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References in periodicals archive ?
Prospective study of the usefulness of sputum gram stain in the initial approach to community-acquired pneumonia requiring hospitalization.
The pus and sputum Gram stain exhibited many Gram-positive filamentous bacilli, but non-acid-fast, on both standard and modified acid-fast bacilli stains.
The study also assessed the need for a routine sputum Gram stain and culture in all COPD exacerbations, even if the exacerbation is secondary to non-infective causes.
The sputum Gram stain is only effective if rigidly screened for acceptability and performed by seasoned microbiologists.
Characteristics that are important to note on the sputum Gram stain are very few squamous epithelial cells (less than 25 per low per field, or one to two per high oil field).
Studies investigating the role of sputum Gram stain and culture are both difficult to interpret and compare.
In a study of 116 patients presenting with an exacerbation of COPD, the combination of a negative sputum Gram stain, a nonclinical decrease in lung function, and fewer than two exacerbations in the previous 12 months was 100% predictive of a nonbacterial exacerbation.
The etiologic workup included the sputum Gram stain and acid-fast stain, sputum culture for bacteria, sputum chlamydial antigen, throat swab for virus isolation, urine pneumococcal antigen, and urine legionella antigen.
A sputum Gram stain may be useful in adolescents with a productive cough but can seldom be obtained in infants and children.
* Do not report Gram-positive cocci in pairs and lancets from a sputum Gram stain. Report out Gram-positive cocci (e.g., "suspect Streptococcus pneumoniae").
Sputum Gram stain obtained on admission showed heavy purulence with intracellular gram-positive cocci, gram-positive bacilli (some of which were beaded), and yeast.