Abnormal urinalysis results are common, regardless of specimen collection technique, in women without urinary tract infections

Journal of Emergency Medicine

Volumn 48, Issue 6, 2015, Pages 706-711

  Frazee, Bradley W ^a   Enriquez, Kayla ^a   Ng, Valerie ^a   Alter, Harrison ^a  

^a HIGHLAND HOSPITAL   (United States)

Author keywords

urinalysis; urinary tract infection

Indexed keywords

NITRITE; CARBOXYLESTERASE; LEUKOCYTE ESTERASE;

ABNORMAL LABORATORY RESULT; ADULT; ARTICLE; ASYMPTOMATIC BACTERIURIA; AUTOANALYSIS; COLONY FORMING UNIT; CONTROLLED STUDY; CROSSOVER PROCEDURE; FALSE POSITIVE RESULT; FEMALE; HUMAN; LABORATORY TEST; NORMAL HUMAN; PRIORITY JOURNAL; PROSPECTIVE STUDY; URINALYSIS; URINARY TRACT INFECTION; URINE CULTURE; BACTERIAL COUNT; CONTROLLED CLINICAL TRIAL; EPITHELIUM CELL; LABORATORY DIAGNOSIS; LEUKOCYTE COUNT; PROCEDURES; URINARY TRACT INFECTIONS; URINE;

ADULT; CARBOXYLIC ESTER HYDROLASES; COLONY COUNT, MICROBIAL; CROSS-OVER STUDIES; EPITHELIAL CELLS; FALSE POSITIVE REACTIONS; FEMALE; HUMANS; LEUKOCYTE COUNT; NITRITES; PROSPECTIVE STUDIES; URINALYSIS; URINARY TRACT INFECTIONS; URINE SPECIMEN COLLECTION;

EID: 84930182514     PISSN: 07364679     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jemermed.2015.02.020     Document Type: Article

References (16)

1. R. Retezar, E. Bessman, R. Ding, S.L. Zeger, and M.L. McCarthy The effect of triage diagnostic standing orders on emergency department treatment time Ann Emerg Med 57 2011 89 99.e2
2. B.W. Frazee, K. Frausto, B. Cisse, D.E. White, and H. Alter Urine collection in the emergency department: what really happens in there? West J Emerg Med 13 2012 401 405
3. D.R. Blake, and L.F. Doherty Effect of perineal cleansing on contamination rate of mid-stream urine culture J Pediatr Adolesc Gynecol 19 2006 31 34
4. M.K. Leisure, S.M. Dudley, and L.G. Donowitz Does a clean-catch urine sample reduce bacterial contamination? N Engl J Med 328 1993 289 290
5. G. Holliday, P.W. Strike, and R.G. Masterton Perineal cleansing and midstream urine specimens in ambulatory women J Hosp Infect 18 1991 71 75
6. A. Baerheim, A. Digranes, and S. Hunskaar Evaluation of urine sampling technique: bacterial contamination of samples from women students Br J Gen Pract 42 1992 241 243
7. M. Pezzlo, M.K. York, and D.L. Church Urine culture L.S. Garcia, Clinical microbiology procedures handbook 3rd edn. 2010 AMS Press Washington, DC
8. M.L. Wilson, and L. Gaido Laboratory diagnosis of urinary tract infections in adult patients Clin Infect Dis 38 2004 1150 1158
9. P. Little, S. Turner, and K. Rumsby Validating the prediction of lower urinary tract infection in primary care: sensitivity and specificity of urinary dipsticks and clinical scores in women Br J Gen Pract 60 2010 495 500
10. R.L. Lammers, S. Gibson, D. Kovacs, W. Sears, and G. Strachan Comparison of test characteristics of urine dipstick and urinalysis at various test cutoff points Ann Emerg Med 38 2001 505 512
11. M.S. Lachs, I. Nachamkin, P.H. Edelstein, J. Goldman, A.R. Feinstein, and J.S. Schwartz Spectrum bias in the evaluation of diagnostic tests: lessons from the rapid dipstick test for urinary tract infection Ann Intern Med 117 1992 135 140
12. F. Manoni, G. Gessoni, and M.G. Alessio Mid-stream vs. first-voided urine collection by using automated analyzers for particle examination in healthy subjects: an Italian multicenter study Clin Chem Lab Med 50 2012 679 684
13. M. Morimoto, H. Yanai, K. Shukuya, H. Chiba, K. Kobayashi, and K. Matsuno Effects of midstream collection and the menstrual cycle on urine particles and dipstick urinalysis among healthy females Clin Chem 49 2003 188 190
14. V.R. Cabedo Garcia, C. Novoa Gomez, M.D. Tirado Balaguer, N. Rodriguez Morquecho, M.T. Rodriguez Bailo, and A. Sola Sandtner Is the technique used to collect urine important in avoiding contamination of samples? [Spanish] Aten Primaria 33 2004 140 144
15. E. Lifshitz, and L. Kramer Outpatient urine culture: does collection technique matter? Arch Intern Med 160 2000 2537 2540
16. F.G. Walter, R.L. Gibly, R.K. Knopp, and D.J. Roe Squamous cells as predictors of bacterial contamination in urine samples Ann Emerg Med 31 1998 455 458