Sampling of urine for diagnosing urinary tract infection in general practice - First-void or mid-stream urine?

Conclusion/Implication: MSU samples should be used in general practice for optimal accuracy of POC tests. Analysis can be delayed up to four hours. Key points Point-of-care tests (dipstick testing, microscopy and culture) for diagnosing urinary tract infection performed on mid-stream urine samples are significantly more accurate than when performed on first-void urine samples. Delay of analysis up to four hours did not decrease the accuracy of any of the point-of-care tests. Point-of-care culture was more accurate than dipstick and microscopy both when performed on mid-stream urine and first-void urine The main contaminant in first-void urine samples was Enterococci spp., which contributed to the majority of false positives. PMID: 30689471 [PubMed - as supplied by publisher]
Source: Primary Care - Category: Primary Care Authors: Tags: Scand J Prim Health Care Source Type: research