GS174-1

Gram – Joint fluid: 3+ (6-10/oif) neutrophils, 3+ (11-50/oif) gram negative bacilli, and 3+ (11-50/oif) gram positive cocci (Pseudomonas aeruginosa, Staphylococcus aureus) – Shipped February 13, 2018 – 

HISTORY

A simulated joint fluid smear collected from a 38 year old IV drug user was sent to category A, B, C, and C1 laboratories.
Participants were expected to report the presence of neutrophils, gram negative bacilli and gram positive cocci.

MAIN EDUCATIONAL POINTS from GS174-1

  1. Gram stain yield can be improved with the use of a cytospin preparation.
  2. Prompt, precise reading and reporting of Gram stain results can provide timely information for the clinician to assist in the determination of early treatment plans.

Full critique (PDF)

Posted in Clinical Bacteriology Results, critiques, Gram