Fecal Occult Blood Test (guiac)

Test Name
Fecal Occult Blood Test (guiac)
Aliases
HEMA; FOBT
Provincial Mnemonic
OCCBST
LOINC Test Code
2335-8
Description and Primary Use
This test (FOBT) for occult blood in stool is a guaiac-based test that measures the heme part of hemoglobin. This method detects blood from any source, including dietary such as red meat and thereby can yield false positive results. As well, some foods and medications can interfere with this method, so dietary restrictions are critical. Since the heme part of hemoglobin is resistant to degradation, the FOBT test also detects blood from other areas of the digestive tract such as from bleeding stomach and bleeding gums. There are several possible causes of blood in stool but one important cause is presence of polps or cancers in the colon. The FOBT test is less specific than the FIT test for detection of bleeding in the colon.
Reorder interval
Not yet defined
TAT
≤3 Days
Test Cost
Not Available
Tier
4 - Non-formulary test (Test not available)
Ordering Requirements (Restrictions / Conditions)
Required Consultations
None
Algorithms and Guidelines

.None

Special Patient Preparation

Submit on special hemoccult slides only

Special Collection / Transport / Processing Requirements

No special requirement

Criteria for Rejection

Based on specimen condition and stability

Laboratory Service Area
Clinical Chemistry
Performing Laboratory / Site
Category 4 Laboratory (HSC only)
Last Updated
30-Aug-19