Urinalysis and Microscopic Reflex to Culture - Lakes, Maple Grove, Northland, Ridges, Range, Southdale, UMMC East & West, CSC, Grand Itasca

Sunquest Code:UAIC  
Epic Code:LAB5822Epic Name:Routine UA with Micro Reflex to Culture
Synonyms:UAIC - Chemical Screen, Microscopic, Reflex to Culture
Methodology:Multiple reagent strip and microscopy. Automated chemical strip and flow imaging.
Test Includes:Appearance, bilirubin, blood, color, glucose, ketones, leukocyte esterase, nitrite, pH, protein, specific gravity, urobilinogen and microscopic examination of sediment.
Turnaround Time:Performed and reported 24 hours/day.
Associated Links:

Urine Collection Procedure

Collection Instructions

Specimen:Urine, random collection
Optimal Volume:Submit entire collection; analysis requires 3 mL.
Minimum\Peds Volume:1 mL; collection volumes of 1-3 mL will be analyzed but may not be concentrated before examination of the sediment.
Container:Plastic leakproof container, sterile (BD Vacutainer Plus Urinalysis Preservative Tube)
Collection Instructions:Specimen of choice is a first morning, mid-stream, clean catch urine. Refrigerate the urine if it cannot be delivered immediately.

If BD Vacutainer Plus Urinalysis Preservative tube is used, a separate Vacutainer C&S Urine Culture tube is required for culture testing.
Causes for Rejection:Specimen collected with preservatives other than BD Vacutainer Plus Urinalysis Preservative Tube; stored at room temperature >2 hours; stored at refrigerated temperature >24 hours; fecal contamination. Neonatal urine specimens collected on cotton balls.

Processing and Shipping

Specimen Processing:Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Stability:BD Vacutainer Plus Urinalysis Preservative Tube: 72 hours at room temperature or refrigerated temperature.
Plastic Leakproof Container: 2 hours at room temperature; 24 hours refrigerated.
Test Performed at or Referral Lab Urinalysis  (University of Minnesota Health Maple Grove Clinics, Fairview Range - FRMC, UMMC-West Bank, UMMC-East Bank, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Northland - FNMC, Fairview Southdale - FSH, M Health Clinic and Surgery Center, Grand Itasca GICH)


Reference Range:
   Reflex criteria to order URC when UAIC is ordered:
  • ULEUK = mod or large
  • UNIT = pos
  • UWBC = greater than 10
pH 5-7
Protein (albumin) Neg
Protein (albumin) in concentrated specimen Trace
Blood (hemoglobin) Neg
Nitrite Neg
Leukocyte Neg
Glucose Neg
Ketones Neg
Bilirubin (conjugated) Neg
Urobilinogens 0.0-2.0 mg/dL
Specific Gravity Newborn, 0-2d: About 1.012
Infant, 3d-5 mo: 1.002-1.006
6 mo & older: 1.003-1.035
Red blood cells/HPF 0-2   
White blood cells (neutrophils)/HPF 0-5
Hyaline Casts/LPF 0-2
Renal epithelial cells/HPF Neg
Transitional epithelial cells/HPF 0-1
Squamous epithelial cells/HPF 0-1
Bacteria/HPF Neg
Abnormal crystals Neg

Click HERE to Report test errors or omissions.
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