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Test Code LAB4006 Urinalysis Dipstick, Reflex to Microscopic

Useful For

Screening for urinary tract diseases

Methodology

IRIS iQ200 automated microscopy

IR   IS AX-4280 automated chemical analysis

Additional Infomation

This test includes an automated urine chemistry dipstick. A microscopic analysis will be reflexed if indicated by dipstick results.  A urine culture will not be reflexed.

 

Microscopic Reflex Criteria:

 A microscopic analysis will be reflexed if any of the following dipstick results are positive:

  • Protein
  • Blood
  • Leukocyte Esterase
  • Nitrite

Performing Laboratory

Bozeman Health Laboratory Services

Specimen Requirements

Specimen Type: Urine

Container/Tube: Sterile container or BD Tiger Top Vacutainer

 

 

Specimen Volume: 10 mL

Specimen Minimum Volume: 2 mL sterile cup, 8 mL BD tiger-top vacutainer (Note minimum/maximum fill lines)

Collection Instructions:

1. Collect a random, first-morning urine collection.

2. Overnight incubation in bladder yields highest bacterial counts.

3. Specimen collected at other times are acceptable.

Specimen Rejection:

1. Urine samples exceeding specimen stability.

2. Urine samples <2 mL in volume.

3. Urine samples below minimum fill line for BD vacutainers.

Males

1. Before beginning collection, wash hands with soap and water.

2. Circumcised patients clean beginning of urethra with provided towelette.

3. Uncircumcised patients withdraw foreskin and clean beginning of urethra with provided antiseptic towelette.

4. Urinate a small amount into toilet, then collect a midstream portion of urine into container, void remainder into toilet.

5. Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.

 

Females

1. Before beginning collection, wash hands with soap and water.

2. Thoroughly clean urethral area with soap and water or with provided antiseptic towelette.
3. While holding labia apart urinate a small amount into toilet, then collect a midstream portion of urine into container, void remainder into toilet.

4. Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.

Specimen Transport Temperature

Ambient <2 hours/Refrigerated >2 hours

Specimen Stability

 

Specimen Type Temperature Time
Urine in Sterile Container Ambient 2 hours
  Refrigerated 48 hours
BD Tiger-top Vacutainer UA Preservative Tube Ambient 72 hours
  Refrigerated 72 hours

 

Reference Values

Reference values are included with patient’s report.

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

81003-Automated urinalysis

81001-Automated urinalysis w/microscopy (if indicated)