Babesia Thick and Thin Smear (See separate order for R/O Malaria)

General Information

Lab Name

Babesia Thick and Thin Smear

Lab Code

BABP

Epic Name

Direct Exam Blood, Babesia

Synonyms

Babesia, Babesiosis

Components

Code Name
SDES Specimen Description
SREQ Special Requests
GMSA Giemsa Stain
RPT Report Status

Interpretation

Method

Thick and thin smears

Reference Range

See individual components

Guidelines

Ordering & Collection

Specimen Type

Blood

Collection

3 mL Lavender Hemogard (EDTA) and If possible, also send 4 fingerstick thin blood smears.

Handling Instructions

UW-MT: Request STAT and transport immediately to the Microbiology Lab. Blood in EDTA (lavender top) should be received within 1 hour of collection and not more than 4 hours after. If EDTA cannot be transported within this time frame, send 4 stained thin smears (Wright’s or Giemsa stain) plus the EDTA tube at refrigerated temp. Transport slides in a sturdy container labeled BIOHAZARD. Thin smears will be read STAT and thick smears will be read within 24 hours.

HMC: Request STAT and transport immediately to the Microbiology Lab. Blood in EDTA (lavender top) should be received within 1 hour of collection and not more than 4 hours after. If EDTA cannot be transported within this timeframe, send 4 stained thin smears (Wright’s or Giemsa stain) plus the EDTA tube at refrigerated temp. Transport slides in a sturdy container labeled BIOHAZARD. One Wright’s (or Giemsa) stained thin smear will be read STAT; additional STAT smears within 24 hours require approval of Lab Med Resident or Micro Lab Director. Giemsa thick smears & (if Wright’s stain thin smear read STAT) Giemsa thin smears are read on the next (non-holiday) weekday.

UW-NW: Request STAT and transport immediately to the UW-NW main clinical laboratory. Sample will be sent to UW-MT. See UW-MT details for further information.

Quantity

requested: EDTA tube (and 4 fingerstick smears, if possible). Do not under fill EDTA tube.
minimum: 2 mL pediatric EDTA tube

Processing

UW-MT Instructions: Accession and process in Microbiology

HMC Instructions: Accession in Microbiology (or SPS midnight shift). Send specimen and requisition copy to Hematology, where 4 thin and 4 thick smears are made and forwarded to Microbiology with the requisition copy.

UW-NW Instructions: Accession sample at UW-NW and label STAT. If a routine courier run to UW-MT is scheduled within 2 hours from received time, send on routine courier. Otherwise, request and send via an on demand courier (2 hour pick-up time frame).

Performance

LIS Dept Code

Microbiology (MC)

Performing Location(s)

HMC Microbiology
206-744-5858

325 9th Ave, Rm # GWH-47, Seattle, WA 98104-2420

UW-MT Microbiology
206-520-4600

Clinical Lab, Room # NW177,
University of Washington Medical Center,
1959 NE Pacific street, Seattle, WA 98195

Frequency

Daily, see Handling above.

Available STAT?

Yes-Always

Billing & Coding

CPT codes

87015, 87207

LOINC

22858-5