Efficacy of direct Gram stain in differentiating staphylococci from streptococci in blood cultures positive for gram-positive cocci

Author:

Agger W A,Maki D G

Abstract

A preponderance of clusters seen on direct Gram stain of blood cultures positive for gram-positive cocci was 98% sensitive and 100% specific for identification of staphylococcal species or of Peptococcus. A preponderance of chains, pairs, or both was 100% sensitive and 98% specific for identifying streptococci. Further presumptive identification of either staphylococci or streptococci based on microscopic morphology was unreliable. The direct Gram stain is highly reliable for differentiating staphylococci from streptococci and should be of considerable value to clinicians selecting initial antimicrobial therapy.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference4 articles.

1. Bartlett R. C. P. D. Ellner and J. A. Washington II. 1974. Cumitech 1 Blood cultures. J. C. Sherris (coord. ed.). American Society for Microbiology Washington D.C.

2. Comparison of macroscopic examination, routine Gram stains, and routine subcultures in the initial detection of positive blood cultures;Blazevic D. J.;Appl. Microbiol.,1974

3. Galen R. S. and S. R. Gambino. 1975. Beyond normality. The predictive value and efficiency of medical diagnoses. John Wiley & Sons Inc. New York.

4. Susceptibility of anaerobic bacteria to 23 antimicrobial agenta;Sutter V. L.;Antimicrob. Agents Chemother.,1976

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