Author Question: What would be important to perform in order to obtain a good sputum sample that is to be used to ... (Read 33 times)

kamilo84 · **on:** Jul 16, 2018

What would be important to perform in order to obtain a good sputum sample that is to be used to detect the pathogen causing community-acquired pneumonia?

a. Ensure that antibiotic treatment was insti-tuted at least 24 hr earlier.
b. Have patient sit in the semirecumbent po-sition to obtain sample.
c. Have patient spit into sample container.
d. Patient should rinse mouth prior to sample collection.

Question 2

Which of the following organisms have been found to colonize the oropharynx of healthy indi-viduals?

a. Coccidioides immitis
b. Haemophilus influenzae
c. Histoplasma capsulatum
d. Mycobacterium

Amiracle · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: D
The RT has an important role in the collection of an appropriate specimen of expectorated spu-tum. Patients should be advised to rid the mouth of contaminating saliva, either by rinsing with water or by spitting, and then to expectorate a specimen from deep within the tracheobronchial tree into a collection container. Prompt transportation to the laboratory is essential and improves the diagnostic yield from culture.

Answer to Question 2

ANS: B
In routine sputum culture, the isolation of bacteria, such as S. pneumoniae and H. influenzae, must be interpreted within the context of the Gram stain because these organisms can colonize the oropharynx, and their presence in culture may not signify true lower respiratory tract infec-tion.