Test Menu
Test Change Details
Allergy & Immunology
Cardiology & Coagulation
Infectious Disease
Women's Health
14577: Bacterial Vaginosis/vaginitis Panel Print View
Candida Species DNA PROBE  Not detected   
Trichomonas Vaginalis DNA PROBE  Not detected   
Gardnerella Vaginalis DNA PROBE  Not detected   

1 BD AFFIRM (TM) Swab 1 (1) mL   Refrigerated - 72 Hour(s)/Room Temperature - 72 Hour(s)  

Vaginitis, one of the most common problems in clinical medicine, accounts for more than 10 million office visits each year. The three main categories of vaginitis are bacterial vaginosis (BV), yeast vaginitis (candidiasis), and T. vaginalis vaginitis (trichomoniasis). Bacterial vaginosis is most common vaginal infection, and accounts for 15-50% of vaginitis/vaginosis depending upon the patient population. While G. vaginalis is no longer thought to be the only etiologic agent of BV, it is still considered to be one of the major bacteria contributing to the infection, which involves an increase in anaerobic bacteria and a reduction in the normal Lactobacillus flora. The complications of BV can be especially significant in pregnant women, resulting in increased risk of adverse pregnancy outcome, including pre-term labor and birth. In addition, recent data suggests BV-associated bacteria in the endometrium may be etiologic agents of endometritis and pelvic inflammatory disease, independent of Neisseria gonorrhoeae and Chlamydia trachomatis infection. BV is also a risk factor for the development of post-hysterectomy cuff cellulitis. Vaginal candidiasis is the second most common form of vaginal infection seen in varied clinical settings. Three quarters of all adult women will experience at least one episode of vaginal candidiasis during their lifetime, with 40-50% experiencing a second episode. Approximately 5% of the adult female population suffers from recurrent, often intractable yeast infection. Trichomoniasis, a non-reportable sexually transmitted disease, has been estimated to affect 180 million annually worldwide. In the United States, an estimatd 3 million women contract trichomoniasis each year. Pregnant women positive for T. vaginalis are more likely to have pre-term rupture of membranes, as well as pre-term labor and birth. T. vaginalis is a risk factor for the development of post-surgical

Open the seal on outer plastic pouch of AFFIRM(TM) VPIII Ambient
Temperature Transport System (ATTS) and remove all components.
Each plastic pouch contains enough material for the collection and
transport of one vaginal specimen. Tear open the foil pouch and
remove the ATTS Reagent dropper. Break ampoule in ATTS Reagent
Dropper by firmly squeezing the vial with finger and thumb. Break
ampoule close to its center one time only. DO NOT MANIPULATE DROPPER
Dispense reagent from ATTS Reagent Dropper into Sample Collection
Tube (SCT). Peel wrapper to expose patient swab. Remove swab.
Discard wrapper.

Vaginal Sample Collection:
* Label the Sample Collection Tube (SCT) with the patient
identification information. Include the time and date the sample
was collected.

* 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 polyester [Dacron(TM)] 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.

* Immediately place the swab into the sample Collection Tube (SCT)
containing the ATTS reagent.

* 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 collection tube. Discard the broken handle into an
infectious waste container. 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 sealed.
Setup Schedule

Reported (Analytical Time)
Same day

CPT Codes

The CPT codes provided 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 payer being billed.

Transport Temperature: Room temperature

Reject Criteria: Specimen >72 hours old; swabs received in transport systems other than AFFIRM(TM) VPIII Ambient Temperature Transport System (ATTS); received frozen

1996 - 2019 Quest Diagnostics Nichols Institute of Valencia
For test information, please call Client Services at 800-421-4449.

San Francisco Web Design & Database