Urine Culture and Sensitivity with Gram (Anaerobic)

General Information

Lab Name

Urine C/S w/Gram (Anaerobic)

Lab Code

URNANC

Epic Name

Urine C/S w/Gram (Anaerobic)

Description

Urine Bacterial Culture (includes culture for anaerobes and fastidious organisms)

Synonyms

Bladder Tap, Suprapubic Aspirate, Urine R/O Anaerobes, Urine R/O Fastidious organisms

Components

Code Name
SDES Specimen Description
SREQ Special Requests
EXAM Direct Exam
CNT Colony Count
CULT Culture
RPT Report Status

Interpretation

Reference Range

See individual components

Ordering & Collection

Specimen Type

Urine, Suprapubic Aspirate, Bladder Tap

Collection

Collect suprapubic aspiration/bladder tap urine using a needle aspiration technique. Cap syringe with a Luer-lock.

Collect midstream or catheterized urine in sterile cup. Immediately transfer urine to a gray top boric acid transport tube. Tubes have a 4 mL draw volume. A minimum fill line of 3 mL is indicated on the label. If specimen volume is <3mL, do not transfer urine to sample to a gray top tube.

Handling Instructions

Transport specimens to the lab immediately if anaerobes or fastidious organisms are suspected.

Urine should be transferred to a gray top boric acid transport tube unless <3 mL.

Storage, Transport, and Stability

Gray top boric acid transport tube: Room Temperature: 48 h, Refrigerated: 48 h, Frozen: Unacceptable

Unpreserved (sterile cup or capped syringe): Room Temperature:2 h, Refrigerated:24 h, Frozen: Unacceptable

Note with UA: To expedite processing when urinalysis (UA) is also ordered, send separate specimen cup for UA.

Unacceptable: Leaking containers, unpreserved specimens >2 h at room temperature or > 24 h refrigerated, preserved specimens >48 h, frozen urine, preserved specimens with volume < minimum fill line (3 mL), urine collected from a Foley catheter bag, 24-hour or pooled specimens, Foley catheter tips.

Quantity

requested: 4 mL urine
minimum: 0.5 mL urine in cup

Processing

Performance

LIS Dept Code

Microbiology (MC)

Performing Location(s)

UW-MT Microbiology
206-520-4600

Clinical Lab, Room # NW177,
University of Washington Medical Center,
1959 NE Pacific street, Seattle, WA 98195

Other Locations/Notes

UW-MT Microbiology performs testing for UW-MT, HMC and UW-NW.

Frequency

Processed upon receipt

Available STAT?

Yes

Billing & Coding

CPT codes

87075, 87086, 87205

LOINC

653-6