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Testing: Sputum Eosinophil Count

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Encyclopedia of Medical Immunology
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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...

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Correspondence to Daniel A. Searing .

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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

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  • DOI: https://doi.org/10.1007/978-1-4614-9194-1_508

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  • Publisher Name: Springer, New York, NY

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