GS194-1

Gram – CSF: 3+ (6-10/oif) neutrophils; 4+ (>50/oif) gram positive cocci (group B Streptococcus)  – Shipped on February 10, 2020 FINAL RESULTS

HISTORY

A simulated CSF sample smear collected from a one week old with sepsis was sent to category A, C, and C1 laboratories.
Participants were expected to report the presence of neutrophils and gram positive cocci.

MAIN EDUCATIONAL POINTS from GS194-1

  1. A well-performed Gram smear remains an invaluable early tool for early identification and prompt correct treatment of a bacterial pathogen (in this case Streptococcus agalactiae (GBS) in samples of CSF.
  2. Early notification of this finding once identification is confirmed is important for public health to enhance the ability to screen at 35 – 37 weeks gestation for vaginal-rectal carriage of S. agalactiae.

 

Full critique (PDF)

Posted in CBNews, Clinical Bacteriology Results, critiques, Gram