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A urine test is any medical test performed on a urine specimen. The analysis of urine is a valuable diagnostic tool because its composition reflects the functioning of many body systems, particularly the kidneys and urinary system , and specimens are easy to obtain. [ 1 ]
Urine culture is quantitative and very reliable, but can take at least one day to obtain a result and it is expensive. [8] [14] Miniaturization of bacterial culture within dipstick format, Digital Dipstick, [15] allows bacterial detection, identification and quantification for bacteriuria within 10–12 hours at the point-of-care.
In urine cytology, collected urine is examined microscopically. One limitation, however, is the inability to definitively identify low-grade cancer cells and urine cytology is used mostly to identify high-grade tumors. [4] If the test detects atypical or cancerous cells, further tests may be recommended, such as cystoscopy and a CT scan.
If UTI is suspected, particularly in complicated cases or when urinalysis results are inconclusive, [140] a urine culture may be performed to identify microorganisms if present, obtain a colony count, and carry out antibiotic sensitivity testing. The colony count helps to distinguish between contamination and infection. [141]
Automatic analysis of urine test strips using automated urine test strip analysers is a well-established practice in modern-day urinalysis. They can measure calcium , blood, glucose, bilirubin, urobilinogen, ketones, leukocytes, creatinine , microalbumin , pH, ascorbic acid and protein.
In some cases, urine samples or positive blood culture samples are applied directly to the test medium, bypassing the preliminary step of isolating the organism. [15] If the antibiotic inhibits microbial growth, a clear ring, or zone of inhibition, is seen around the disc.
Urine protein/creatinine ratio is a widely used initial method to estimate daily protein excretion in urine. [1] [2] [3] Since the diagnosis and management of proteinuric renal diseases and the staging of chronic kidney disease depend on accurate identification and quantitation of proteinuria, [4] [1] the implementation of the 24-hour urine collection is the most accurate procedure in practice ...
A microbiological culture, or microbial culture, is a method of multiplying microbial organisms by letting them reproduce in predetermined culture medium under controlled laboratory conditions. Microbial cultures are foundational and basic diagnostic methods used as research tools in molecular biology .