Urinalysis with Rflx Culture UAX

Synonyms

Allscripts (AEHR) Order Name

Urinalysis w/Reflex Urine Culture

Sunrise Clinical Manager (SCM) Order Name

Urinalysis with Rflx Culture

EPIC Order Name

Urinalysis with Reflex to Culture

Clinical Info

MUST submit 2 separate urine specimens (one BD yellow-top or speckle-top urinalysis collection tube and one BD gray-top urine culture tube)

Hospitals Containers: UA/Culture
Huntington - Yellow Top/ Gray Top
NSUH - Yellow Top/ Gray Top
At Northwell Core Lab, specimen will reflex to urine culture if any one of the following criteria is met:
1. Positive nitrite
2. Positive leukocyte esterase
3. Bacteria >= Moderate
4. > 5 WBC/hpf
At Northwell Hospital Labs, specimen will reflex to urine culture if any one of the following criteria is met:
1. >10 WBC/hpf
2. Leukocyte esterase: if abnormal (except Trace)

Specimen Type

Urine

Container

Preferred: BD Vacutainer Urine Preservative tube and BD urine transport culture tube
OR
Urine in standard sterile urine collection cup (if received in the lab within 2 hours from collection)

Collection Instructions

A clean-catch midstream specimen is desirable
Specimen:  10 mL from a random urine (5 mL min) for UA and 4 mL in culture tube for culture

Transport Instructions

Refrigerated.

Specimen Stability

24 hrs. Refrigerated

Methodology

Chemstrip
Culture

Days Performed

Monday through Sunday

Performing Laboratory

Northwell Health Laboratories

CPT

81001
87086 if required

PDM

5600046

Result Interpretation

Forms

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