Epic Code LAB2111321 Strep A Screen, Culture if Negative, Throat Swab Only
Test Name Alias
Streptococcus | Rapid Strep A with Culture if Negative | 2793 | StrpA Cultif
Interface Order Alias
10478
Icons & Photos
ESwab with Regular Swab | |
[Not pictured] | Dry Puritan Rayon-tip swab (HDVCH only) |
Specimen Requirements
Specimen Type: Throat swabs only, no other specimen types accepted
Container/Tube: (send one)
- ESwab
- Dry Puritan Rayon-tip swab
- Amies gel tube (Lawson #450094) intended for SHMG POC testing when confirmatory culture is desired
- 1 mL tube with liquid Amies media (Lawson #139748) paired with rayon swab (Lawson #141229).
Transport container:
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- Puritan rayon swabs are placed in an appropriately labeled clean, dry plastic tube or sleeve.
- POC: use the dry swab provided in the kit to perform Strep antigen testing. If confirmatory culture is desired, collect a second specimen using an Amies gel collection kit.
- SH Hospitals (excluding HDVCH and Lakeland): collect using a rayon swab paired with liquid Amies media. Use the rayon swab to perform Strep Antigen testing and send tube with remaining liquid media to SHRL Microbiology for culture when necessary.
- Helen DeVos Children’s Hospital (HDVCH): dual dry rayon swabs may be used for both rapid antigen testing and culture. For all other locations, a dry swab may cannot be submitted for culture.
- Do not use calcium alginate, cotton-tip, charcoal agar, or swabs with a wooden shaft.
Collection Instructions:
- Depress the tongue with a depressor.
- Using the appropriate swab, collect from white patches or red, raw areas of the throat only. Avoid teeth, gums, tongue, and uvula.
- Insert an ESwab into the corresponding tube and break shaft at scored line OR place Puritan swab in a clean, dry plastic tube or sleeve.
- Label the tube with the patient’s name and date of birth (at least 2 patient identifiers), specimen source, and date/ time of collection.
- Send to the laboratory as soon as possible.
Specimen Stability
Ambient 48 hours (Eswab) 24 hours (Dry Swab)
Refrigerate: 48 hours (Eswab) 48 hours (antigen test on dry swab) 8 hours (culture on dry swab)
Laboratory Retention: 4 days
Reflex Information
Reflex testing: A negative rapid Strep A will reflex to a Strep A culture at an additional fee.
Test Frequency
Available daily, usual TAT 24 - 48 hours for culture
Available daily, usual TAT 4 hours for Strep A Screen
Reference Range
Negative
Performing Department
Microbiology
Performing Department Laboratory Location
Corewell Health Reference Laboratory, Grand Rapids, MI
Corewell Health Big Rapids Laboratory, Big Rapids, MI
Corewell Health Blodgett Laboratory, Grand Rapids, MI
Corewell Health Gerber Laboratory, Fremont, MI
Corewell Health Kelsey Laboratory, Lakeview, MI
Corewell Health Ludington Laboratory, Ludington, MI
Corewell Health Pennock Laboratory, Hastings, MI
Corewell Health Reed City Laboratory, Reed City, MI
Corewell Health Greenville Laboratory, Greenville, MI
Corewell Health Zeeland Laboratory, Zeeland, MI
Methodology
Enzyme Immunoassay (EIA) and Manual
CPT
87880
CDM Code
3068788001
Epic Test ID
1230101112
LOINC
Strep A: 18481-2
Mayo Access Code
SHO10478
Reviewed Date
9/7/2023
Updated Date
9/6/2024 - 269 - Alias