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Ordered when the provider suspects a clean catch specimen
urinary tract infection. When a UTI is
possible, the provider will order a
urine culture and sensitivity (C&S). The
clean-catch technique is used to
eliminate microorganisms from the
urinary meatus. Start by instructing the
patient to thoroughly cleanse around
the meatus and then urinate a small
amount into the toilet This is done to
flush out the distal portion of the
urethra where normal flora can
accumulate. The patient then collects
a CCMS specimen.
Most tests are performed on freshly random specimen
collected urine in clean containers;
this is called a random specimen.
If the specimen ordered should be first morning specimen
collected when the patient first wakes
up in the morning, it is called a first
morning specimen. This type of
specimen is more concentrated than a
random sample and is best used when
testing for nitrite, protein, pregnancy,
and microscopic examination. First
morning samples are also the
preferred sample for possible UTI
testing, but this is not a requirement.
, collected 2 hours after a meal, are Two-hour postprandial (PPP) urine specimens
used in diabetes screening and for
home diabetes testing programs
Collected over 24 hours to provide a 24-hour urine specimen
quantitative chemical analysis, such as
hormone levels and creatinine
clearance rates. The patient must
understand the proper way to collect
a 24-hour urine specimen.
A second-voided specimen usually is second-voided specimen
collected to determine glucose levels
in urine. The first void of the morning is
discarded, and the second void of the
day is collected for testing.
The chemical and cellular how to handle and transport a urine specimen
components of urine change if the
urine warms to room temperature.
Urine specimens should therefore be
kept refrigerated and should be
processed within 1 hour of collection.
Chemical reagent strip testing can be
performed on preserved specimens
within 72 hours. Tubes may be held at
room temperature during this time.
The minimum volume needed for a components of a routine UA
routine UA usually is about 10 to 12 mL,
but more is preferred. A complete UA
is an assessment of the following:
• Physical properties of the urine
• Selected chemical measurements
that are important in the diagnosis of
disease
• Microscopic contents of the urine
and its sediment