Appendix A

Microbiology Report Form


Laboratory Report:
Source: Right ankle drainage
Status: Final
Gram stain: Numerous WBC; many Gram positive cocci in chains
Isolate #1: Heavy growth of Enterococcus faecalis

Antimicrobial Susceptibility Report

Antibiotic

MIC

Interpretation

Ampicillin

8

S

Penicillin G

8

S

Tetracycline

>16

R

Vancomycin

>32

R

S = susceptible
R = resistant

End of Report


Note: This is an infected source because of the WBC’s seen on the Gram stain (microscopic evaluation).


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