Graham B S
Infect Control. 1984 Sep;5(9):448-52. doi: 10.1017/s0195941700060744.
Microscopic examination of stained granulocyte smears can lead to the early identification of bacterial and fungal infections. The technique is simple, inexpensive, and safe. Although the test can be time consuming, it is clinically useful if performed when a high grade bacteremia or fungemia is likely to be present (Table 3). The results are examiner dependent, but in the proper clinical setting should be reliable. Moreover, the slide can be saved as a part of the medical record, examined by others, and restained if necessary. A positive smear allows the physician to strengthen the empirical antimicrobial regimen against a particular organism which will hopefully improve the outcome of the septic process.
对染色的粒细胞涂片进行显微镜检查可实现细菌和真菌感染的早期识别。该技术简单、成本低且安全。尽管这项检测可能耗时,但如果在可能存在高度菌血症或真菌血症时进行,在临床上是有用的(表3)。结果取决于检查者,但在适当的临床环境中应该是可靠的。此外,玻片可以作为病历的一部分保存,供其他人检查,如有必要还可重新染色。涂片呈阳性可使医生加强针对特定病原体的经验性抗菌治疗方案,有望改善脓毒症进程的结果。