The change of pathogens and the frequent appearance of multi-drug resistant strains make the pathogenic diagnosis of pneumonia more important. However, because the sputum passing through the oropharynx is contaminated by normal flora, a single ordinary sputum culture without screening is not reliable. Sputum smear microscopy is helpful for early diagnosis of pathogens, and can be used to eliminate “unqualified” sputum specimens with serious contamination of oropharyngeal flora and select “qualified” (25 squamous epithelial cells per low-power field, or Squamous epithelial cells; white blood cells
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