Sputum C+S: Difference between revisions

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A discussion took place at Oct 6.14 Collection team meeting in regards to what was included i.e. just culture and sensitivity of sputum and tracheal secretions or is AFB included and BAL? Are viral cultures included?

*[[Dr. Allan Garland]] advised to bring to Task team meeting Nov 6.14 to revisit what ICU wants counting here. Hallway discussion today did not come to agreement today.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:33, 2014 October 6 (CDT)

*Some collectors included AFB and BAL counts and sputum sent cadham lab for viral under C+S counts, others do not include AFB, BAL and virals to cadham lab. Some collectors count only if they reports in the chart or on EPR. Some count lab tests retrospectively, after discharge, other keep counts up each week rather than waiting for discharge.

{{Data_element

| field_name = Sputum_CS

| CCMDB_tab = Lab

| element_description = Contains the number of any sputum specimens (including endotracheal secretions) sent for "culture and sensitivity" for bacteria or fungus.

| in_table = L_Labs_Flowsheet table

| data_type = integer

| datafield_length = integer

|data_element_end_date=2017-03-17

| program_collecting = CC

| created_raw = Raw

| data_element_sort_index = 21

}}

[[Category: Labs]]

=== BALs don't imply C+S ===

[[Category: Infection]]

When a BAL (Bronchial Aspiration and Lavage) is done, and a '''specimen is sent''' for bacterial or fungal cultures, then include in count for C+S. Don't assume when BAL is done that a culture for C&S is sent. Check the EPR.

=== not included ===

Counts not included as sputum for C+S:

* AFB - test done differently and in separate medium so not counted under C+S

* Viral - totally different testing method, so not counted under C+S. - Dr. Kumar. - [[User:TOstryzniuk|Trish Ostryzniuk]] 17:55, 2014 October 21 (CDT)

* cytology

* rejected specimens are not included in lab counts

* pleural fluid

[[Category:Labs]]

[[Category:Infection (old)]]

@@ Line 1: / Line 1: @@
-{{Discussion}}
+{{DSM data}}
-A discussion took place at Oct 6.14 Collection team meeting in regards to what was included i.e. just culture and sensitivity of sputum and tracheal secretions or is AFB included and BAL? Are viral cultures included?
-*[[Dr. Allan Garland]] advised to bring to Task team meeting Nov 6.14 to revisit what ICU wants counting here.  Hallway discussion today did not come to agreement today.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:33, 2014 October 6 (CDT)
-*Some collectors included AFB and BAL counts and sputum sent cadham lab for viral under C+S counts, others do not include AFB, BAL and virals to cadham lab.  Some collectors count only if they reports in the chart or on EPR.  Some count lab tests retrospectively, after discharge, other keep counts up each week rather than waiting for discharge.
+{{Data_element
+| field_name = Sputum_CS
+| CCMDB_tab = Lab
+| element_description = Contains the number of any sputum specimens (including endotracheal secretions) sent for "culture and sensitivity" for bacteria or fungus.
+| in_table = L_Labs_Flowsheet table
+| data_type = integer
+| datafield_length = integer
+|data_element_end_date=2017-03-17
+| program_collecting = CC
+| created_raw = Raw
+| data_element_sort_index = 21
+}}
-[[Category: Labs]]
+=== BALs don't imply C+S ===
-[[Category: Infection]]
+When a BAL (Bronchial Aspiration and Lavage) is done, and a '''specimen is sent''' for bacterial or fungal cultures, then include in count for C+S.  Don't assume when BAL is done that a culture for C&S is sent. Check the EPR.
+=== not included ===
+Counts not included as sputum for C+S:
+* AFB - test done differently and in separate medium so not counted under C+S
+* Viral - totally different testing method, so not counted under C+S. - Dr. Kumar. - [[User:TOstryzniuk|Trish Ostryzniuk]] 17:55, 2014 October 21 (CDT)
+* cytology
+* rejected specimens are not included in lab counts
+* pleural fluid
+[[Category:Labs]]
+[[Category:Infection (old)]]