Open AccessUtility of Reflexive Gomori Methenamine Silver and Acid-Fast Bacillus Staining on Bronchoalveolar Lavage Specimens
Author(s) -
Karen Strenge,
Julie Kunkel,
Alan A. George,
Thomas Mailhiot,
Samantha L. Butler
Publication year - 2015
Publication title -
laboratory medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.332
H-Index - 28
eISSN - 1943-7730
pISSN - 0007-5027
DOI - 10.1309/lmljhg4e2uzkd7rg
Subject(s) - grocott's methenamine silver stain , bronchoalveolar lavage , staining , medicine , population , pathology , turnaround time , surgery , lung , computer science , environmental health , operating system
Reflexive testing of bronchoalveolar lavage (BAL) specimens with Gomori methenamine silver (GMS) and acid-fast bacillus (AFB) stains is not routinely performed by most institutions. Instead, these stains are usually ordered to evaluate for the presence of fungal elements and/or acid-fast organisms if initial histopathologic assessment suggests the presence of these pathogens. Our institution, however, performs these stains on all BAL specimens. Thus, we sought to determine whether this practice was cost effective, considering the turnaround time and diagnostic efficacy of these tests.
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