G134

Gram – BAL: gram positive bacilli – neutrophils, no epithelial cells  – Shipped February 2014

HISTORY

A simulated bronchoalveolar lavage (BAL) smear collected from a 38 year old HIV+ patient with pneumonia was sent to category A, B, C, and C1 laboratories for Gram staining.

Participants were expected to report the presence of gram positive bacilli and neutrophils.

MAIN EDUCATIONAL POINTS from G134

  1. Gram stain results that include correct cell and organism descriptions help clinicians make appropriate clinical decisions.
  2. Recognizing and reporting the cellular components in Gram stains can provide the clinician with valuable information. It is important to correctly identify the cell types as this provides in-sight into the potential cause of inflammation.

 

Full critique (PDF)

Posted in Clinical Bacteriology Results, critiques, Gram