G214

Gram – Joint Fluid: 3+ (6-10/oif) neutrophils –3+ (11-50/oif) gram positive bacilli (Cutibacterium acnes – formerly Propionibacterium acnes) – Shipped February 07, 2022

HISTORY

A simulated joint fluid sample collected from 59 year old inpatient with painful shoulder following shoulder surgery to category A and C1 laboratories. Participants were expected to report the presence of neutrophils and gram positive bacilli.

MAIN EDUCATIONAL POINTS from G214

  1. Timely and accurate reporting of Gram stain results can assist with optimizing empiric therapy.
  2. Gram positive bacilli in sterile bone/joint fluids may represent a pathogen and should not be regarded as a contaminant.

Full critique (PDF)

Posted in Clinical Bacteriology Results, critiques, Gram Tagged with: ,