- Test Name:
- Urine culture, ileal conduit (Edmonton/Central/North)
- Organism(s)/Disease(s):
-
Pouchitis
Pyelonephritis
Urinary tract infection (UTI)
- Body Source(s):
-
Ileal conduit
-
Clinical Prerequisite(s):
-
Provision of relevant clinical information is important to ensure a clinically relevant result
- State specimen source - Specify Ileal conduit collection
- State current/proposed antibiotic therapy and start date
- Provide relevant clinical history. State symptoms, signs, and risk factors for UTI
- State if fluids have been pushed for 24 hours before sending urine
- Provide any antimicrobial allergies
Collection of urine for culture should be performed by a trained healthcare professional. NEVER collect urine from the collection bag as urine will be highly contaminated with colonization flora
An ileal conduit is created when the ureter(s) is/are diverted through a segment of small bowel (ileum) to an opening or stoma in the abdominal wall. Urine is captured in an external collection bag. The ileal segment is colonized with intestinal bacterial, and this can make interpretation of culture results difficult. In a symptomatic patient, urinanalysis should be performed first to look for pyuria. The majority of patients with pouchitis or kidney infection will have pyuria. If pyuria is present, urine should then be sent for culture and sensitivities.
The diagnosis of Urinary Tract Infection (UTI) is CLINICAL, based on symptoms and signs, NOT laboratory testing.
The role of urine culture is to guide the selection of antibiotic therapy.
Urine MUST be collected BEFORE starting antibiotics
- Collection Device/Tube Type:
-
BD Vacutainer (blue-top) urine culture collection cup
BD Vacutainer (grey-top) preservation tube
- Collection Instructions:
-
1.
2.
Wash hands well with soap and water. Dry well. Wear sterile gloves
3.
Insert a sterile catheter (In/Out catheter) through the stoma into the conduit
4.
Aspirate at least 30 mL of urine and place in the BD collection cup (blue-top). Close the lid
5.
Transfer urine into grey-top tube immediately
6.
Submit grey-top tube only. Dispose of blue transfer device according to your facility’s policy
- Handling/Storage Comments:
-
Urine submitted in GREY-TOP tubes can be stored and transported at room temperature.
Delivery to the laboratory should be as soon as possible (or within 2 hours) to expedite the result and the initiation of therapy
- Rejection Criteria:
-
- Mislabelled or unlabelled specimen/requisition
- More than 1 specimen/collection method/day
- Pooled 24-hour urine collection
- Leaking container
- Underfilled or overfilled grey-top preservative tubes
- Expired preservative tubes
- Urinalysis tubes
- Unpreserved urine specimen (not in preservative tubes)
- Turnaround Times
- See Microbiology Information»
- Comments:
-
Contact Microbiologist on Call for any concerns regarding culture results
Phone: 780-451-3702
Toll free: 1-800-661-9876 - Last Reviewed:
- 04 November 2021
