Our microbiologist has similar views. However, the regional PHLS lab which
provide our micro service cannot measure protein in their cat iii lab. Our
compromise: if the clinician is able to say 'minimal risk of TB' and has NOT
sent the PF sample for AFB, we do it without additional precautions.
A
-----Original Message-----
From: Malcolm Stewardson [mailto:[log in to unmask]]
Sent: 16 May 2002 19:42
To: [log in to unmask]
Subject: Pleural fluid analysis - High Risk?
Historically we have assayed pleural aspirate for protein and glucose along
with our routine workload on a Vitros analyser. Perhaps naively, we have
not considered that pleural fluid should be particularly treated as high
risk. However, recently it has been brought to my attention that the high
risk of TB means that all work on pleural fluid should be carried out
under Cat III conditions.
We normally run high risk samples through the Vitros at specific times of
the day having declared the area a Cat III zone. However, the Consultant
Microbiologist says that we should not analyse pleural fluid in the open
lab.
Has anyone got a view on this problem, and/or would anyone like to pass on
advice on the safe assay of pleural fluid.
Malcolm Stewardson
Laboratory Manager
Dept of Clinical Biochemistry
Pinderfields and Pontefract Hospitals
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