A Pus Culture and Sensitivity (C&S) test is a laboratory diagnostic test used to detect the presence of bacteria or fungi in a pus sample from an infected wound, abscess, or boil. It also determines which antibiotics are most effective in treating the infection.
Pus Culture and Sensitivity (C&S) Test – Complete Details
What is a Pus Culture and Sensitivity (C&S) Test?
Purpose of the Test
The test is performed to:
-
Identify the specific bacteria or fungi causing an infection.
-
Guide the selection of appropriate antibiotics for treatment.
-
Detect antibiotic resistance to ensure effective therapy.
-
Monitor treatment effectiveness in persistent infections.
Indications – When is the Test Needed?
Doctors may recommend this test if a patient has:
-
Non-healing wounds or ulcers
-
Pus-filled abscesses, boils, or infected surgical sites
-
Redness, swelling, and pain around a wound
-
Foul-smelling discharge from an infection site
-
Fever and chills indicating a systemic infection
Procedure – How is the Test Performed?
1. Sample Collection
-
The healthcare provider collects a pus sample using a sterile swab, needle, or syringe from the infected area.
-
The procedure is done under aseptic conditions to prevent contamination.
2. Laboratory Testing
Step 1: Culture
-
The collected pus is placed on a culture medium (agar plates) to allow bacterial growth.
-
It is incubated at 37°C for 24–48 hours.
-
If bacteria or fungi are present, colonies form on the medium.
Step 2: Identification of Microorganisms
-
The bacterial colonies are examined under a microscope and tested using Gram staining and biochemical methods to identify the type of bacteria.
Step 3: Antibiotic Sensitivity Testing
-
The identified bacteria are exposed to different antibiotics on the culture plate.
-
Growth inhibition zones are measured to determine which antibiotics kill or stop the bacteria.
-
The bacteria are classified as sensitive (S), intermediate (I), or resistant (R) to specific antibiotics.
Common Bacteria Found in Pus Culture
| Bacteria Name | Common Infections | Commonly Sensitive to |
|---|---|---|
| Staphylococcus aureus | Boils, abscesses, cellulitis | Methicillin, Vancomycin (if MRSA) |
| Streptococcus pyogenes | Wound infections, necrotizing fasciitis | Penicillins, Clindamycin |
| Escherichia coli (E. coli) | Surgical wounds, diabetic ulcers | Cephalosporins, Carbapenems |
| Pseudomonas aeruginosa | Burn wounds, chronic ulcers | Piperacillin-tazobactam, Ciprofloxacin |
| Klebsiella pneumoniae | Surgical site infections | Aminoglycosides, Carbapenems |
| Proteus species | Wound infections, abscesses | Fluoroquinolones, Cephalosporins |
Interpreting the Results
-
Positive Culture: Indicates a bacterial or fungal infection.
-
Negative Culture: No significant bacterial growth; infection may be viral or due to other non-bacterial causes.
-
Antibiotic Sensitivity Report: Guides the doctor in prescribing the most effective antibiotic.
Treatment Based on Culture & Sensitivity Report
-
If bacteria are sensitive to an antibiotic → That antibiotic is prescribed for treatment.
-
If bacteria are resistant to multiple antibiotics → Broad-spectrum or combination therapy is used.
-
For Methicillin-Resistant Staphylococcus aureus (MRSA) or Multidrug-Resistant (MDR) infections → Special antibiotics like Vancomycin or Linezolid are considered.
Precautions and Considerations
-
Sample collection must be sterile to prevent contamination.
-
Antibiotic use before sample collection can affect test results.
-
Delayed treatment in severe infections can lead to sepsis or necrosis.
-
Repeated C&S tests may be needed for chronic or recurring infections.
Conclusion
A Pus Culture and Sensitivity (C&S) test is an essential diagnostic tool to identify infection-causing bacteria and select the most effective antibiotic. This helps in faster recovery, prevents antibiotic resistance, and ensures proper wound healing.
Would you like more details on any specific part, such as sample collection techniques, antibiotic resistance, or treatment guidelines? ๐
"This Content Sponsored by Buymote Shopping app
BuyMote E-Shopping Application is One of the Online Shopping App
Now Available on Play Store & App Store (Buymote E-Shopping)
Click Below Link and Install Application: https://buymote.shop/links/0f5993744a9213079a6b53e8
Sponsor Content: #buymote #buymoteeshopping #buymoteonline #buymoteshopping #buymoteapplication"

Comments
Post a Comment