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清洁中段尿标本的误区。

The myth of the clean catch urine specimen.

作者信息

Immergut M A, Gilbert E C, Frensilli F J, Goble M

出版信息

Urology. 1981 Apr;17(4):339-40. doi: 10.1016/0090-4295(81)90259-4.

DOI:10.1016/0090-4295(81)90259-4
PMID:7222324
Abstract

Urine specimens obtained from unprepped ambulatory females who voided into an unsterile disposable plastic cup showed a 95-per cent correlation with a catheterized specimen collected from a prepped patient through a sterile cystoscope. From these data, it appears that the midstream urine specimen and its unpleasant collection routine can be eliminated. We have found that specimens collected at anytime during voiding in unsterile disposable plastic cups result in reliable urine cultures.

摘要

从不做准备的门诊女性收集的尿液样本(这些女性对着一个未消毒的一次性塑料杯排尿)与通过无菌膀胱镜从做了准备的患者身上采集的导尿样本显示出95%的相关性。从这些数据来看,似乎可以省去中段尿样本及其令人不适的采集程序。我们发现,在排尿过程中任何时候收集到未消毒一次性塑料杯中的样本都能得到可靠的尿培养结果。

相似文献

1
The myth of the clean catch urine specimen.清洁中段尿标本的误区。
Urology. 1981 Apr;17(4):339-40. doi: 10.1016/0090-4295(81)90259-4.
2
Is the clean-catch midstream void procedure necessary for obtaining urine culture specimens from men?对于从男性获取尿培养标本而言,清洁中段尿采集程序是必要的吗?
Am J Med. 1984 Feb;76(2):257-62. doi: 10.1016/0002-9343(84)90782-4.
3
Results of urinalysis and bacterial culture of canine urine obtained by antepubic cystocentesis, catheterization, and the midstream voided methods.通过耻骨前膀胱穿刺术、导尿术和中段排尿法获取的犬尿液的尿液分析和细菌培养结果。
J Am Vet Med Assoc. 1981 Nov 1;179(9):891-5.
4
A urine collector for separating the initial, midstream and final portions of voided urine in infancy and early childhood.一种用于分离婴幼儿排尿初始、中段和末段尿液的集尿器。
Int J Pediatr Nephrol. 1983 Sep;4(3):201-4.
5
Utility of catheterized specimens in reducing overdiagnosis of urinary tract infections in women.导尿标本在减少女性尿路感染过度诊断中的应用。
Neurourol Urodyn. 2018 Aug;37(6):1996-2001. doi: 10.1002/nau.23553. Epub 2018 Mar 31.
6
[Reliability of the culture of a clean-voided specimen in geriatric patients].[老年患者清洁中段尿培养的可靠性]
Ned Tijdschr Geneeskd. 1991 Mar 2;135(9):371-4.
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The reliability of midstream urine culture from circumcised male infants.包皮环切男婴中段尿培养的可靠性。
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Clean-catch versus urine collection pads: a prospective trial.
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Home-voided urine specimens in women. Diagnostic agreement with clean-catch midstream specimens.女性自行留取的尿液标本。与清洁中段尿标本的诊断一致性。
Scand J Prim Health Care. 1990 Dec;8(4):207-11. doi: 10.3109/02813439008994960.
10
Bacterial contamination rates for non-clean-catch and clean-catch midstream urine collections in boys.男孩非清洁中段尿和清洁中段尿采集的细菌污染率。
J Pediatr. 1986 Oct;109(4):659-60. doi: 10.1016/s0022-3476(86)80235-9.

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Rapid and accurate testing for urinary tract infection: new clothes for the emperor.用于尿路感染的快速准确检测:给皇帝的新衣。
Clin Microbiol Rev. 2025 Mar 13;38(1):e0012924. doi: 10.1128/cmr.00129-24. Epub 2024 Dec 6.
2
A Cross-sectional Pilot Cohort Study Comparing Standard Urine Collection to the Peezy Midstream Device for Research Studies Involving Women.一项横断面试点队列研究,比较标准尿液收集方法与Peezy中段尿液采集装置在涉及女性的研究中的应用。
Female Pelvic Med Reconstr Surg. 2019 Mar/Apr;25(2):e28-e33. doi: 10.1097/SPV.0000000000000693.
3
High Diagnostic Accuracy of Nitrite Test Paired with Urine Sediment can Reduce Unnecessary Antibiotic Therapy.
亚硝酸盐试验联合尿沉渣检查具有较高的诊断准确性,可减少不必要的抗生素治疗。
Open Microbiol J. 2015 Nov 3;9:150-9. doi: 10.2174/1874285801509010150. eCollection 2015.
4
Effectiveness of Preanalytic Practices on Contamination and Diagnostic Accuracy of Urine Cultures: a Laboratory Medicine Best Practices Systematic Review and Meta-analysis.分析前操作对尿培养污染及诊断准确性的影响:检验医学最佳实践系统评价与Meta分析
Clin Microbiol Rev. 2016 Jan;29(1):105-47. doi: 10.1128/CMR.00030-15.
5
[Symptomatic urinary tract infection of the female--diagnostics].
Urologe A. 2006 Apr;45(4):421-7. doi: 10.1007/s00120-006-1026-6.
6
[Is the technique used to collect urine important in avoiding contamination of samples?].[用于收集尿液的技术对于避免样本污染是否重要?]
Aten Primaria. 2004 Feb 28;33(3):140-4. doi: 10.1016/s0212-6567(04)79374-9.
7
Collection of urine specimens in general practice: to clean or not to clean?全科医疗中尿液标本的采集:是否需要清洁?
J R Coll Gen Pract. 1988 Aug;38(313):363-5.
8
Evaluation of urine sampling technique: bacterial contamination of samples from women students.尿液采样技术评估:女学生样本的细菌污染情况
Br J Gen Pract. 1992 Jun;42(359):241-3.