Reception wet for a tank. Researches

[zzaqer]

Has met on the Internet in rules of reception of urine for bakissledovanija two methods:



MSU - an average portion (it is more or less clear)

clean catch is not absolutely clearly



Someone can will explain more in detail?

[Irena_k]

In what context? Probably, something is meant type of " a sterile urinal ?

[Efraelia]

Here the link, for example:

http: // w3.whosea.org/bct/microbio/ch19f.htm



Specimen collection



Prevention of contamination by normal vaginal, perineal and anterior uretheral flora is very vital. It is the responsibility of the laboratory to provide the patient with sterile, wide-mouthed glass or plastic, jars, beakers or other suitable receptacles which should have tight-fitting lids.



Though urine collected by suprapubic aspiration is the gold standard, it is not a practical method. Alternatively, mid-stream urine or a clean. catch urine is collected. Whenever possible, urine specimen should be collected in the morning, before the patient has voided urine.



The collection method is described as follows:



In men



Instruct the patient to wash hands.

Ask the patient to pull back the foreskin and pass a small amount of urine Holding back the fold of skin, instruct the patient to pass the remaining urine in a sterile container - this is mid-stream urine (MSU).

Place the lid, secure tightly and rapidly transport to the laboratory. If the patient is bed-ridden, the nursing staff can help the patient in the above process.



The sample is best obtained, if the procedure is properly explained to the patient.



In women





Instruct the woman to wash hands with soap and water before collection of specimen.

Patient should undress in a suitable room, spread the labia and cleanse the vulva and labia thoroughly using warm soapy water.

Rinse with warm water and dry.

Ask the patient to pass urine, discarding the first part of the stream and collecting MSU in a sterile container.

Transport the sample to the laboratory at the earliest after properly securing the lid.

Bed-ridden patients can be assisted by the nursing staff.



In Infant and young children



Ask the child to drink water or any other liquid.

Clean the external genitalia and let the child be seated in the lap of the mother/nurse/attendant.

Encourage the child to urinate and collect the same in sterile container.

Cover the container tightly and rapidly transport to the laboratory for processing.



CoIlection of urine from catheters or bag should be avoided as this does not reflect the accurate picture.

A reasonable alternative to MSU is the clean catch urine.

After periuretheral cleaning the whole urine is collected into a sterile container and then an aliquot is sent for examination.

[Irina Gordeyev]

In the resulted or brought fragment all to turn around of references how to avoid at the collecting wet hit in it or her of pollution, microfloras mocheispuskatelnogo the channel, a vagina or an environment. Believed, what these techniques should be flat enough or in different places (countries) they essentially differ?

[919]

Yes is not present, dear Vladimir Jakovlevich,

In all countries the technique of reception of urine for the analysis more or is less identical. To gold standards at men and women the suprapubic aspiration is wet from a bladder (practically it is not applied almost). At men the best of practical methods - midstream/clean catch (that is urine received after careful processing by antiseptics of a periurethral zone) after a preliminary denudation of a head polovgo a member (moving of a prepuce) and its or her washing with soap. At presence at the boy/man of a phimosis kontaminatsii urine can be avoided only in two ways - a suprapubic aspiration or preliminary disposal of a phimosis by means of tsirkumtsizio. At women the best practical method - a sterile catheterization of a bladder after processing by antiseptics of a periurethral zone since midstream/clean catch in the pure state often does not provide otsutsvija extraneous kontaminatsii.



Unfortunately already more than in 50 years after leaving or care Stalin;) in Russia urine for analyses and even crops is going to not in sterile disposable ?Oaa????/containers, and in mayonnaise (mustard, hrenovnye, ketchupnye and mn. pr.) jars and about midstream/clean catch all is far technics or technical equipment not doctors have simple and clear representation. Quite often doctors at all do not do or make crop wet even in necessary cases and consequently the question of cleanliness/sterility of the given container of very few people excites. Well and then the sterile standard plastic jar for urine costs or stands already 3 roubles. And it is the whole problem. It is much more interesting to buy or purchase in hospital on 300 beds already 2 computer tomographs. Recoils from jars are too small probably and head physicians by definition do not interest.:)

[It is lovely It is new]

And at us and from such jars nothing grows... I Joke, I joke...

In general, we sow seldom. For one and a half year of the practical activities saw result of crop of urine of 1 times, and that, any unknown to me the microbe there has been found out... Though I not the urologist, can sejat and more often... Usually, we are guided by quantity or amount of leucocytes, complaints and we treat empirically, here only, unfortunately, almost always Nitroxolinum... Banks we boil... Sterile banks for crop too can be found, for example, in the same 600-bed.

[Angela]

Here see also Alexey has confirmed my observation. By the way, izveztnyj in the country the microbiologist prof. H.p. Strachunsky (www.antibiotic.ru) often speaks, that at least 1/3 bakposevov in our country it is difficult to trust. It also aggravates a situation with treatment of infections of urinary ways (IMP). And notorious pjatnok-- (*quot; almost always ??OO????*quot;, how Alexey has noticed) as almost a unique preparation for treatment IMP which is kept in brains by our divisionals terapevty (and at times, about horror, and urologists)? All this together does or makes treatment IMP poor-quality and generates *quot; ?N???N???UN*quot; cystitises and so forth Taking an opportunity I shall notice to dear Vladimir Jakovlevichu. Before to address for the alternative help, in the beginning it is necessary to learn or teach standards and correctly them to apply. And at us begin it is not known from what, then brings it is not known where, etc. with all stoppings. Probably nevertheless the counted or reckoned and predicted way (let he also is not ideal, but it is predicted and reproduced) better that method tyka which doctors of our country often use.