Test Code CURINE Culture, Urine
Additional Codes
| Epic EAP |
|---|
| LAB239 Urine culture |
Specimen Requirements
Preferred Collection Container:
DM Hospital Locations: Sterile Cup
Pathology Laboratory Clients: BD Vacutainer® C&S Preservative Tube (Boric Acid Tube)
Collection Information:
Clean catch mid-stream collection. First morning specimens yield highest bacterial counts from overnight incubation in the bladder, and are the best specimens. Specimen source required,
Transport Information:
Specimen collected in sterile containers with volumes >4.0 mL should be transferred to a BD Vacutainer® C&S Preservative Tube (Boric Acid Tube) and sent ambient. Sterile containers must be submitted within 2 hours at ambient temperature or within 24 hours if refrigerated.
Minimum Sample Volume:
BD Vacutainer® C&S Preservative Tube (Boric Acid Tube): 4 mL.
If less than 4 mL of urine is collected, usually from pediatric and geriatric patients or from a catheter, submit refrigerated in a sterile, screw cap container or tube. Do not submit low volume urine specimens in underfilled gray top tubes.
Remarks:
If yeast is suspected then also order Culture, Yeast.
One specimen per patient per day is recommended. More than two specimens per patient per day will not be processed.
Unacceptable Conditions:
Specimen in nonsterile container, <4.0 mL in a BD Vacutainer® C&S Preservative Tube (Boric Acid Tube), samples exceeding stability.
Stability Comments:
Suprapubic or cystoscopy specimens are to be processed regardless of the time received.
Stability
Refrigerated Stability:
Sterile container: 24 hours
BD Vacutainer® C&S Preservative Tube (Boric Acid Tube): 48 hours
Ambient Stability:
Sterile Container: 2 hours
BD Vacutainer® C&S Preservative Tube (Boric Acid Tube): 48 hours
Performing Laboratory
Pathology Laboratory, UnityPoint Health, Des Moines
CPT
87086; Identification and susceptibility tests are billed separately from culture.
Methodology
Organism Identification is performed by biochemical test and/or Bruker MALDI-TOF mass spectrometry RUO Database. Organism sensitivities (AST) are performed as applicable using Broth Microdilution and/or Gradient diffusion strips using FDA approved methodology and CLSI guidelines. Performance has been evaluated and verified by UnityPoint Health - Des Moines, Pathology Laboratory.
Performance
Setup daily, 24 hours a day
Analytical Time:
2 days
Analytical time listed is the average time for a negative culture. Average analytical time may vary for positive, mixed, and complex cultures. Contact the lab for specific questions.
Testing Laboratory:
Pathology Laboratory
Laboratory Section:
Microbiology
Alias
Aerobic Bacteria Culture; Urine, Culture; Aerobic Bacteria; Urine; Peds Hematuria; Culture, Urine, Routine;Midstream Urine Culture, Routine; Routine Culture, Urine, Clean Catch; Urine Culture, Catheter; Urine Culture, Routine, Midvoid Specimen