Why the initial sputum sample was rejected.

Helen's first sputum sample
If you will notice their are a large number of squamous epithelial cells in this 100x field of the patients sample. Squamous epithelial cells line the mouth. If greater than 10 of these cells are present per high powered field (100x; hpf) then the lab suspects serious contamination of the sputum with saliva. If very few of these cells are present (<10 per hpf) the sample is more likely to be representative of what is down in the patients lungs. The lab will also report the presence of  white blood cells and the predominant bacterial type in the sample.

©2000, Neal R. Chamberlain, Ph.D.. All rights reserved.