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Pinworm Preparation

CPT 87172
Synonyms
  • Enterobius vermicularis Preparation
  • Enterobius Verm Exam
  • Cellulose Tape Test
  • Enterobiasis Test
  • Ova and Parasite, Pinworm Preparation
  • Scotch® Tape Test

Test Details

Methodology

Microscopy

Result Turnaround Time

1 - 4 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Documents

Use

Detect cases of pinworm infestation (enterobiasis), E vermicularis parasitic infestation

Limitations

Examination for pinworm only. One negative result does not rule out possibility of parasitic infestation. Examinations on multiple days may be required to diagnose infection. Stool specimens are not satisfactory for pinworm studies.

Custom Additional Information

The most satisfactory means of diagnosing pinworm infection is by the recovery of eggs or female worms from the perianal region. Only 5% to 10% of infected persons have demonstrable eggs in their stools. If feces is submitted for examination, only the surface should be sampled. Enterobiasis often is present in multiple family members; therefore, it is recommended that all members of the family be tested. The responsible parent should be instructed how to collect samples, using one kit per individual. Female worms or parts of them may be demonstrated on the tape by microscopic examination. The proportion of positive specimens correlate with severity of disease. Eggs, if present, may be immature, embryonated (with viable or dead larvae), or (if the specimen is several days or more old) empty egg shells. Enterobius vermicularis has been reported as a rare cause of appendicitis, salpingitis, epididymitis, and hepatic granuloma. Diagnosis at colonoscopy has also been reported.

Specimen Requirements

Volume

One slide or one pinworm paddle

Container

Glass slide in slide transport or pinworm paddle

Collection Instructions

Collect specimen as soon as possible after patient arises and prior to defecation or bathing. Pat the perianal area with the sticky side of cellophane tape (do not use frosted tape), attach to a glass slide, and ship slide in a slide mailer. Alternatively, a pinworm paddle device may be used to collect specimen.

Reference Range

No pinworm eggs (Enterobius vermicularis) identified. Positives reported as few, moderate, or many eggs identified.

Storage Instructions

Maintain specimen at room temperature.

Causes for Rejection

Use of nontransparent Scotch® Tape; Scotch® Tape on both sides of the slide; specimen that is not inside a covered container; use of frosted slide; tape sent sticky side up; unlabeled specimen or name discrepancy between specimen and request label

References

Mondou EN, Gnepp DR. Hepatic granuloma resulting from Enterobius vermicularis.Am J Clin Pathol. 1989 Jan; 91(1):97-100. 2910020
Schnell VL, Yandell R, Van Zandt S, Dinh TV. Enterobius vermicularis salpingitis: A distant episode from precipitating appendicitis. Obstet Gynecol. 1992 Sep; 80(3 Pt 2):553-555. 1495735
Sun T, Schwartz NS, Sewell C, Lieberman P, Gross S. Enterobius egg granuloma of the vulva and peritoneum: Review of the literature. Am J Trop Med Hyg. 1991 Aug; 45(2):249-253. 1877720

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
008631 Pinworm Prep - Enterobius 675-9 008632 Pinworm Prep - Enterobius 675-9
Order Code008631
Order Code NamePinworm Prep - Enterobius
Order Loinc675-9
Result Code008632
Result Code NamePinworm Prep - Enterobius
UofM
Result LOINC675-9