مقادیر بحرانی بخش میکروب شناسی

  • Microbiology Department
  • مقادیری که در جدول قید شده اند مقادیر بحرانی هستند و ضرورت اقدامات فوری درمانی برای حفظ سلامتی بیمار می‌باشد.
*Positive blood ,CSF, other sterile body fluids and biopsy(Liver, kidney, brain, BMB,BMA,…), Abcess, Cornea chip ;  Direct & culture
*Positive Fungal Direct & Culture for CSF & Blood
*Positive culture for group A streptococci (except throat culture)
*Positive culture or isolate for Cryptococcus Neoformance , Bordetella pertussis , Neisseria gonorrhoeae ,Dimorphic fungi ( Histoplasma ,Coccidioidomycosis ,Blastomycosis , Paracoccidioidomycosis)
*Stool culture positive for, Vibrio,Shigella dys.,E.coli O157H7(<18 yrs.),Shigella sp.(<12 yrs.),Campylobacter sp.(Children),

Salmonella typhi, Salmonella sp. (Immunodeficiency di.)

*Positive direct smear & culture for Mycobacterium .
*Positive culture for streptococcus group A from surgical wound,Legionella,Leptospira,Listeria in pregnant woman and immune- deficient patients,Corynebacteriun diphtheria,Streptococcus agalactiae from urine,genital,rectom in pregnant woman,Pseudomonas

Aeruginosa & Bacillus sp. from eye discharge,

*Organisms with multiple antibiotic resistance
*Positive culture for Neisseria meningitis from Blood,CSF,Synovial fluid,…
*Positive culture dialysis fluid
*Gram stain or acid fast positive for Nocardia
Reference:

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Some data form Emmancipator K.Critical values .ASCP practice parameter .Am J Clin Pathol 1997,108 :247.