Test Catalog

Test Id : STL

Enteric Pathogens Culture, Feces

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

Determining whether a bacterial enteric pathogen is the cause of diarrhea

 

May be helpful in identifying the source of the infectious agent (eg, dairy products, poultry, water, or meat)

 

This test is generally not useful for patients hospitalized more than 3 days because the yield from specimens from these patients is very low, as is the likelihood of identifying a pathogen that has not been detected previously.

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
GID Bacteria Identification No, (Bill Only) No
ISAE Aerobe Ident by Sequencing No, (Bill Only) No
REFID Additional Identification Procedure No, (Bill Only) No
SALS Serologic Agglut Method 1 Ident No, (Bill Only) No
SHIG Serologic Agglut Method 3 Ident No, (Bill Only) No
RMALD Ident by MALDI-TOF mass spec 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 and charged separately. Reportable pathogens include: Aeromonas, Campylobacter, Salmonella, Shigella, and Yersinia.

Note: Does not include culture for Escherichia coli O157:H7. All bacterial isolates worked up, to rule in or out as a pathogen, will be billed for work performed and resources consumed.

 

See Laboratory Testing for Infectious Causes of Diarrhea in Special Instructions.

Special Instructions
Library of PDFs including pertinent information and forms related to the test

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

Conventional Culture

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

Enteric Pathogens Culture, Stool

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

Aerobic Bacteria Culture, Stool

Aeromonas

Campylobacter

Pathogen-Culture Stool

Pathogens, Aerobic Bacteria Culture, Stool

Salmonella

Shigella

Stool Culture

Vibrio

Yersinia

Culture, Aerobic Bacteria, Stool

50005-STL

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 and charged separately. Reportable pathogens include: Aeromonas, Campylobacter, Salmonella, Shigella, and Yersinia.

Note: Does not include culture for Escherichia coli O157:H7. All bacterial isolates worked up, to rule in or out as a pathogen, will be billed for work performed and resources consumed.

 

See Laboratory Testing for Infectious Causes of Diarrhea in Special Instructions.

Specimen Type
Describes the specimen type validated for testing

Fecal

Ordering Guidance

1. If Vibrio is suspected, order VIBC / Vibrio Culture, Feces.

2. If susceptibility testing is needed; also order ZMMLS / Antimicrobial Susceptibility, Aerobic Bacteria, MIC, Varies. Pathogens for which susceptibility testing would be pursued are: Shigella species, Yersinia species, Campylobacter species, Arcobacter species, and Vibrio species. If susceptibilities are not appropriate they will not be performed and ZMMLS will be canceled at report time.

3. Clostridioides (Clostridium) difficile, a major cause of nosocomial diarrhea, is not detected by this test. Order CDFRP / Clostridioides [Clostridium] difficile Toxin, Molecular Detection, PCR, Feces.

4. Escherichia coli O157:H7 is not detected by this test. Order STFRP / Shiga Toxin, Molecular Detection, PCR, Feces.

Additional Testing Requirements

In some cases, local public health requirements may impact Mayo Clinic Laboratories (MCL) clients and require submission of isolates to a public health laboratory. Clients should familiarize themselves with local requirements and will be responsible for submitting isolates to the appropriate public health laboratory. Clients can obtain isolates of Vibrio species by calling 800-533-1710 as soon as possible to ensure viability of the organism.

Shipping Instructions

Specimen must arrive within 96 hours of collection.

Necessary Information

Specimen source is required.

ORDER QUESTIONS AND ANSWERS

Question ID Description Answers
Q00M0057 Specimen Source

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

Patient Preparation: Medications: Do not use barium or bismuth before collection of specimen.

Supplies: Culture and Sensitivity Stool Transport Vial (T058)

Specimen Type: Preserved Feces

Container/Tube: Commercially available transport system specific for recovery of enteric pathogens from fecal specimens (15 mL of non-nutritive transport medium containing phenol red as a pH indicator, either Cary-Blair or Para-Pak C and S)

Specimen Volume: Representative portion of fecal specimen

Collection Instructions:

1. Collect fresh feces and submit 1 gram or 5 mL in container with transport medium.

2. Place feces in preservative within 2 hours of collection.

3. Place vial in a sealed plastic bag.

Special Instructions
Library of PDFs including pertinent information and forms related to the test

Forms

If not ordering electronically, complete, print, and send a Gastroenterology and Hepatology Client Test Request (T728) with the specimen.

