Microbiology bench
CareWell Diagnostics · Gulberg III processing lab · Microbiologist Dr. Faraz Ahmed · Breakpoints CLSI M100-Ed36 (2026)
Cultures in progress
64
Positive blood cultures
3
MDR alerts (7 days)
9
Urine C/S TAT
46 h
Culture worklist by stage
Synced with VITEK 2 & BacT/ALERT via MedX Bridge
Day 0 · Inoculated 21
M26-08841Urine
Nadia Perveen · 34 F · MSU
Blood agarCLED
Inoculated 09:12 · read at 09:00 tomorrow
M26-08847Wound
Rizwan Haider · 58 M · diabetic foot
BAMacConkeyChocolate
Gram: Gram-positive cocci in clusters (prelim sent)
Day 1 · Growth read 18
M26-08790Urine
Zainab Bibi · 62 F · catheter
Growth >10⁵ CFU/mL · lactose fermenter
Sent to VITEK ID + AST card GN-AST N417
M26-08802HVS
Hira Khan · 28 F · antenatal
No pathogen isolated at 24 h
Final at 48 h
Day 2 · ID + AST 14
B26-00412Blood
Usman Ali · 41 M · fever 10 days
Salmonella Typhi · XDR screen pending
Final reported 11
M26-08690Final
Sadia Akhtar · urine
Mixed growth — likely contamination; repeat MSU advised
M26-08655Final
Kashif Mehmood · pus
S. aureus (MRSA) · infection-control notified
M26-08741 · Abdul Rehman · Urine (MSU)
Collected 11 Oct 08:40 · Johar Town centre · Panel: Engro Fertilizers · Ref: Dr. Usman Tariq
ESBL-producing E. coli — resistance alert
Ceftriaxone R, cefotaxime R, ESBL phenotypic confirm positive. Report will carry the ESBL comment; infection-control notice goes to the referring doctor. Carbapenems unlocked by cascade rule CASC-ENT-03.
Gram stain
Gram-negative bacilli
Pus cells 25–30/HPF
Colony count
Organism (isolate 1 of 1)
Escherichia coli
VITEK 2 · 99% probability · WHONET code eco
| Antibiotic | Method | Value | Result | AWaRe | Tier | On report |
|---|---|---|---|---|---|---|
| Nitrofurantoin | Disk | 22 mm | S | Access | 1 | Shown |
| Fosfomycin | Disk | 19 mm | S | Watch | 1 | Shown |
| Trimethoprim–sulfamethoxazole | MIC | ≥320 | R | Access | 1 | Shown |
| Ciprofloxacin | MIC | ≥4 | R | Watch | 2 | Shown |
| Ceftriaxone | MIC | ≥64 | R | Watch | 2 | Shown |
| Amikacin | MIC | ≤2 | S | Access | 2 | Shown |
| Piperacillin–tazobactam | MIC | 8 | S | Watch | 2 | Shown |
| Meropenem | MIC | ≤0.25 | S | Watch | 3 | Cascade-released |
| Colistin | BMD | ≤0.5 | S | Reserve | 4 | Suppressed |
| Ceftazidime–avibactam | Disk | 25 mm | S | Reserve | 4 | Suppressed |
Blood culture · time to positivity
BacT/ALERT 3DB26-00412
18 h ⚑
B26-00418
25 h ⚑
B26-00420
Day 3 · NG
B26-00423
Day 1 · NG
⚑ Flagged positive → Gram stain → critical call within 1 h. Negative bottles are finalised "No growth after 5 days".
Critical call log
B26-00412 · GNB in blood
Informed Dr. Usman Tariq (Consultant) · 0300-xxxx221 · read-back ✓ · 10:42 by Dr. Faraz
B26-00418 · GPC clusters
Attempt 1 no answer 11:05 · escalate at 12:05
Antibiogram · E. coli (urine, 90 days)
% susceptible, first isolate per patient (CLSI M39). n = 412.