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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