CEREBROSPINAL FLUIDhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="💉" title="Spritze" aria-label="Emoji: Spritze"> )CSF)
من أهم العينات في المختبر و تتطلب التعامل معاها مباشرة
نلخصها في تغريدات و نسألكم عنها شويا https://abs.twimg.com/emoji/v2/... draggable="false" alt="☝🏼" title="Zeigefinger nach oben (mittelheller Hautton)" aria-label="Emoji: Zeigefinger nach oben (mittelheller Hautton)">

https://abs.twimg.com/emoji/v2/... draggable="false" alt="✨" title="Funken" aria-label="Emoji: Funken"> Specimen collection and handling

•Tube 1 – chemistries and serology
•Tube 2 – microbiology cultures
•Tube 3 – hematology
CEREBROSPINAL FLUIDhttps://abs.twimg.com/emoji/v2/... draggable= )CSF)من أهم العينات في المختبر و تتطلب التعامل معاها مباشرة نلخصها في تغريدات و نسألكم عنها شويا https://abs.twimg.com/emoji/v2/... draggable="false" alt="☝🏼" title="Zeigefinger nach oben (mittelheller Hautton)" aria-label="Emoji: Zeigefinger nach oben (mittelheller Hautton)">https://abs.twimg.com/emoji/v2/... draggable="false" alt="✨" title="Funken" aria-label="Emoji: Funken"> Specimen collection and handling•Tube 1 – chemistries and serology•Tube 2 – microbiology cultures•Tube 3 – hematology" title="CEREBROSPINAL FLUIDhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="💉" title="Spritze" aria-label="Emoji: Spritze"> )CSF)من أهم العينات في المختبر و تتطلب التعامل معاها مباشرة نلخصها في تغريدات و نسألكم عنها شويا https://abs.twimg.com/emoji/v2/... draggable="false" alt="☝🏼" title="Zeigefinger nach oben (mittelheller Hautton)" aria-label="Emoji: Zeigefinger nach oben (mittelheller Hautton)">https://abs.twimg.com/emoji/v2/... draggable="false" alt="✨" title="Funken" aria-label="Emoji: Funken"> Specimen collection and handling•Tube 1 – chemistries and serology•Tube 2 – microbiology cultures•Tube 3 – hematology" class="img-responsive" style="max-width:100%;"/>
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✨" title="Funken" aria-label="Emoji: Funken"> If immediate processing not possiblehttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🤔" title="Denkendes Gesicht" aria-label="Emoji: Denkendes Gesicht">

•Tube 1 (chem-sero)
•Tube 2 (micro)
Tube 3 (hemo)
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✨" title="Funken" aria-label="Emoji: Funken"> MICROBIOLOGY

•Gram stain – Extremely important for early diagnosis of bacterial meningitis
•Even when well performed, 10% false negatives occur
•Use of Cytospin to concentrate specimen increases sensitivity
•Cultures- Aerobic & Anaerobic. Culture blood at same time
Organisms

Could find

•Newborns https://abs.twimg.com/emoji/v2/... draggable="false" alt="👶" title="Baby" aria-label="Emoji: Baby">
•E. coli & group B Strep.

•Children https://abs.twimg.com/emoji/v2/... draggable="false" alt="🧒" title="Kind" aria-label="Emoji: Kind">
•Streptococcus pneumoniae
•Hemophilus influenzae
•Neisseria meningitidis
Adults -
•Neisseria meningitidis
•Streptococcus pneumoniae
•Staph. aureus
•Candida albicans
RESULT OF GRAM STAIN

https://abs.twimg.com/emoji/v2/... draggable="false" alt="✨" title="Funken" aria-label="Emoji: Funken">Neisseria meningitidis (meningococci)

• Diplococci, lying side by side (Kidney shape)
• Intracellular, inside the neutrophils. Diplococci may occasionally be seen outside the cells and are usually few in number.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✨" title="Funken" aria-label="Emoji: Funken"> Streptococcus pneumoniae (pneumococci)
• Gram-positive
• Diplococci, lying end to end (glass shape)
•Surrounded by a capsule, which is not visible with Gram stain
• Not intracellular
• Usually many in number
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✨" title="Funken" aria-label="Emoji: Funken"> Haemophilus influenzae (especially in young children)
• Gram-negative
• Small bacilli (coccobacilli)
•In all the above-mentioned forms of meningitis the leukocytes present are neutrophils.
Listeria group.
•Gram-positive bacilli
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