Laboratory: Clinical Microbiology
Test Name:
TRICHOMONAS, ANTIGEN, VAGINAL SWAB
Test Code: TVA
Clinical Information:
Test Indications: Female patient experiencing vaginal discharge that may be foul smelling and pruritus.

Recommendations: The results obtained with this test must be used only as adjunct to other information available to the clinician.

A negative result may be obtained if the specimen collection is inadequate or if antigen concentration is below the sensitivity of the test.

This test does not differentiate between viable and non-viable organisms.

Patients with vaginitis/vaginosis symptoms may have mixed infections.  Therefore, a test indicating the presence of T. vaginalis does not rule out the presence of candidiasis or bacterial vaginosis.

Routine screening for T. vaginalis infection is not advised for asymptomatic persons without HIV infection who do not have risk factors.

Self-collection of vaginal swabs is permissible.  The swab and specific specimen collection information must be provided to the patient by the care provider; the care provider must ensure the patient clearly understands self-collection information before proceeding with collection.  It is not appropriate for patients to present to a laboratory and request a swab for self-collection; such requests will be refused by the laboratory.  Self-collection applies ONLY to patients being assessed for Trichomonas (one Copan M40 swab) and bacterial vaginosis/yeast (a second Copan M40 swab is acceptable for self-collected vaginal swabs for bacterial vaginosis/yeast; the preferred sample collection device for provider collected specimens is the Copan ESwab Collection, Transport and Preservation System).  Cervical sample self-collection is not possible; self-collected cervical samples for Neisseria gonorrhoeae culture will be rejected.

Patient Preparation Instructions: Not applicable.

Collection Devices:
Preferred Device:
Alternate Device:
1 - Dry rayon swab enclosed in sterile specimen container or in an empty sleeve
Specimen Required: Swab of vaginal secretions/discharge (Adult and Pediatric) - Collect specimen from the vaginal cavity using a sterile, rayon tipped swab with a plastic shaft.  Place swab back in sleeve either with or without transport media.
Do NOT use a cotton tip or wooden shaft swabs for collection as these are unacceptable.
Trichomonas vaginalis antigen testing is not validated for male patients.


Specimen Stability:

Ambient: Submit specimen at ambient temperature.

Refrigerated: If delay in transit, refrigerate transport device.

Referral:

Shipping & Storage: Submit the swab to the laboratory as soon as possible.  If delays anticipated, swab may be held at room temperature for no longer than 24 hours or store at 4°C for a maximum of 36 hours, by which time it must be received by the laboratory.


Testing Laboratory (MB):  Health Science Center, St. Boniface General Hosp., and Westman Lab.
 

Requisition:
Reference Values:
Positive report:  Positive for Trichomonas vaginalis
Negative report:  Negative for Trichomonas vaginalis
Invalid:  control or background color makes reading the test impossible
Method of Analysis: A color immunochromatographic capillary flow technology.
Availability:
Daily
See Also:
More Information:
Submit specimen at ambient temperature.
If delay in transit, refrigerate transport device.