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

1 mL

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

Unpreserved stool ECOFIX preservative Formalin or PVA fixative 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
Fecal Ambient (preferred) 4 days
Refrigerated 4 days

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

Determining whether a bacterial enteric pathogen is the cause of diarrhea

 

May be helpful in identifying the source of the infectious agent (eg, dairy products, poultry, water, or meat)

 

This test is generally not useful for patients hospitalized more than 3 days because the yield from specimens from these patients is very low, as is the likelihood of identifying a pathogen that has not been detected previously.

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 and charged separately. Reportable pathogens include: Aeromonas, Campylobacter, Salmonella, Shigella, and Yersinia.

Note: Does not include culture for Escherichia coli O157:H7. All bacterial isolates worked up, to rule in or out as a pathogen, will be billed for work performed and resources consumed.

 

See Laboratory Testing for Infectious Causes of Diarrhea in Special Instructions.

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

Diarrhea may be caused by a number of agents (eg, bacteria, viruses, parasites, and chemicals) and these agents may result in similar symptoms. A thorough patient history covering symptoms, severity, duration of illness, age, travel history, food consumption, history of recent antibiotic use, and illnesses in the family or other contacts will help the physician categorize the disease and ensure that any special requests are communicated to the laboratory.

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.

No growth of pathogens

Interpretation
Provides information to assist in interpretation of the test results

The growth of an enteric pathogen identifies the cause of diarrhea.

Cautions
Discusses conditions that may cause diagnostic confusion, including improper specimen collection and handling, inappropriate test selection, and interfering substances

No significant cautionary statements

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

1. York MK, Rodrigues-Wong P, Church L: Fecal culture for aerobic pathogens of gastroenteritis. In Clinical Microbiology Procedures Handbook, Third edition. Washington, DC, ASM Press, 2010, Section 3.8.1

2. Jerris RC, Fields PI, Nicholson MA: Fecal culture for Campylobacter and related organisms. In Clinical Microbiology Procedures Handbook, Third edition. Washington, DC, ASM Press, 2010, Section 3.8.2

3. DuPont HL: Persistent diarrhea: A clinical review. JAMA June 28, 2016;315(24):2712-2723 doi:10.1001/jama.2016.7833

Special Instructions
Library of PDFs including pertinent information and forms related to the test

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

The fecal specimen is inoculated onto selective media designed to inhibit growth of normal bowel flora while allowing growth of the enteric pathogens. The following media are used: sheep blood agar, Hektoen enteric (HE) agar, eosin-methylene blue (EMB) agar, Campylobacter agar, cefsulodin-irgasan-novobiocin (CIN) agar, and the enrichment broth, selenite F. After incubation, suspect colonies are identified using 1 or a combination of the following techniques: matrix-assisted laser desorption/ionization time of flight (MALDI-TOF) mass spectrometry, conventional biochemical tests, carbon source utilization, serologic methods, or nucleic acid sequencing of the 16S ribosomal RNA (rRNA) gene.(Koneman's Color Atlas and Textbook of Diagnostic Microbiology. Seventh edition. Edited by GW Procop, DL Church, GS Hall, et al. Philadelphia, Wolters Kluwer/Lippincott Williams and Wilkins, 2017)

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 8 days

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

7 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.

87045-Enteric Pathogens Culture, Stool-with isolation and preliminary examination

87046 x 3-Stool Culture Aerobic Bacteria, each

87077-Ident by MALDI-TOF mass spec (if appropriate)

87077-Bacteria Identification (if appropriate)

87153-Aerobe Ident by Sequencing (if appropriate)

87077-Additional Identification Procedure (if appropriate)

87147 x 3-Serologic Agglut Method 1 Ident (if appropriate)

87147 x 4-Serologic Agglut Method 3 Ident (if appropriate)

LOINC® Information
Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the order and results codes of this test. LOINC values are provided by the performing laboratory.

Test Id Test Order Name Order LOINC Value
STL Enteric Pathogens Culture, Stool 625-4
Result Id Test Result Name Result LOINC Value
Applies only to results expressed in units of measure originally reported by the performing laboratory. These values do not apply to results that are converted to other units of measure.
STL Enteric Pathogens Culture, Stool 625-4

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