It is important to differentiate white blood cells in a preliminary direct smear because
a. the type of white blood cell present defi-nitively indicates whether or not an infec-tion is bacterial.
b. neutrophils are the only white blood cell present during bacterial infections.
c. it is not appropriate, because various types of white blood cells are indicative of dif-ferent bacterial infections.
d. white blood cells are not noted on prelim-inary direct smear results.
C
Most laboratories only report and quantify white blood cells as a general category. Most often they are neutrophils indicative of bacterial infections, however, monocytes or macrophage may be associated with bacterial infections as well. The differentiation of white blood cells is typically included in a complete blood cell count as part of the overall patient laboratory testing and not part of the primary specimen Gram stain.
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