject
   

Specimen Stability Information
Provides a description of the temperatures required to transport a specimen to the performing laboratory, alternate acceptable temperatures are also included

Specimen Type Temperature Time Special Container
Varies Refrigerated (preferred) 7 days
Ambient 7 days

Useful For
Suggests clinical disorders or settings where the test may be helpful

Monitoring therapy for vulvovaginitis

 

Managing chronic recurring disease

 

Determining the etiology of infectious vaginitis when other tests have been uninformative

Testing Algorithm
Delineates situations when tests are added to the initial order. This includes reflex and additional tests.

When this test is ordered, the reflex tests may be performed at an additional charge.

Clinical Information
Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test

Candidal vulvovaginitis is believed to be the most frequent or second most frequent vaginal infection. Depending on the geographical area, its prevalence in women is estimated to be in the range of 5% to 20%. Besides Candida albicans, Candida glabrata, and Candida tropicalis are the most frequently isolated Candida species both from vulvo-vaginitis patients and from healthy carriers.

Reference Values
Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.

Negative

 

If positive, yeast will be identified.

Interpretation
Provides information to assist in interpretation of the test results

Meaningful diagnosis of vaginal candidiasis requires that 1) yeast are demonstrable in the affected area and 2) clinical symptoms and signs are consistent with the disease. Since in up to 20% of healthy women, yeast cells are part of the normal vaginal flora, the presence of Candida on culture may be meaningless or misleading unless other clinical factors are considered.

Clinical Reference
Recommendations for in-depth reading of a clinical nature

1. Abdallah M, Augenbraun MH, McCormack W: Vulvovaginitis and cervicitis. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 9th ed. Elsevier; 2020:1462-1476

2. Ashbee HR: General approaches for direction detection and identification of fungi. In: Carroll KC, Pfaller MA, Landry ML, et al, eds. Manual of Clinical Microbiology. 12th ed. Vol 1. ASM Press; 2019:2035-2055

Method Description
Describes how the test is performed and provides a method-specific reference

Specimens are plated on inhibitory mold agar that contains chloramphenicol to inhibit bacterial contamination. Cultures are incubated at 30 degrees C for 3 days. Identification of Candida species is accomplished by a variety of physiologic, biochemical, or molecular tests.(Berkow EL, McGowan KL: Specimen collection, transport, and processing: Mycology. In: Carroll KC, Pfaller MA, Landry ML, et al, eds. Manual of Clinical Microbiology. 12th ed. Vol 1. ASM Press; 2019:2016-2024)

PDF Report
Indicates whether the report includes an additional document with charts, images or other enriched information

No

Day(s) Performed
Outlines the days the test is performed. This field reflects the day that the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time before the test is performed. Some tests are listed as continuously performed, which means that assays are performed multiple times during the day.

Monday through Sunday

Report Available
The interval of time (receipt of sample at Mayo Clinic Laboratories to results available) taking into account standard setup days and weekends. The first day is the time that it typically takes for a result to be available. The last day is the time it might take, accounting for any necessary repeated testing.

3 to 4 days

Specimen Retention Time
Outlines the length of time after testing that a specimen is kept in the laboratory before it is discarded

Raw specimen discarded after 2 days.

Performing Laboratory Location
Indicates the location of the laboratory that performs the test

Rochester

Fees
Several factors determine the fee charged to perform a test. Contact your U.S. or International Regional Manager for information about establishing a fee schedule or to learn more about resources to optimize test selection.

  • Authorized users can sign in to Test Prices for detailed fee information.
  • Clients without access to Test Prices can contact Customer Service 24 hours a day, seven days a week.
  • Prospective clients should contact their Regional Manager. For assistance, contact Customer Service.

Test Classification
Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR) product.

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information
Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Clinic Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.

CPT codes are provided by the performing laboratory.

87102-Fungal culture, vaginal

87106-Id MALDI-TOF Mass Spec Yeast (if appropriate)

87107-Id MALDI-TOF Mass Spec Fungi (if appropriate)

87107-Fungal identification panel A (if appropriate)

87107-Fungal identification panel B (if appropriate)

87150-Identification rapid PCR Coccidioides (if appropriate)

87150 x 2-Identification Histoplasma/Blastomyces, PCR (if appropriate)

87153-D2 fungal sequencing identification (if appropriate)

87150-Id, Candida auris Rapid PCR (if appropriate)

Test Setup Resources

Setup Files
Test setup information contains test file definition details to support order and result interfacing between Mayo Clinic Laboratories and your Laboratory Information System.

Excel | Pdf

Sample Reports
Normal and Abnormal sample reports are provided as references for report appearance.

Normal Reports | Abnormal Reports

SI Sample Reports
International System (SI) of Unit reports are provided for a limited number of tests. These reports are intended for international account use and are only available through MayoLINK accounts that have been defined to receive them.

SI Normal Reports | SI Abnormal Reports