Laboratory Professionals Member Community

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

Hello, 

Send this question to the CAP.  They may be able to cite an article. 

Most labs do not perform the microscopic until one of the macroscopic parameters is positive. 

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

Hi Mark,

We went through this several years ago.  We were looking for ways to reduce unnecessary urine cultures and setup an order called Urine Culture Screen that replaced the Urine Culture order and used the Nitrites and Leukocyte esterase to reflex a culture. However, if a couple questions were answered Yes (Pregnant or Urological Procedure) or if the patient was less than 18 years, a culture automatically reflexed and microscopic never got tested. 

As far as microscopics are concerned, we perform them for all Complete Urinalysis orders.

Hope that helps to think about what you all want to do  

Thank you,

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

Hi Mark,

We went through this several years ago.  We were looking for ways to reduce unnecessary urine cultures and setup an order called Urine Culture Screen that replaced the Urine Culture order and used the Nitrites and Leukocyte esterase to reflex a culture. However, if a couple questions were answered Yes (Pregnant or Urological Procedure) or if the patient was less than 18 years, a culture automatically reflexed and microscopic never got tested. 

As far as microscopics are concerned, we perform them for all Complete Urinalysis orders.

Hope that helps to think about what you all want to do  

Thank you,

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

My experience is to check the microscopic on all urines.  I had one patient, everything negative on the dip, pale in color and clear.  The doctor persisted on the microscopic.  Respectfully, I complied.  There was a 4+ bacteria.  Going the extra mile for mankind is worth it.

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

My experience is to check the microscopic on all urines.  I had one patient, everything negative on the dip, pale in color and clear.  The doctor persisted on the microscopic.  Respectfully, I complied.  There was a 4+ bacteria.  Going the extra mile for mankind is worth it.

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

My experience is to check the microscopic on all urines.  I had one patient, everything negative on the dip, pale in color and clear.  The doctor persisted on the microscopic.  Respectfully, I complied.  There was a 4+ bacteria.  Going the extra mile for mankind is worth it.

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

My experience is to check the microscopic on all urines.  I had one patient, everything negative on the dip, pale in color and clear.  The doctor persisted on the microscopic.  Respectfully, I complied.  There was a 4+ bacteria.  Going the extra mile for mankind is worth it.

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

My experience is to check the microscopic on all urines.  I had one patient, everything negative on the dip, pale in color and clear.  The doctor persisted on the microscopic.  Respectfully, I complied.  There was a 4+ bacteria.  Going the extra mile for mankind is worth it.

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

My experience is to check the microscopic on all urines.  I had one patient, everything negative on the dip, pale in color and clear.  The doctor persisted on the microscopic.  Respectfully, I complied.  There was a 4+ bacteria.  Going the extra mile for mankind is worth it.

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

My experience is to check the microscopic on all urines.  I had one patient, everything negative on the dip, pale in color and clear.  The doctor persisted on the microscopic.  Respectfully, I complied.  There was a 4+ bacteria.  Going the extra mile for mankind is worth it.

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

I agree, Sometimes Microscopy of UA does help for those minor girls, who suspect for some abuse. And Once I have found sperms in a 10 yr old girl who came to ED. Usually in UA we do not report sperms specially for Women. But for minor girls it is very crucial. So I agree to go for some extra miles by looking UA under microscope for stuffs like budding yeast, Cast,Crystal's, or sperms. Nowadays IRIS auto microscopic has done our jobs pretty easy. But it's still worth looking actually under the scope. 

My experience is to check the microscopic on all urines.  I had one patient, everything negative on the dip, pale in color and clear.  The doctor persisted on the microscopic.  Respectfully, I complied.  There was a 4+ bacteria.  Going the extra mile for mankind is worth it.

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

I agree, Sometimes Microscopy of UA does help for those minor girls, who suspect for some abuse. And Once I have found sperms in a 10 yr old girl who came to ED. Usually in UA we do not report sperms specially for Women. But for minor girls it is very crucial. So I agree to go for some extra miles by looking UA under microscope for stuffs like budding yeast, Cast,Crystal's, or sperms. Nowadays IRIS auto microscopic has done our jobs pretty easy. But it's still worth looking actually under the scope. 

My experience is to check the microscopic on all urines.  I had one patient, everything negative on the dip, pale in color and clear.  The doctor persisted on the microscopic.  Respectfully, I complied.  There was a 4+ bacteria.  Going the extra mile for mankind is worth it.

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

I agree, Sometimes Microscopy of UA does help for those minor girls, who suspect for some abuse. And Once I have found sperms in a 10 yr old girl who came to ED. Usually in UA we do not report sperms specially for Women. But for minor girls it is very crucial. So I agree to go for some extra miles by looking UA under microscope for stuffs like budding yeast, Cast,Crystal's, or sperms. Nowadays IRIS auto microscopic has done our jobs pretty easy. But it's still worth looking actually under the scope. 

My experience is to check the microscopic on all urines.  I had one patient, everything negative on the dip, pale in color and clear.  The doctor persisted on the microscopic.  Respectfully, I complied.  There was a 4+ bacteria.  Going the extra mile for mankind is worth it.

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help. 

My experience is to check the microscopic on all urines.  I had one patient, everything negative on the dip, pale in color and clear.  The doctor persisted on the microscopic.  Respectfully, I complied.  There was a 4+ bacteria.  Going the extra mile for mankind is worth it.

Hey,

I am a lead tech at a Children's Hospital.  I am wondering if there are articles about testing Urinalysis dipstick, using the protein, blood, nitrite, and leukocyte esterase (any results that are not negative) to reflex the microscopic Urinalysis portion?

Is there an age cutoff where the reflex should/ should not make a difference. 

We currently test all samples for macroscopic (dipstick, pH, specific gravity,  color, clarity) and microscopic (automated with reflex to manual).

Thanks everyone in advance for your help.