Urine Culture: What To Think About

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What To Think About

• A urine culture done in the early stage of a urinary tract infection (UTI) may be less accurate than one that is done after the infection becomes established.
• A urine culture may be done when an abnormal result from a urinalysis (such as an increased number of white blood cells) shows signs of an infection. For more information, see the medical test Urine Test.
• A urine culture is not always done for a healthy woman with symptoms of a urinary tract infection and a positive urine test result.
• A urine culture may be repeated after the UTI has been treated to make sure the infection is cured.
• A health professional may collect a urine sample by placing a urinary catheter into the bladder. This method is sometimes used to collect urine from a person in the hospital who is very ill or unable to provide a clean-catch sample. Using a catheter to collect a urine sample reduces the chance of getting bacteria from the skin or genital area in the urine sample, but catheter use sometimes causes a UTI.
• People who have a urinary catheter in place for a long time are at high risk of developing a UTI.
• Collecting a urine sample from a small child or baby may be done by using a special plastic bag with tape around its opening (a U bag). The bag is attached around the child's genitals until he or she urinates (usually within an hour). Then the bag is carefully removed. To collect a urine sample from a very sick baby, a doctor may insert a needle through the baby's abdomen directly into the bladder (suprapubic tap).
• To diagnose tuberculosis that has spread to the urinary tract, a special test will be done using all of the first morning urine on three separate days.
• Sensitivity testing helps your doctor choose the best medicine to treat specific types of bacteria or fungus that may be causing a UTI.
• Some types of bacteria or fungi take several days to grow in the culture.

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Last updated:	June 20, 2006
Author:	Sydney Youngerman-Cole, RN, BSN, RNC
Reviewed By:	William M. Green, MD - Emergency Medicine, W. David Colby, MSc, MD, FRCPC - Infectious Disease
Editors:	Susan Van Houten, RN, BSN, MBA, Tracy Landauer