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Sunday, January 29, 2012

How to Collect Urine Sample for Urine C and S test

Urine check is a way of determining so many diseases. When I was pregnant, I have a urine check every now and then to determine if I have diabetes and monitor for a urinary tract infection.

When my little Keona was 4 months old, she was having UTI. It is becoming recurrent that her pediatrician suspected there might be physiological problems in her urinary tract and not just mere hygienic reason that she often has UTI. She referred us to a Nephrologist- a doctor specialist of kidney diseases. We had her undergo ultrasound which reveals that she is having ureteral reflux. Then she had to undergo VCUG- vesico-urethrogram to determine the grade level of her reflux.

The result of VCUG revealed a grade 3 reflux which does not necessitate surgical intervention and just a regular antibiotic which acts as a prophylaxis to keep the bacteria in a lower level so as not to have an infection which can result to damage kidneys. In spite of her prophylaxis, she had outbreaks and she keeps on getting an infection that we finally decided to have her undergo surgical operation.

After the operation, we have to monitor Keona's urine through Urine C and S test or urine culture and sensibility. It a test wherein we have to submit a urine sample to the laboratory and they will incubate it for 48 hours to see if there will be bacteria that will grow. If there's bacteria, there are corrsponding list of antibiotics that the laboratory people will determine if the bacteria growth will be susceptible or resistant. It means that those antibiotics that the bacteria is susceptible can cure the said bacteria while the resistant one's cannot cure it.

Lately, we have urine cs test and we are very sad because there's a bacteria growth on Keona's urine C and S test. Our doctor said that there might be a problem with the collection of the urine sample that we have submitted to the laboratory and he wanted us to have repeat urine culture and sensibility test. Indeed, the second urine cs test has no bacteria. The pediatrician is indeed right, it was the way we collected the urine sample.

To avoid getting trapped with the same problem and to avoid unnecessary expense on urine c and s, here are my tips on the proper collection of urine sample especially for baby girls like our little Keona.

1. Clean the vagina of the baby properly. Wash it with water.
2. Include the labia in cleaning your baby.
3. Use the cellophane urine collector if the baby is still infant or cannot manage to sit down yet when urinating. If possible, use a newly purchased baby urine collector and not an old stock one.
4. You can may use the plastic sterile urine collector if the baby can be instructed to sit down and collect urine properly.
5. Bring it or submit it right away to the laboratory, not later than 1 hour after collection.

That's all for now folks. Have a great day. Stay blissful, blessed and healthy everyone:).

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