Sputum is a substance comprised
of mucous, foreign matter, and saliva that is
found in the lungs or bronchial tree. A
sputum analysis is a group of tests performed in
a laboratory on a sputum specimen obtained from
a sick patient. A portion of the sputum specimen
is stained and put on a slide for examination of
cells and organisms. Another portion of the
specimen is put on an agar plate to see if
infectious organisms grow and can be identified.
Some of the sputum may be placed in special
solutions to test for specific diseases.

|
Sputum |
|
Term |
Description |
Associated
with |
| |
|
Fetid |
Foul-smelling,
typical of |
Bronchiectasis, lung |
| |
anaerobic infection |
abscess, or cystic
fibrosis |
|
Frothy |
White or pink-tinged,
foamy, thin sputum |
Pulmonary edema |
|
Hemoptysis |
Expectoration of
blood or bloody sputum; amount may range
from blood-streaked to massive
hemorrhage |
A variety of
pathologies |
|
Mucoid |
White or clear, not
generally associated with broncho-pulmonary
infection |
Chronic cough (acute
or chronic bronchitis, cystic fibrosis) |
|
Purulent |
Pus, yellow or
greenish sputum, often copious and thick |
Acute and chronic
infection |
|
Rusty |
Descriptive of the
color of sputum (also called prune
juice) |
Pneumococcal
pneumonia |
| |
See
Sputum Characteristics |
|
Purpose
The purpose of a sputum
analysis is to help identify microorganisms that
are causing respiratory disease or infection.
The most common reason for obtaining a sputum
specimen is to test for infectious
tuberculosis. A sputum analysis, however, is
also used to identify disease-producing
organisms that may be causing pneumonia,
bronchitis, lung abscess, or other
respiratory disease. A sputum analysis may be
used to identify conditions such as: aspiration
pneumonia, histoplasmosis, cryptococcosis,
blastomycosis, mycoplasma pneumonia, plague,
mycobacterial infection, and pneumocystic
pneumonia.
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