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The document is a laboratory test report from Vijaya Diagnostic Centre for a urine sample collected from Mrs. Sikha, a 29-year old female. The report finds Klebsiella pneumoniae bacteria at a colony count of 100,000 CFU/ml in the urine sample. It lists the antibiotics tested against the bacteria and their sensitivity results. Most antibiotics showed the bacteria to be sensitive except for ampicillin which was resistant. The report provides interpretation guidelines for the MIC values and sensitivity results. It also includes results for a complete urine examination that show pus cells greater than 50/HPF and normal or negative results for other analytes.

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0% found this document useful (0 votes)
937 views2 pages

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The document is a laboratory test report from Vijaya Diagnostic Centre for a urine sample collected from Mrs. Sikha, a 29-year old female. The report finds Klebsiella pneumoniae bacteria at a colony count of 100,000 CFU/ml in the urine sample. It lists the antibiotics tested against the bacteria and their sensitivity results. Most antibiotics showed the bacteria to be sensitive except for ampicillin which was resistant. The report provides interpretation guidelines for the MIC values and sensitivity results. It also includes results for a complete urine examination that show pus cells greater than 50/HPF and normal or negative results for other analytes.

Uploaded by

Shikha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Vijaya Diagnostic Centre

Phase- I,Road No.4,Behind Aadishwar, Opp:Remedy hospital, K.P.H.B Colony,Hyderabad.

Regn Date : 19/03/2019 07:29 Sample Collection : 19/03/2019 7:31


Name : MRS. SIKHA Print Date : 21/03/2019 16:51
Regn No : 201917514 Age / Sex : 29 Years / Female
Ref Dr : Dr. MADHAVI P Regn Centre : Kukatpally
Refno :

Sample Type : URINE


CULTURE AND SENSITIVITY (VITEK)
Organism Isolated Colony Count
Klebsiella pneumoniae 1,00,000 CFU/ml

Antibiotics Interpretation MIC Value MIC Ref Range(µg/ml)


(µg/ml) S(</=) I R(>/=)

Ampicillin RESISTANT ( 32 ) 8 16 32
Piperacillin+Tazobactum SENSITIVE (4) 16 32-64 128
Cefepime SENSITIVE (1) 8 16 32
Ceftriaxone SENSITIVE (1) 1 2 4
Cefoperazone+Sulbactum SENSITIVE (8) * * *
Ertapenem SENSITIVE ( 0.5 ) 0.5 1 2
Imipenem SENSITIVE ( 0.25 ) 1 2 4
Meropenem SENSITIVE ( 0.25 ) * * *
Amikacin SENSITIVE (2) 16 32 64
Gentamicin SENSITIVE (1) 4 8 16
Ciprofloxacin SENSITIVE ( 0.25 ) 1 2 4
Nitrofurantoin INTERMEDIATE ( 64 ) 32 64 128
Trimethoprim/Sulfamethoxazole SENSITIVE ( 20 ) 40 * 80
Amoxyclav SENSITIVE (2) 8 16 32
Cefuroxime SENSITIVE (2) 8 16 32

Method : Conventional aerobic culture, identification and sensitivity testing by Automated Vitek 2 system.

Comment : Wet mount shows pus cells >50/HPF. Kindly correlate clinically.
INTERPRETATION OF MIC (Minimal Inhibitory Concentration) (Ref. CLSI M100S23)
1. The MIC is the lowest concentration of drug that inhibits the growth of a given strain of bacteria.
2. The antibiotic panels and MIC reference ranges for micro-organisms are designed based on CLSI guidelines.
3. The MIC value should be interpreted based on the range tested. The MIC value for one antibiotic cannot be
compared with the MIC value of another antibiotic.
4. Sensitive (S) : Organism is inhibited by usually achievable concentration of antibiotic with standard dosage.
Intermediate (I) : Organism is inhibited by higher than normal dosage of antibiotics.
Resistant (R) : Isolates are NOT inhibited by achievable concentrations of drug with normal dosage schedule.
* No CLSI reference range available.

*201,917,514.00*
DR.HEMALATHA RAO
Certificate # MC-2657 Released Date 19/03/2019 16:09 Sr.Consultant Microbiologist
:
Vijaya Diagnostic Centre
3-6-16 & 17, Street No. 19, Basheerbagh, Hyderabad - 500 029

LABORATORY TEST REPORT


Regn Date : 3/19/2019 07:29 Sample Collection : 19/03/2019 07:31
Name : MRS. SIKHA Print Date : 21/03/2019 16:51
Regn No : 201917514 Age / Sex : 29 Years / Female
Ref By : Dr. MADHAVI P Regn Centre : Kukatpally
Sample Type : Urine Ref no. :

COMPLETE URINE EXAMINATION (CUE)


TEST NAME RESULT BIOLOGICAL REFERENCE INTERVAL
Macroscopic Examination

Colour : Pale Yellow Pale Yellow


Reflectivity measurement method

Appearance : Slightly Hazy Clear


Light scattering measurement method

Specific Gravity : 1.005 1.003 - 1.030


Transmission refractometry method

Reaction/pH : Acidic (5.5) 4.6 - 8


pH Indicator

Protein : Nil Nil - Trace


Protein error of Indicator

Glucose : Nil Nil


GOD-POD

Urobilinogen : Normal NA
Diazonium method

Bilirubin : Negative Negative


Diazonium method

Ketones : Negative Negative


Nitroprusside reaction

Nitrites : Negative Negative


Diazonium method
Microscopic Examination

Pus Cells : >50/HPF 0 - 5 Cells / HPF

R.B.C : Nil 0 - 2 Cells / HPF

Epithelial Cells : 1-2/HPF 0 - 5 Cells / HPF

Casts : Nil Nil/LPF

Crystals : Nil Nil

Method : Reagent Strips, Dual wave length reflectance method, Flow cytometry and
Microscopy.

DR.TAPOSHI DAS
Certificate # MC-2657 CONSULTANT PATHOLOGIST

Released Date 19/03/2019 16:09 Page 1 of 1


*201917514* NABL Accredited

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