urine samples in this second tube. Please call Microbiology at 071 9174563 to discuss if required. Microscopy: Neutropaenic Manual Microscopy WBC Sample not cultured. A Haem/Onc <20 x 106/L AND report will be issued with patients epithelial cells or the microscopy result and a ICU/NICU/RDU Majority of such samples cultured amorphous deposit comment stating pts “Culture yield mixed growth of contaminating present. not performed on this Suprapubic organisms (mixed skin flora or aspirates sample due to low mixed enteric organisms) Automated Cell Count Suprapubic blood cell count and the WBC <40 x 106/L AND catheter presence of epithelial epithelial cells cells/amorphous deposit.” >100 RCC in ≥1+ present. male patients, elderly females, pregnancy or anybody where there is not a reasonable Field obscured by Sample not cultured. A explanation for a Amorphous Deposit or report will be issued with high RCC. Culture not performed due to high Epithelial Cells the microscopy result and a Proteinuria in likelihood of contamination comment stating pregnancy “Poor quality sample as Pyelonephritis evidenced by large amounts of epithelial cells and/or amorphous deposit……Advise repeat specimen if clinically indicated.” Automated Cell Count Sample not cultured. A WBC <40 x 106/L AND report will be issued with Evidence has shown that significant no bacteria present. the microscopy result and a growth does not occur on culture in comment stating “Culture these instances. not performed on this sample due to absence/low white cells and absence/low levels of bacterial cells on urine cytometry. Evidence has shown that significant
urine samples in this second tube. Please call Microbiology at 071 9174563 to discuss if required. Microscopy: Manual Microscopy WBC <20 x 106/L AND epithelial cells or amorphous deposit present. Automated Cell Count WBC <40 x 106/L AND ≥1+ epithelial cells present. Field obscured by Amorphous Deposit or Epithelial Cells Automated Cell Count WBC <40 x 106/L AND no bacteria present. Sample not cultured. A report will be issued with the microscopy result and a comment stating “Culture not performed on this sample due to low blood cell count and the presence of epithelial cells/amorphous deposit.” Sample not cultured. A report will be issued with the microscopy result and a comment stating “Poor quality sample as evidenced by large amounts of epithelial cells and/or amorphous deposit……Advise repeat specimen if clinically indicated.” Sample not cultured. A report will be issued with the microscopy result and a comment stating “Culture not performed on this sample due to absence/low white cells and absence/low levels of bacterial cells on urine cytometry. Evidence has shown that significant Neutropaenic Haem/Onc patients ICU/NICU/RDU pts Suprapubic aspirates Suprapubic catheter >100 RCC in male patients, elderly females, pregnancy or anybody where there is not a reasonable explanation for a high RCC. Proteinuria in pregnancy Pyelonephritis Majority of such samples cultured yield mixed growth of contaminating organisms (mixed skin flora or mixed enteric organisms) Culture not performed due to high likelihood of contamination Evidence has shown that significant growth does not occur on culture in these instances.
pathology-user-handbook-2018-revision-12.docx