Urine Culture and Sensitivity with Gram

General Information

Lab Name

Urine C/S with Gram

Lab Code

URNC

Epic Name

Culture Urine, Bact w/ Stain

Description

Urine Bacterial Culture with Gram Stain

For culture without gram stain, see Urine Culture and Sensitivity without Gram [URNXC]. For specimens collected by suprapubic aspiration, see Urine Culture and Sensitivity with Gram (Anaerobic) [URNANC] to include anaerobes and/or 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

Guidelines

Ordering & Collection

Specimen Type

Midstream Urine, Catheterized Urine (Please specify method of collection)

Collection

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

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): 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: 3 mL in gray top boric acid tube, 0.5 mL urine in sterile 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-Gram stain

Billing & Coding

CPT codes

87086, 87205

LOINC

630-4