A URINE SPECIMEN BOTTLE.

Taking a midstream specimen of urine.

Collecting midstream specimens of urine (MSU) is a common nursing activity. It is indicated for adults and children who are continent and can empty their bladder on request. The general principle is to collect the midstream or middle part of a void if a urinary tract infection (UTI) is suspected. Since this is one of the most frequently occurring infections, an MSU may be required in many areas...

Obtaining a catheter specimen of urine.

Urine specimen collection and transport.

is started on a new antibiotic, always take an “antibiotic timeout” and reassess the patient after the first 48 to 72 hours of antimicrobial therapy to assure that the patient has responded to the antimicrobial therapy, as many of the uropathogens are multidrug-resistant. A urinalysis and culture should be collected based on the patient’s symptoms and not solely based on the urine’s characteris...

Benzodiazepine in a urine specimen without drug metabolites.

CLINICAL HISTORY PATIENT 41-year-old Hispanic woman. Chief Complaint: Pain in the neck, joints, and shoulders that started in August 2013. History of Present Illness: The patient has a history of psychiatric illness. Her primary care physician from an outside facility had prescribed alprazolam (Xanax) to treat her depression. The patient reported that in 2011 she experienced pain in the righ...

Specimen #1, Urine Culture: Klebsiella pneumoniae; carbapenemase producer

Intended Goal: The isolate in this specimen was a carbapenemase-producing Klebsiella pneumoniae with resistance mediated by the blaKPC. It was chosen to emphasize the urgent infection control and prevention situation that these organisms present when identified. It was also chosen to illustrate the challenges laboratorians face with the ever-changing antimicrobial susceptibility testing (AST) b...