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HelpTest Code FVAG Fungal Culture, Vaginal
Reporting Name
Fungal Culture, VaginalUseful For
Monitoring therapy for vulvovaginitis
Managing chronic recurring disease
Determining the etiology of infectious vaginitis when other tests have been uninformative
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Specimen Type
VariesShipping Instructions
Specimen should arrive within 24 hours of collection.
Necessary Information
Specimen source is required.
Specimen Required
Specimen Type: Swab
Source: Vaginal secretions
Container/Tube: Culture transport swab (noncharcoal)
Collection Instructions:
1. Before collecting specimen, wipe away any excessive amount of secretion and discharge.
2. Obtain secretions from the mucosal membrane of the vaginal vault with a sterile swab.
3. If smear and culture are requested or both a bacterial culture and fungal culture are requested, collect a second swab to maximize test sensitivity.
Specimen Minimum Volume
See Specimen Required
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Varies | Refrigerated (preferred) | 7 days |
| Ambient | 7 days |
Reference Values
Negative
If positive, yeast will be identified.
Day(s) Performed
Monday through Sunday
Test Classification
This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.CPT Code Information
87102-Fungal culture, vaginal
87106-Id MALDI-TOF Mass Spec Yeast (if appropriate)
87107-Id MALDI-TOF Mass Spec Fungi (if appropriate)
87107-Fungal identification panel A (if appropriate)
87107-Fungal identification panel B (if appropriate)
87150-Identification rapid PCR Coccidioides (if appropriate)
87150 x 2-Identification Histoplasma/Blastomyces, PCR (if appropriate)
87153-D2 fungal sequencing identification (if appropriate)
87150-Id, Candida auris Rapid PCR (if appropriate)
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| FVAG | Fungal Culture, Vaginal | 51723-5 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| FVAG | Fungal Culture, Vaginal | 51723-5 |
Clinical Information
Candidal vulvovaginitis is believed to be the most frequent or second most frequent vaginal infection. Depending on the geographical area, its prevalence in women is estimated to be in the range of 5% to 20%. Besides Candida albicans, Candida glabrata, and Candida tropicalis are the most frequently isolated Candida species both from vulvo-vaginitis patients and from healthy carriers.
Interpretation
Meaningful diagnosis of vaginal candidiasis requires that 1) yeast are demonstrable in the affected area and 2) clinical symptoms and signs are consistent with the disease. Since in up to 20% of healthy women, yeast cells are part of the normal vaginal flora, the presence of Candida on culture may be meaningless or misleading unless other clinical factors are considered.
Method Description
Specimens are plated on inhibitory mold agar that contains chloramphenicol to inhibit bacterial contamination. Cultures are incubated at 30° C for 3 days. Identification of Candida species is accomplished by a variety of physiologic, biochemical, or molecular tests.(Berkow EL, McGowan KL: Specimen collection, transport, and processing: Mycology. In: Carroll KC, Pfaller MA, Landry ML, et al, eds. Manual of Clinical Microbiology. 12th ed. Vol 1. ASM Press; 2019:2016-2024)
Reject Due To
| Viral transport media (including but not limited to M4, M5, BD viral transport media, thioglycolate broth) Petri dish |
Reject |
Reflex Tests
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| D2F | D2 Fungal Sequencing Identification | No, (Bill Only) | No |
| FUNA | Fungal Ident Panel A | No, (Bill Only) | No |
| FUNB | Fungal Ident Panel B | No, (Bill Only) | No |
| LCCI | Ident Rapid PCR Coccidioides | No, (Bill Only) | No |
| LCHB | Id, Histoplasma/Blastomyces PCR | No, (Bill Only) | No |
| RMALF | Id MALDI-TOF Mass Spec Fungi | No, (Bill Only) | No |
| RMALY | Id MALDI-TOF Mass Spec Yeast | No, (Bill Only) | No |
| LCCA | Id, Candida auris Rapid PCR | No, (Bill Only) | No |
Testing Algorithm
When this test is ordered, the reflex tests may be performed at an additional charge.
Method Name
Plated to Inhibitory Mold Agar
Forms
If not ordering electronically, complete, print, and send a Microbiology Test Request (T244) with the specimen.