Selection of sputum specimens for microbiological examination
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Updated: Nov 2, 2026

Methodology for Sputum Induction and Laboratory Processing
Published on: December 17, 2017
1Department of Medical Microbiology, Rotherham General Hospital NHS Trust, England, UK.
Abstract:
The purpose of this study was to compare the leucocyte esterase (LE) strip test with direct microscopy of Gram-stained sputum smears for the demonstration of leucocytes (WBC) and to develop a simple method for selecting specimens suitable for cultural examination. A total of 11% of specimens were demonstrated to be unsuitable for bacteriological examination using the proposed algorithm. It is thought that this technique offers a simple alternative to traditional microscopy alone for screening sputum specimens.
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