GS124-1

CSF shunt: neutrophils, gram negative bacilli, gram positive bacilli  – Shipped February 2013

HISTORY

A simulated CSF smear collected from a 17 year old male patient with hydrocephalus and an infected CSF shunt was sent to category A, B, C, and C1 laboratories for Gram staining.

Participants were expected to report the presence of gram negative bacilli, gram positive bacilli, and neutrophils.

MAIN EDUCATIONAL POINTS from GS124-1

  1. Polymicrobial cultures are common in central nervous system shunt infections.
  2. Timely and accurate reporting of Gram stain results can assist with optimizing therapy.

 

Full critique (PDF)

Posted in Clinical Bacteriology Results, critiques, Gram