Urinary Specimen Collection Methods

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Questions and Answers

What is the purpose of Bartlett's Classification in a clinical microbiology laboratory?

  • To determine the antibiotic susceptibility of bacteria
  • To collect urine specimens
  • To identify the causative agent of UTI
  • To assess the quality and scoring of sputum (correct)

What type of urine specimen is collected through a catheter?

  • Midstream clean-catch urine
  • Catheterized urine (correct)
  • Suprapubic urine
  • Random urine

Which of the following antibiotics is used to treat H. influenzae infections?

  • Bacitracin (correct)
  • Ciprofloxacin
  • Gentamicin
  • Amoxicillin

What is the main difference between Lower UTI and Upper UTI?

<p>Severity of infection (D)</p> Signup and view all the answers

What is the term for inflammation of the kidneys?

<p>Pyelonephritis (A)</p> Signup and view all the answers

What is the purpose of enumerating neutrophils and epithelial cells per low-power field in Bartlett's Classification?

<p>To assess the quality of sputum (C)</p> Signup and view all the answers

What is the specimen of choice for bacterial culture?

<p>Midstream clean-catch urine (A)</p> Signup and view all the answers

Why is first morning urine preferred for bacterial culture?

<p>It is more concentrated (C)</p> Signup and view all the answers

What is the purpose of centrifuging urine in a laboratory?

<p>To separate the sediment for further analysis (D)</p> Signup and view all the answers

What type of catheter is used for urine collection in those unable to produce a clean-catch urine sample?

<p>Foley Catheter (D)</p> Signup and view all the answers

What type of bacteria is often detected using India ink culture?

<p>H. influenzae (A)</p> Signup and view all the answers

What should be done to urine samples if they are not processed immediately?

<p>Preserve or refrigerate them (D)</p> Signup and view all the answers

What is the suitable preservative used to maintain accurate colony count in meningitidis?

<p>Boric Acid (A)</p> Signup and view all the answers

What is the primary method of collecting urine specimens for UTI diagnosis?

<p>Suprapubic Aspiration (C)</p> Signup and view all the answers

What is the major cause of UTI?

<p>Escherichia coli (B)</p> Signup and view all the answers

What is the recommended time frame for culturing urine specimens?

<p>Within 1 hour of collection or refrigerate (A)</p> Signup and view all the answers

What is the purpose of using a calibrated loop in colony count?

<p>To ensure accurate measurement of bacterial growth (C)</p> Signup and view all the answers

What is the formula to compute for colony count per mL of urine?

<p>No specific formula (B)</p> Signup and view all the answers

What is the purpose of using 3-4 tubes for urine specimen collection?

<p>To use for different laboratory tests (D)</p> Signup and view all the answers

What is the causative agent of UTI among sexually active young females?

<p>Staphylococcus Saprophyticus (C)</p> Signup and view all the answers

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Study Notes

Urine Specimen Collection

  • Midstream clean-catch urine is the specimen of choice for bacterial culture, as it is less invasive.
  • Catheterized urine is used for those who are unable to produce a midstream clean-catch urine sample.
  • Suprapubic aspiration is a method of collecting urine via needle aspiration above the symphysis pubis, and is an anaerobic process.
  • First morning urine is ideal for bacterial culture as it is more concentrated.

Urine Specimen Handling

  • Urine specimens must be preserved or refrigerated if not processed immediately, using a suitable preservative like boric acid to maintain accurate colony count.
  • Urine specimens should be cultured within one hour or refrigerated, but not for longer than 24 hours.

Colony Count and Bacterial Culture

  • Colony count should be performed on all urine samples, using a calibrated loop (1 μL or 10 μL).
  • The formula to compute colony count per mL of urine is: No. of colonies x (1000 or 100) / volume of urine in μL.

UTI and Bacterial Causes

  • The major cause of UTI is Escherichia coli.
  • Staphylococcus saprophyticus is a common cause of UTI among sexually active young females.
  • Lower UTI includes cystitis (bladder infection) and urethritis (urethra infection), while upper UTI includes pyelonephritis (kidney infection) and glomerulonephritis.

Clinical Specimen and Laboratory Procedures

  • A combination of MAC and BAP is suitable for clinical specimens.
  • Urine specimens are usually collected in 3-4 tubes, including one for chemistry, microbiology, hematology, and serology/microbiology.
  • Tube #2 is for microbiology, gram stain, and culture, and should be examined immediately or held at 37°C storage temperature.

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