Ova and Parasite (O&P) Examinations
Introduction |
Macroscopic |
Microscopic |
Microscopic Examination - Ova and Parasite Examination
Introduction |
Direct Wet Smear |
Concentration |
Permanent Stained Smear
Direct Wet Smear
Introduction |
Formulas |
Quality Control |
Procedures |
Results and Reporting |
Procedure Notes |
Procedure Limitations |
Procedure Review
Results and Patient Reports
Protozoan trophozoites and/or cysts and helminth eggs and larvae may be seen and identified. In a heavy infection with Cryptosporidium parvum, oocysts may be seen in a direct smear; however, some type of modified acid-fast stain or immunoassay kit is normally used to detect these organisms, particularly when few oocysts are present. Oocysts of Isospora belli can also be seen in a direct smear. Spores of the microsporidia are too small, and the shape resembles other debris within the stool; therefore, they are not readily visible in a direct smear. Specialized stains (modified trichrome stains), or optical brightening agents are used for the identification of the microsporidia.
- Motile trophozoites and protozoan cysts may or may not be identified to the species level (depending on the clarity of the morphology).
Examples: Giardia lamblia trophozoites and Entamoeba coli cysts.
- Helminth eggs and/or larvae may be identified.
Examples: Ascaris lumbricoides eggs and Strongyloides stercoralis larvae.
- Coccidian oocysts may be identified.
Example: Isospora belli oocysts
- Artifacts and/or other structures may also be seen and reported as follows (note: these crystals and cells are quantitated; however, the quantity is usually assessed when the permanent stained smear is examined under oil immersion).
Examples: Moderate Charcot-Leyden crystals, few RBCs and moderate PMNs