Gram – Wound: 2+ (1-5/oif) neutrophils– 4+ (>50/oif) gram negative bacilli (Pseudomonas aeruginosa). – Shipped May 10, 2021
A simulated wound sample collected from 88-year-old elder care patient with a diabetic ulcer on foot was sent to category A and C1 laboratories.
Participants were expected to report the presence of neutrophils and gram negative bacilli.
MAIN EDUCATIONAL POINTS from G211
- Along with clinical symptoms, a properly prepared, stained, read and reported gram stain will provide information to aid the clinician in distinguishing between colonization and infection – prompt reporting allows for initiation of appropriate treatment while waiting for culture results.
- Neutrophils are commonly observed in gram stains, especially from infected wounds. Their presence is an indicator of an active inflammatory process, useful in assessing the clinical significance of isolates.