Cytological and microbiological profiling of body fluids: a study from Acharya Harihar Post Graduate Institute of Cancer, Cuttack, Odisha, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20252132Keywords:
Cytology, Body fluid, MicrobiologyAbstract
Background: Body fluids play a crucial role in the human body, serving as the medium for biochemical reactions essential to cellular metabolism. They include intestinal fluids, saliva, tears, and gastric juice. The concentration of substrates in cellular fluids significantly influences the rate of metabolic reactions. Body fluids are typically found in the central nervous system (CNS), pericardial, pleural, peritoneal, and synovial spaces, comprising up to 60% water.
Methods: The present study was conducted at Acharya Harihar Post Graduate Institute of Cancer (AHPGIC), Cuttack, over one month. A total of 25 fluid samples were collected from the Department of Pathology, AHPGIC. Pleural fluid was obtained through thoracocentesis, while peritoneal and ascitic fluids were collected via paracentesis. The fluids were drained using a syringe and aliquoted into tubes containing EDTA for cell counts and heparin for further studies. The collected samples were then transported in sterile containers and stored under refrigeration for further examination. For microbiological analysis, the collected fluids were inoculated in different culture media to facilitate the growth of microorganisms.
Results: Among the 25 fluid samples analyzed, malignant cells were identified in pleural and ascitic fluids. However, Gram-positive and Gram-negative bacteria, as well as acid-fast bacteria, were not observed in any of the samples through direct staining.
Conclusions: In culture, the growth of Gram-positive cocci was detected in peritoneal fluid, while Gram-negative bacilli were found in ascitic fluid.
Metrics
References
Bdinia B, Rezaee MA, Oskouie SA. Etiology and antimicrobial resistance patterns of acute bacterial meningitis in children: A 10-year referral hospital-based study in northwest Iran. Iran Red Crescent Med J. 2014;16:17616. DOI: https://doi.org/10.5812/ircmj.17616
Deb A, Mudshingkar S, Dohe V, Bharadwaj R. Bacteriology of body fluids with an evaluation of enrichment technique to increase culture positivity. J Evol Med Dent Sci. 2014;3(72):15230-8.
Kjeldsberg CR, Grenache DG, Couturier MR, Cohen MB. Pleural and pericardial fluid. In: Kjeldsberg’s Body Fluid Analysis. Chicago: ASCP Press; 2015.
Walters J, Clare CN. Morphologic analysis of body fluids in the hematology laboratory. In: McKenzie SB, Williams JL, editors. Clinical Hematology. 3rd ed. Boston: Pearson; 2015.
Hasbun R, Bijlsma M, Brouwer MC, Khoury N, Hadi CM, Ende AV, et al. Risk score for identifying adults with CSF pleocytosis and negative CSF Gram stain at low risk for an urgent treatable cause. J Infect. 2013;67(2):102-10. DOI: https://doi.org/10.1016/j.jinf.2013.04.002
Sudha A, Korti P, Prabhala S, Deshpande AK. Cytological analysis of body fluids with an emphasis on malignant effusions. J Med Sci. 2018;5(1):106-11. DOI: https://doi.org/10.18231/2394-6792.2018.0019
Tabatabai ZL, Nayar R, Souers RJ. Performance characteristics of body fluid cytology analysis. Arch Pathol Lab Med. 2018;142(1):53-8. DOI: https://doi.org/10.5858/arpa.2016-0509-CP
Naylor B. Pleural, peritoneal, and pericardial effusions. In: Bibbo M, Wilbur DC, eds. Comprehensive Cytopathology. 3rd ed. Philadelphia: Elsevier Saunders; 2008: 515-77. DOI: https://doi.org/10.1016/B978-141604208-2.10019-3
El-Sheikh SA. The diagnostic value of pleural fluid cytology in benign and malignant pleural effusions. Med J Cairo Univ. 2012;80:95-103.
Joshi A, Mahajan N, Karmarkar PJ, Mahore SD. Diagnostic utility of various techniques used in body fluid cytology. IOSR J Dent Med Sci. 2014;13(1):13-8. DOI: https://doi.org/10.9790/0853-13151318
Cibas ES. Pleural, pericardial, and peritoneal fluids. In: Cibas ES, Ducatman BS, eds. Cytology: Diagnostic Principles and Clinical Correlates. 3rd ed. Philadelphia: Elsevier; 2009: 129-53. DOI: https://doi.org/10.1016/B978-1-4160-5329-3.00004-9
Chakrabarti PR, Kiyawat P, Verma A, Agrawal P, Dosi S, Dixit M. Cytological evaluation of serous body fluids: A two-year experience in a tertiary care centre from Central India. Int J Curr Res Rev. 2015;17(7):1-6.
Bhanvadia VM, Santwani PM, Vachhani JH. Analysis of diagnostic value of cytological smear method versus cell block method in body fluid cytology: Study of 150 cases. Ethiop J Health Sci. 2014;24(2):125-31. DOI: https://doi.org/10.4314/ejhs.v24i2.4
Deb A, Mudshingkar S, Dohe V, Bharadwaj R. Bacteriology of body fluids with an evaluation of enrichment technique to increase culture-positivity. J Evol Med Dent Sci. 2014;3(72):15230-8. DOI: https://doi.org/10.14260/jemds/2014/4050
Wiest R, Krag A, Gerbes A. Spontaneous bacterial peritonitis: Recent guidelines and beyond. Gut. 2012;61(2):297-310. DOI: https://doi.org/10.1136/gutjnl-2011-300779
Baron MEJ, Finegold SM. Normally sterile body fluids, bone, and bone marrow. In: Forbes BA, Finegold DE, Weissfeld AS, eds. Bailey and Scott's Diagnostic Microbiology. 10th ed. St. Louis: Mosby Publications; 1998: 413-32.
Rouf M, Nazir A. Aerobic bacteriological profile and antimicrobial sensitivity pattern of bacteria isolated from sterile body fluids: A study from a tertiary care hospital in North India. Microbiol Res J Int. 2019;28:1-10. DOI: https://doi.org/10.9734/mrji/2019/v28i130123
Sharma M, Sharma A, Khajuria A, Gandhi S. Evaluation of pathological body fluids: An important diagnostic aid. Indian J Basic Appl Med Res. 2017;6(2):18-24.
Deshpande AK, Bhaskaran S. Comparative study of body fluid cytology using Cytospin-II and ordinary centrifuge. J Evol Med Dent Sci. 2015;4(40):6904-10. DOI: https://doi.org/10.14260/jemds/2015/1003
Sulbha VS, Dayananda BS. Cytology of body fluids: An aid to primary diagnosis. Indian J Pathol Oncol. 2015;2(2):81-3.
Zhou Y, Wu Y, Chang C, Xie H. Diagnostic value of cytological analysis of body cavity fluids in malignancy. J Cytol. 2020;37:87-92.
Kocjan G. The role of ancillary studies in the cytological diagnosis of serous effusions. Cytopathol. 2013;24:213-22.
Hoda RS. Advances in serous fluid cytology: A review. Adv Anat Pathol. 2016;23:227-38. DOI: https://doi.org/10.1097/PAP.0000000000000126
Monaco SE. Usefulness of immunocytochemistry and molecular testing on cell blocks of effusion fluids. Cancer Cytopathol. 2017;125:910-20. DOI: https://doi.org/10.1002/cncy.21813
Khurana KK. Effusion cytology in cancer: Diagnostic challenges and recent advances. Diagn Cytopathol. 2019;47:315-22.