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Test Code C UR Culture, Urine

Performing Laboratory

CCHS-Christiana Care Health Services

Methodology

Culture

Includes Gram stain.

Reference Values

No growth

Physician Office Specimen Requirements

Specimen must be delivered to laboratory within 1 hour of collection.

 

Submit only 1 of the following specimens:

 

Clean-Catch, Midstream

Container/Tube:  Screw-capped, sterile container - Preservative tube is acceptable.

Specimen:  Clean-catch, midstream urine

Temperature:  Refrigerate

Collection Instructions:  Cleanse periurethral area with soap and water. Rinse with warm water. Void a small amount of urine into toilet. Collect next portion of urine in a screw-capped, sterile container. Maintain sterility and forward promptly.

Note:  Label container with patient’s full name and 1 additional unique patient identifier such as date of birth, medical record number, emergency ID number, date and time of collection, collector’s initials, and type of specimen.

 

Cystoscopy

Container/Tube:  Screw-capped, sterile container

Specimen:  First-morning urine collection

Temperature:  Refrigerate

Collection Instructions:  Specimen collected through cystoscope by physician or in operating room. Maintain sterility and forward promptly.

Note:  Label container with patient’s full name and 1 additional unique patient identifier such as date of birth, medical record number, emergency ID number, date and time of collection, collector’s initials, and type of specimen.

 

Ileal Conduit

Container/Tube:  Screw-capped, sterile container

Specimen:  First-morning urine collection

Temperature:  Refrigerate

Collection Instructions:  Remove external device and cleanse stomal opening. Insert catheter using sterile technique into stomal opening. Collect urine drainage in a screw-capped, sterile container. Maintain sterility and forward promptly.

Note:  Label container with patient’s full name and 1 additional unique patient identifier such as date of birth, medical record number, emergency ID number, date and time of collection, collector’s initials, and type of specimen.

 

Indwelling Catheter

Container/Tube:  Screw-capped, sterile container - Preservative tube is acceptable.

Specimen:  First-morning urine collection

Temperature:  Refrigerate

Collection Instructions:  Aseptically collect urine from catheter collection port using a sterile needle and syringe. Maintain sterility and forward promptly.

Note:  Label container with patient’s full name and 1 additional unique patient identifier such as date of birth, medical record number, emergency ID number, date and time of collection, collector’s initials, and type of specimen.

 

Nephrostomy

Container/Tube:  Screw-capped, sterile container

Specimen:  First-morning urine collection

Temperature:  Refrigerate

Collection Instructions:  Collect urine from nephrostomy tube and place in a screw-capped, sterile container. Maintain sterility and forward promptly.

Note:  Label container with patient’s full name and 1 additional unique patient identifier such as date of birth, medical record number, emergency ID number, date and time of collection, collector’s initials, and type of specimen.

 

Percutaneous Nephrostomy

Container/Tube:  Screw-capped, sterile container

Specimen:  First-morning urine collection

Temperature:  Ambient - Do not place on wet ice or refrigerate.

Collection Instructions:  Aseptically collect urine by percutaneous needle aspiration from site of kidney and place in a screw-capped, sterile container. Maintain sterility and forward promptly at ambient temperature only.

Note:  Label container with patient’s full name and 1 additional unique patient identifier such as date of birth, medical record number, emergency ID number, date and time of collection, collector’s initials, and type of specimen.

 

Straight Catheter

Container/Tube:  Screw-capped, sterile container

Specimen:  First-morning urine collection

Temperature:  Refrigerate

Collection Instructions:  Cleanse catheter insertion area. Insert catheter. Discard initial portion of urine. Collect next portion of urine in a screw-capped, sterile container. Maintain sterility and forward promptly.

Note:  Label container with patient’s full name and 1 additional unique patient identifier such as date of birth, medical record number, emergency ID number, date and time of collection, collector’s initials, and type of specimen.

 

Suprapubic Aspirate

Container/Tube:  Screw-capped, sterile container

Specimen:  ≥1 mL of urine

Temperature:  Ambient - Do not place on wet ice or refrigerate.

Collection Instructions:  Aseptically collect urine by percutaneous needle aspiration from bladder and place in a screw-capped, sterile container. If anaerobes are requested also submit a BBLTM Port-a-CulTM anaerobic fluid vial. Maintain sterility and forward promptly at ambient temperature only.

Note:  Label container with patient’s full name and 1 additional unique patient identifier such as date of birth, medical record number, emergency ID number, date and time of collection, collector’s initials, and type of specimen.

Day(s) Test Set Up

Monday through Sunday

Routine Turnaround Time:  Final:  24 to 72 hours

STAT Turnaround Time:  Gram stain:  ≤1 hour