Sputum Culture and Sensitivity Report Format

Pathology
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What is the Sputum Culture Test?

A sputum culture test identifies bacteria or fungi present in mucus expelled from the lungs. It helps diagnose respiratory infections like pneumonia, tuberculosis, or bronchitis.

What is a Sputum Culture and Sensitivity Report Format?

This report outlines the pathogens isolated from a sputum sample and their sensitivity to antibiotics, helping guide appropriate treatment for lower respiratory tract infections.

Tests Included in Sputum Culture Report

Test

Description

Sputum Culture

Detects bacterial or fungal organisms causing respiratory infection.

Antibiotic Sensitivity (AST)

Evaluates the effectiveness of antibiotics against the identified organism.

Key Parts of a Sputum Culture Report

Key Part

Description

Specimen Quality

Notes if the sputum is adequate or contaminated with saliva.

Culture Result

Identifies the organism grown from the sample.

Gram Stain

Classifies bacteria as Gram-positive or Gram-negative.

Sensitivity Report

Lists antibiotics and whether the organism is sensitive, intermediate, or resistant.

Final Impression

Summarizes clinical significance of the findings.

Common Organisms in Sputum Culture

Organism

Clinical Association

Streptococcus pneumoniae

Common in community-acquired pneumonia.

Klebsiella pneumoniae

Seen in hospital-acquired infections.

Pseudomonas aeruginosa

Linked to chronic lung diseases and ventilator-associated pneumonia.

Mycobacterium tuberculosis

Identified by specific TB culture or GeneXpert.

Sample Antibiotic Sensitivity Format

Antibiotic

Sensitivity

Ceftriaxone

Sensitive (S)

Amoxicillin

Resistant (R)

Azithromycin

Intermediate (I)

Parameters to Consider in Sputum Culture Report

Parameter

Interpretation

Pathogen Isolated

Indicates the likely cause of the infection.

Colony Count

High counts suggest active infection.

Mixed Flora

May indicate contamination or colonization.

Sensitivity Profile

Guides selection of the most effective antibiotic.

Guidelines for Sputum Culture Report Format

Guideline

Description

Sample Collection

Early morning deep cough specimens yield the most accurate results.

Quality Check

Assess squamous cells and pus cells to evaluate specimen reliability.

Follow Clinical Context

Always correlate lab findings with patient symptoms and imaging.

What Do the Results Mean?

Result Type

Interpretation

Culture Positive

Confirms presence of infection-causing organism.

Culture Negative

No growth; possible viral or non-infective condition.

Drug Resistance

Indicates need for targeted or alternate therapy.

Sputum Culture and Sensitivity Report Interpretation

Test

Interpretation

Sputum Culture

Identifies causative organisms in respiratory infections and provides sensitivity to guide antibiotic treatment.

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Structure of the DoraysLIS Report

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