What to Report (By Specimen)

Question 1

Cervix/Vagina (Species looked for)

Answer 1

Lactobacillus: long, thin, GPRs
Bacteroides: small, GNRs
Gardnerella; small, gram-variable rods
Mobiluncus: curved, gram-variable rods

Question 2

Cervix/Vagina (Quants)

Answer 2

Quantification:
Rare = 0-3 morphotypes/oil immersion field
Few = 4-10 morphotypes/oil immersion field
Mod = 10-30 morphotypes/oil immersion field
Heavy = >30 morphotypes/oil immersion field

Question 3

Cervix/Vagina (Reporting)

Answer 3

Normal vaginal flora - mod-heavy Lactobacillus w/ none-few other orgs
Interm. vaginal flora - none-few Lacto. w/ mod. Bacteroides, Gardnerella, and Mobiluncus like orgs 
Bacterial vaginosis (BV) - none-few Lacto. w/ heavy Bacteroides, Gardnerella, and Mobiluncus (BGM) like orgs 
No vaginal flora - reported if no bateria seen per av. oil immersion field
Also report any predominant organism

Question 4

Gastric, Duodenal Biopsy

Answer 4

Presence or absence of polys
Presence or absence of all organisms
Presence or absence of GNRs resembling H. pylori

Question 5

Mouth

Answer 5

Report ONLY the presence or absence of YLC

Question 6

Oral Cavity

Answer 6

Report ONLY the presence or absence of YLC

Question 7

Throat

Answer 7

Report ONLY the presence or absence of YLC

Question 8

Esophagus

Answer 8

Report ONLY the presence or absence of YLC

Question 9

Respiratory (BAL, Sputum)

Answer 9

Report squamous epithelial cells (sputum only)
Presence or absence of polys
Any predominant organisms (Gram and morphology)
Presence of multiple orgs consistent w/ flora = “mixed oral flora”

Question 10

Sterile Fluids

Answer 10

Presence or absence of polys

Presence or absence of all organisms

Question 11

Biopsies

Answer 11

Presence or absence of polys

Presence or absence of all organisms

Question 12

Sterility Checks

Answer 12

Presence or absence of all organisms

Question 13

Stool

Answer 13

Presence or absence of polys (ONLY)

Question 14

Urethra

Answer 14

Presence or absence of polys
Presence or absence of intracellular Gram neg. diplos
Extracellular Gram neg. diplos (with quant)

Question 15

All Other Samples

Answer 15

Presence or absence of polys and other cell types

Quant of any org seen

Question 16

Urine

Answer 16

Presence or absence of polys and other cell types

Quant of any org seen