| Laboratory: | Clinical Microbiology |
| Test Name: |
URINE, CULTURE, MIDSTREAM/CATHETER/ILEAL CONDUIT, AEROBIC BACTERIA - (U)
Test Code:
MU, CU, UCM, SPU, SPAN, URSW, URVC
|
| Clinical Information: |
Test Indications:
A patient with symptoms of dysuria, frequency, urgency and occasionally suprapubic tenderness, in addition, patient may experience flank pain/tenderness with or without fever. Recommendations: - Urine specimens obtained with the same collection method within 48 hours of receipt of the first specimen will be rejected as a duplicate specimen. - Submit urine specimen using a BD Vacutainer Plus C&S preservative tube. - Collection of midstream urine specimen should be avoided during menses. - Never collect urine specimen from a bedpan or urinal. - Please provide clinical information as age, gender, presence of symptoms and specimen type impact specimen work-up. - Diagnostic Testing Recommendations for Investigation of Urinary Tract Infections (UTI), including pediatric patients: https://healthproviders.sharedhealthmb.ca/download/706/clinical-biochemistry/28533/diagnostic-testing-recommendations-for-investigation-of-urinary-tract-infections.pdf Patient Preparation Instructions: - Obtain early morning specimens whenever possible or urine 4 hours from last micturition to decrease the number of false-negative results. - Have the patient collect voided urine directly into a sterile leak-proof container, instructing the patient to not halt and restart the urinary stream but preferably move the container into the path of the already voiding urine. - Female: hold labia apart then begin voiding. - Male (uncircumcised): retract foreskin then begin voiding. - Male (circumcised): begin voiding. - Catheter urine: using a needle and syringe, collect urine through the catheter port, after cleansing with alcohol. Do NOT send urine obtained from a catheter bag. - Ileal conduit urine: Remove the external device. Cleanse the stoma with 70% alcohol followed by iodine. Remove the iodine with 70% alcohol. Insert a double catheter into the cleansed stoma to a depth beyond the fascial level and collect the urine. |
| Collection Devices: |
Preferred Device:
BD Vacutainer Plus C&S preservative tube (grey top) used in conjunction with the sterile screw-cap collection cup with integrated transfer device. The BD Vacutainer Plus C&S preservative tube maintains bacteria in urine specimen for 2 days at room temperature allowing for transport time.
|
| Specimen Required: |
Urine: 3.0 mL
Pediatric Urine: 3.0 mL
BD Vacutainer Urine Collection Device or Sterile specimen container that holds approx. 100mL BD Vacutainer: Minimum 3 mL as indicated by minimum draw line on tube. |
| Referral: |
Transport BD Vacutainer Plus C&S preservative tubes at ambient temperature. Urine specimen submitted in container with boric acid preservative are stable at room temperature for 3 days, by which time they must be processed by the lab.
Testing Laboratory (MB): Health Science Center, St. Boniface Hosp., Westman Lab, The Pas Health Complex |
| Requisition: | |
| Reference Values: |
A descriptive report with quantitation will be provided.
|
| Availability: |
Daily
|
| See Also: | |
| More Information: |
Specimen Handling:
Transport BD Vacutainer Plus C&S preservative tube at ambient temperature. Transport sterile, leak-proof container (without preservatives) to the lab within 2 hours of collection, otherwise refrigerate for a maximum of 24 hours, by which time they must be received by the lab Urine greater than 24 hours old not in preservative will not be processed. |