The main purpose of this Manual is to provide useful guidelines for the selection of pathology tests and to facilitate interpretation of results.
Contains a comprehensive listing of all genes from the Human Gene Nomenclature Committee (HGNC) database alongside laboratories and tests available in the country.
A manual for the process of macroscopic dissection in Anatomical Pathology laboratories.
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Keywords: Wound microscopy culture sensitivities, Wound microscopy, Wound culture, MCS wound, Wound MCS
Pus in syringe or sterile container is preferable.
Swab for Gram stain, swab in transport medium for culture.
If fungal culture is required or infection with atypical organisms is suspected, this information should be provided on the request form.
Gram stain for microscopy; culture on enriched, non-selective agar media and in broth.
Identification of significant isolates, followed by appropriate antibiotic sensitivity testing.
Anaerobic culture in selected circumstances.
Investigation of an infected wound or lesion, when clinical assessment suggests that antibiotic treatment or surgical drainage/debridement may be required.
Investigation of wound infection as part of infection control measures in hospitals or other institutions.
Pure growth of a single organism of known pathogenic potential increases the likelihood that it is the pathogen.
Recognised pathogens, eg, Staphylococcus aureus, Streptococcus pyogenes, Clostridium perfringens, are specifically reported, even if there is a mixed growth.
Antibiotic sensitivity tests are performed on recognised pathogens.
Antibiotic treatment is appropriate for infection which is spreading, especially where systemic toxicity is present. The decision to treat a wound infection with antibiotics should be made on clinical grounds, not based on the results of a wound swab. For less serious wound infection, simple drainage may be sufficient.
Janda JM et al. Eur J Clin Microbiol Infect Dis. 1997; 16: 189-201.
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The RCPA is the leading organisation representing Pathologists and Senior Scientists in Australasia.
Its mission is to train and support pathologists and senior scientists and to improve the use of pathology testing to achieve better healthcare.
The annual scientific meeting for the RCPA which covers the scientific disciplines of Anatomical, Chemical, Forensic, Genetic, General, Haematology, Immunopathology and Microbiology.
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