URINE CULTURE

Identification and antimicrobial susceptibilities (if applicable) are performed on pure cultures (1 organism) >10,000 CFU/ml and on clearly predominant isolates >10,000 CFU/ml in a mixed culture. If more than 3 organisms are recovered, a report of multiple species is made. However, clinical considerations take precedence over these general rules and the attending physician or consultant may request they be overridden in any specific case.

A positive bacteria result, depending on the organism isolated, may reflex additional identification and/or susceptibility charges

UR

See Transport Container for information

Specimen must arrive within 2 hours of collection if not collected using a BD Urine Transport Kit. Urine submitted in a BD Urine Transport Kit is stable for 48 hours. Collection: Midstream Clean-Catch Urine 1. Open Urine Transport kit. Unscrew cap of sterile urine container and place cap on counter with ""straw"" facing upward. Cleanse with towelette as follows: Males: Holding back foreskin with 1 hand, if necessary, use a towelette to wipe head of penis in a single motion. Repeat with remaining towelette. Urinate a small amount into toilet or bedpan. Females: Separate labia. Wipe inner labial folds from front to back in a single motion with a towelette. Wipe down through center of labial folds with remaining towelette. Keeping labia separated, urinate a small amount into toilet or bedpan. Place urine container under stream of urine and continue to urinate into the container. Collect as much urine as possible. Finish voiding into toilet or bedpan. 2. After finishing, tighten cap on container securely and wash any spilled urine from outside of container. Give urine specimen to health-care worker. 3. Transfer specimen into urine transport tube by placing urine container on flat surface. Container may be tipped at an angle if volume is limited. Peel back label on cap to expose integral sampling device. Place the evacuated urine transport tube into cavity on top of cap, stopper down. Place tube over puncture point to pierce stopper. Hold tube in position until filled. Remove tube from device. Replace label over hole and reseal. Discard in sharps container. Maintain sterility and forward promptly. Catheter Urine 1. Collect 3 mL of urine using a sterile urine container. 2. If there is a delay in transport, refrigerate specimen until it is sent. Send specimen refrigerated. 3. Maintain sterility and forward promptly. Suprapubic/Bladder Aspirate 1. Collect urine in a Falcon sterile collection tube. 2. If there is a delay in transport, refrigerate specimen. Send specimen refrigerated. 3. Maintain sterility and forward promptly. Note: 1. Requests for anaerobic culture must be specified on request form. 

1 URINE STERILE COLLECTION KIT 

No growth after 2 days