Manual Microscopy WBC Sample not cultured. A Neutropaenic <20 x 106/L AND report will be issued with Haem/Onc epithelial cells or the microscopy result and a patients amorphous deposit comment stating ICU/NICU/RDU “Culture Majority of such samples cultured present. not performed on this pts yield mixed growth of contaminating sample due to low white Suprapubic organisms (mixed skin flora or Automated Cell Count blood cell count and the aspirates mixed enteric organisms) WBC <40 x 106/L AND presence of epithelial Suprapubic epithelial cells cells/amorphous deposit.” catheter ≥1+ present. >100 RCC in male patients, elderly females, pregnancy or anybody where there is not a obscured by Sample not cultured. A reasonable Amorphous Deposit or report will be issued with explanation for a Epithelial Cells the microscopy result and a high RCC. Culture not performed due to high comment stating Proteinuria in “Poor likelihood of contamination quality sample as pregnancy evidenced by large Pyelonephritis amounts of epithelial cells and/or amorphous deposit……Advise repeat specimen if clinically indicated.” Automated Cell Sample not cultured. A WBC <40 x 106/L AND report will be issued with no bacteria present. the microscopy result and a Evidence has shown that significant comment stating “Culture growth does not occur on culture in not performed on this these instances. sample due to absence/low cells and absence/low levels of bacterial cells on urine cytometry. Evidence has shown that significant growth does not occur on culture in these instances.’’ Faecal samples: (Routine culture) Such samples will not be N/A Samples received from processed for routine Yield of routine enteric pathogens is in-house patients that culture unless specifically low in these instances.
Manual Microscopy WBC <20 x 106/L AND epithelial cells or amorphous deposit present. Automated Cell Count WBC <40 x 106/L AND ≥1+ epithelial cells present. obscured by Amorphous Deposit or Epithelial Cells Automated Cell WBC <40 x 106/L AND no bacteria present. Sample not cultured. A report will be issued with the microscopy result and a comment stating “Culture not performed on this sample due to low white blood cell count and the presence of epithelial cells/amorphous deposit.” Sample not cultured. A report will be issued with the microscopy result and a comment stating “Poor quality sample as evidenced by large amounts of epithelial cells and/or amorphous deposit……Advise repeat specimen if clinically indicated.” Sample not cultured. A report will be issued with the microscopy result and a comment stating “Culture not performed on this sample due to absence/low cells and absence/low levels of bacterial cells on urine cytometry. Evidence has shown that significant growth does not occur on culture in these instances.’’ Neutropaenic Haem/Onc patients ICU/NICU/RDU pts Suprapubic aspirates Suprapubic catheter >100 RCC in male patients, elderly females, pregnancy or anybody where there is not a reasonable explanation for a high RCC. Proteinuria in pregnancy Pyelonephritis Majority of such samples cultured yield mixed growth of contaminating organisms (mixed skin flora or mixed enteric organisms) Culture not performed due to high likelihood of contamination Evidence has shown that significant growth does not occur on culture in these instances. Faecal samples: (Routine culture) Samples received from in-house patients that Such samples will not be processed for routine culture unless specifically N/A Yield of routine enteric pathogens is low in these instances.
PATH-GEN-PSCM%20Pathology%20Users%20Handbook.docx