| Where It's Done | Who Does It | How Long It Takes | Discomfort/Pain |
| Doctor's office or clinic. | Doctor. | 1-2 minutes. | Minor discomfort when sample is collected. |
| When Results Ready | Special Equipment | Risks/Complications | Average Cost |
| 10 minutes to 1 week, depending on where results analyzed. | Scalpel or other instrument for scraping. | None. | $ |
Cytodiagnostic smear.
PurposeTo diagnose infections caused by several types of herpesviruses, particularly shingles, chicken pox, and herpes simplex.
How it worksThe herpesvirus can cause certain skin cells to become abnormally large or develop other abnormalities. These cells, taken from a blister caused by the virus, can be seen under a microscope.
PreparationNone.
Test procedureA blister that is typical of the infection is burst, and its bottom and top are scraped and smeared onto a microscope slide.
After the testYou are free to resume normal activities. The slide is stained with dyes and examined under a microscope, either in the doctor's office or in a hospital or commercial laboratory.
Factors affecting resultsThe stage of the blister. If the sample is taken when the blister is healing, the likelihood of detecting the virus decreases.
InterpretationAlthough the virus itself is not detected with this test, the presence of certain abnormally large cells can confirm the diagnosis. When results are negative, however, herpes cannot be ruled out.
AdvantagesResults are received faster than with the culture test.
DisadvantagesFalse-negative results occur in about one-third of cases.
The next stepThe presence of certain cells definitively diagnoses herpes, which can then be treated. If the results are negative, a culture may be done, or the doctor may use that information to support a conclusion that a herpesvirus infection is not present.
The Patient's Guide to Medical Tests by Faculty Members at The Yale University of Medicine and G.S. Sharpe Communications, Inc. Copyright © 1997 by Yale University of Medicine and G.S. Sharpe Communications, Inc. Published by Houghton Mifflin Company. All rights reserved.