Synonyms
Airway inflammation; Sputum cell count
Definition
Sputum is a respiratory expectorant composed primarily of mucus and does not contain nasopharyngeal secretions or saliva. The sputum eosinophil count refers to the number of eosinophils in sputum, typically expressed as a percentage of the total cell count. Examination of sputum is a noninvasive way to assess for airway inflammation.
Collection and Processing
Sputum can be naturally produced via a productive cough or induced by inhaling bronchial irritants. Protocols for induced sputum typically involve 3 % hypertonic saline administered via nebulizer (AARC 1993; Pavord et al. 1997; National Jewish Health 2010). Oftentimes, patients are pretreated with a bronchodilator. The sample may then be treated with dithiothreitol (DTT), a mucolytic agent, to promote cell dispersion. The sample is centrifuged and subsequently undergoes Wright staining. The differential cell count is then obtained using bright field microscopy.
Sputum...
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
AARC clinical practice guideline. Bland aerosol administration. American Association for Respiratory Care. Respiratory care. 1993;38(11):1196.
Bacci E, Cianchetti S, Carnevali S, Bartoli ML, Dente FL, Di Franco A, Giannini D, Vagaggini B, Paggiaro PL. Induced sputum is a reproducible method to assess airway inflammation in asthma. Mediators Inflamm. 2002;11:293–8.
Chlumsky J, Striz I, Terl M, Vondracek J. Strategy aimed at reduction of sputum eosinophils decreases exacerbation rate in patients with asthma. J Int Med Res. 2006;34:129–39.
Frew A. Pathogenesis of asthma. In: Rich RR, Fleisher TA, Shearer WT, Schroeder HW, Frew AJ, Weyand CM, editors. Clinical immunology: principles and practice. 3rd ed. Philadelphia: Mosby; 2008. p. 597.
Green RH, Brightling CE, Woltmann G, Parker D, Wardlaw AJ, Pavord ID. Analysis of induced sputum in adults with asthma: identification of subgroup with isolated sputum neutrophilia and poor response to inhaled corticosteroids. Thorax. 2002a;57:875–9.
Green RH, Brightling CE, McKenna S, Hargadon B, Parker D, Bradding P. Asthma exacerbations and sputum eosinophil counts: a randomized controlled trial. Lancet. 2002b;360:1715–21.
Jayaram L, Pizzichini MM, Cook RJ, Boulet LP, Lemiere C, Pizzichini E, Cartier A, Hussack P, Goldsmith CH, Laviolette M, Parameswaran K, Hargreave FE. Determining asthma treatment by monitoring sputum cell counts: effect on exacerbations. Eur Respir J. 2006;27:483–94.
Jeffery P. Pathology of asthma compared with chronic obstructive pulmonary disease. In: Adkinson NF, Busse WW, Bochner BS, Holgate ST, Simons FER, Lemanske RF, editors. Middleton’s allergy: principles and practice. 7th ed. St. Louis: Mosby; 2009. p. 921.
Klion AD and Weller PF. Causes of pulmonary eosinophilia. In: UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA, 2012.
Moqbel R, Lacy P, Adamko D, Odemuyiwa S. Biology of eosinophils. In: Adkinson NF, Busse WW, Bochner BS, Holgate ST, Simons FER, Lemanske RF, editors. Middleton’s allergy: principles and practice. 7th ed. St. Louis: Mosby; 2009. p. 295.
National Jewish Health Policy and Procedures. Sputum induction. http://spyderweb.njrc.org/ (2010). Accessed 28 Oct 2012.
Pavord ID, et al. The use of induced sputum to investigate airway inflammation. Thorax. 1997;52:498–501.
Petsky HL, Kynaston JA, Turner C, Li A, Cates CJ, Lasserson TJ, Chang AB. Tailored interventions based on sputum eosinophils versus clinical symptoms for asthma in children and adults. Cochrane Database Syst Rev. 2009
Pizzichini E, Pizzichini MMM, Efthimiadis A, Evans S, Morris MM, Squillace D, Gleich GJ, Dolovich J, Hargreave FE. Indices of airway inflammation in induced sputum: reproducibility and validity of cell and fluid-phase measurements. Am J Respir Crit Care Med. 1996;154:308–17.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Berlin Heidelberg
About this entry
Cite this entry
Searing, D.A. (2014). Testing: Sputum Eosinophil Count. In: Mackay, I.R., Rose, N.R., Ledford, D.K., Lockey, R.F. (eds) Encyclopedia of Medical Immunology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9194-1_508
Download citation
DOI: https://doi.org/10.1007/978-1-4614-9194-1_508
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-9193-4
Online ISBN: 978-1-4614-9194-1
eBook Packages: MedicineReference Module Medicine