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Laboratory Reflex Test Protocols 2013 MGH Laboratory Reflex Test Protocols 2013 – Approved by Medical Policy 6/26/2013 \Reflex Test Protocols • Reflex tests fall into 2 categories: standard industry practice (example: sensitivities, interpretations, and confirmations) and institutional practice based on staff clinical practice Urinalysis with Culture if Indicated: Order Name: UA W/CII Test Number: 1002500 Test Description ; A chemical urinalysis is performed that could reflex into a microscopic examination of the urine sediment and/or a culture of the urine. Urinalysis: Microscopic exam of the urine. A microscopic examination of the urine may reveal many different disease conditions. The following tests are the usual components of the exam: Test: Microscopic Urine Exam: RBC's. Clinical Implications: This will detect the presence of RBC's in the urine. Normal is 0-3 RBC's. There are few published data to support the practice of urinalysis with reflex to culture only if the urinalysis is positive (criteria vary among laboratories). Outcome studies based on currently accepted culture criteria, excluding women with first-episode cystitis, are needed.
Reflex to routine urine culture (equivalent to test 008847). Specimen will reflex to a routine urine culture if any one of the following criteria is present: 1. Positive nitrite on reagent strip. 2. Positive leukocyte esterase on reagent strip. 3. >5 WBC/hpf on urinalysis microscopic examination. 4. ≥Moderate bacteria on urinalysis microscopic examination Odorous, cloudy, or discolored urine in the absence of other localizing signs/symptoms. Reflex urine cultures based on urinalysis results, such as pyuria, in the absence of other indications. Urine culture to document response to therapy unless symptoms fail to resolve. Screening for ASB in most groups. Routine Urine Test is an array of tests performed on urine and can be conducted to indicate the presence of a disease or condition. Culture Urine Test is a type of test conducted to diagnose a urinary track infection, as well as to isolated and identify the bacteria or fungus responsible.
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A microalbumin urine test checks for small (or "micro") amounts of albumin in your urine -- at levels so small a regular urine test might not find them. It can be a sign of kidney disease. Who ... Odorous, cloudy, or discolored urine in the absence of other localizing signs/symptoms. Reflex urine cultures based on urinalysis results, such as pyuria, in the absence of other indications. Urine culture to document response to therapy unless symptoms fail to resolve. Screening for ASB in most groups.
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UA & Urine Culture Ordering Guide URINALYSIS CHEMICAL For UA with possible reflex to microscopic examination or for suspected CAUTI Order Urinalysis Chemical Collect specimen into a sterile specimen cup. Label the cup with the URCHM sticker. Send specimen to lab for UA to be performed within 1 hour of collection.
Based upon select test results from the urinalysis, the Microbiology Department will be notified electronically to remove the Gray-top boric acid preservative tube from storage and proceed with the urine culture. Select criteria used for the reflex algorithm are as follows: Microscopic examination will only be performed when the urine color is not yellow, the urine is not clear, or an abnormal result is obtained on the “dipstick” for glucose, bilirubin, ketone, blood, protein, nitrite or ...
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Urinalysis Reflex to Microscopic and Culture - Fairview Clinics (except Maple Grove, Princeton and Range)
A urinalysis (UA) is one of the most common methods of medical diagnosis. The word is a portmanteau of the words urine and analysis. Other tests are urine culture (a microbiological culture of urine) and urine electrolyte levels. There are three basic components to urinalysis: gross examination, chemical evaluation, and microscopic examination.
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Blood Culture Collection ... Epic Number LAB347 URINALYSIS W/ REFLEX MICROSCOPIC ... Urine Container. Preferred Volume. 10 mL. Minimum Volume. Urinalysis vs. Urine Culture The last time I thought I had a uti the doctor did a urinalysis and said everything was fine, but also decided to do a urine culture. The urine culture did not come back o.k., so I was put on antibiotics. Specimen collection and processing instructions for medical laboratory test UA REFLEX TO CULTURE(GHS) NOT FOR NEUTROPENIC PATIENTS at Geisinger Medical Laboratories Specimen collection and processing instructions for UA REFLEX TO CULTURE(GHS) NOT FOR NEUTROPENIC PATIENTS test
Nov 15, 2013 · Urinalysis interpretation is summarized in TABLE 1, with the first four tests most commonly evaluated for information leading to the diagnosis of UTI. 1 At many institutions, a reflex urine culture is sent if the urine meets set criteria regardless of patient symptoms. Urinalysis with reflex to culture ordered. Urinalysis performed (Dipstick) Culture performed. If WBC > 9/hpf. If nitrites positive or LE ≥ 2+ If LE trace or 1+, blood +, or protein>20 mg/dL. Urinalysis with reflex to culture ordered. Urinalysis performed (Dipstick) If LE+, nitrites +, blood +, or protein>20 mg/dL. Microscopic analysis. Culture performed
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Urinalysis with reflex to culture ordered. Urinalysis performed (Dipstick) Culture performed. If WBC > 9/hpf. If nitrites positive or LE ≥ 2+ If LE trace or 1+, blood +, or protein>20 mg/dL. Urinalysis with reflex to culture ordered. Urinalysis performed (Dipstick) If LE+, nitrites +, blood +, or protein>20 mg/dL. Microscopic analysis. Culture performed A urine culture is a test that can detect bacteria in your urine. This test can find and identify the germs that cause a urinary tract infection (UTI). Bacteria, which typically cause UTIs, can ...
Useful For. Screening for urinary tract diseases and some nonrenal diseases Jan 28, 2016 · Reflex urine culture and laboratory resources. There are limited data on the impact of reflex culture on laboratory utilization. Depending on the institution, UA may be rather complex, consisting of one or more of the following: dipstick, urine microscopy, and urine Gram staining. Blood Culture Collection ... Epic Number LAB347 URINALYSIS WITH REFLEX MICROSCOPIC ... Microscopic will reflex if any of th below criteria are met: