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Most Gram-positive bacilli encountered in clinical specimens represent normal flora which are contaminants, including members of the genera Bacillus, Lactobacillus, and Corynebacterium.he lactobacilli are nonsporulating, Gram-positive bacilli classified in the large family Lactobacillaceae. Often they are found as long, slender Gram-positive rods in long chains. Usually they are contaminating commensals that are readily recognized from colony morphology and the fact that they are catalase-negative.
A positive result for cyclic citrullinated peptide (CCP) antibodies indicates a high likelihood of rheumatoid arthritis (RA). A Mayo prospective clinical evaluation of the CCP antibody test showed a diagnostic sensitivity for RA of 78% with fewer than 5% false positive results in healthy controls (see Cautions).