Urine Culture and Sensitivity Report Format

Pathology
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What is the Urine Culture Test?

The urine culture test detects bacteria or yeast in the urinary tract. It's commonly used to diagnose urinary tract infections (UTIs) and guide appropriate antibiotic therapy.

What is a Urine Culture and Sensitivity Report Format?

This report details the organism(s) isolated from a urine sample and provides their antibiotic susceptibility profile, helping in the accurate treatment of UTIs.

Tests Included in Urine Culture Report

Test

Description

Urine Culture

Identifies microbial growth in urine, confirming urinary tract infection.

Antibiotic Sensitivity (AST)

Determines the effectiveness of various antibiotics against the isolated organism.

Key Parts of a Urine Culture Report

Key Part

Description

Specimen Type

Typically midstream clean-catch or catheter-collected urine.

Colony Count

Indicates the number of colony-forming units (CFU) per mL of urine.

Organism Identified

Specifies the name of the bacteria or yeast isolated.

Sensitivity Pattern

Lists antibiotics and the organism’s response: Sensitive (S), Intermediate (I), or Resistant (R).

Final Impression

Summarizes infection status and treatment suggestions.

Common Pathogens in Urine Culture

Organism

Clinical Association

Escherichia coli

Most common cause of community-acquired UTIs.

Klebsiella spp.

Frequently seen in hospital-acquired infections.

Proteus spp.

Known for causing recurrent UTIs and kidney stones.

Enterococcus spp.

Often linked with complicated or catheter-associated UTIs.

Sample Antibiotic Sensitivity Format

Antibiotic

Sensitivity

Nitrofurantoin

Sensitive (S)

Ciprofloxacin

Resistant (R)

Amoxicillin-Clavulanic Acid

Intermediate (I)

Parameters to Consider in Urine Culture Report

Parameter

Interpretation

Significant Growth (>10⁵ CFU/mL)

Confirms urinary tract infection.

Low Colony Count

May represent contamination or early infection; clinical correlation required.

Mixed Flora

Suggests poor sample collection; may need repeat testing.

Sensitivity Profile

Guides effective antibiotic selection based on resistance pattern.

Guidelines for Urine Culture Report Format

Guideline

Description

Collection Method

Midstream clean-catch preferred to reduce contamination.

Timely Transport

Process sample within 2 hours or store under refrigeration.

Culture Result Reporting

Mention organism, colony count, and full antibiotic panel.

What Do the Results Mean?

Result Type

Interpretation

Culture Positive

Indicates UTI requiring targeted antibiotic therapy.

Culture Negative

No infection detected; symptoms may be non-infectious.

Resistant Organism

Suggests need for second-line or broader-spectrum antibiotics.

Urine Culture and Sensitivity Report Interpretation

Test

Interpretation

Urine Culture

Confirms urinary infection and provides a detailed antibiotic sensitivity profile for effective treatment.

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Structure of the DoraysLIS Report

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