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For clean-catch urine samples, a positive urine culture as indicated by the growth of bacteria greater than 100,000 CFUs/mL is suggestive of UTI; growth of 1000-100,000 CFUs/mL may still indicate UTI, especially for a specimen taken at cystoscopy or other invasive procedures.
Using our proposed reflex-to-microscopic reflex criteria (hazy or cloudy appearance, positive hemoglobin, glucose ?1,000 mg/dL, positive protein, positive leukocyte esterase, or positive nitrate), the chemical UA showed a sensitivity of 93%, specificity of 57%, and negative predictive value of 91% for positive ...
The urine culture is used, along with results from a urinalysis, to diagnose a UTI and identify the bacteria or yeasts causing the infection. If a urine culture is positive, susceptibility testing may be done to determine which antibiotics will inhibit the growth of the microbe causing the infection.
Clinical Significance. Urinalysis, Complete, with Reflex to Culture - Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of abnormal urine cells and formed elements.
Test Details Detect abnormalities of urine; diagnose and manage renal diseases, urinary tract infection, urinary tract neoplasms, systemic diseases, and inflammatory or neoplastic diseases adjacent to the urinary tract.