Gram – Joint Fluid: 3+ (6-10/oif) neutrophils –3+ (11-50/oif) gram positive bacilli (Cutibacterium acnes – formerly Propionibacterium acnes) – Shipped February 07, 2022
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
- Timely and accurate reporting of Gram stain results can assist with optimizing empiric therapy.
- Gram positive bacilli in sterile bone/joint fluids may represent a pathogen and should not be regarded as a contaminant.