09/06/2024
Ruling out urine infection before any elective surgery like a total hip replacement or a total knee replacement is very important because many patients harbor urine infection & which can become the source of infection for the replaced joint. It can ruin the result of a well-performed joint replacement surgery. In this video we are talking about how to catch a clean urine sample so that we catch only internal bacteria & not the bacteria of the skin or external bacteria.
Ensuring Accurate Results: A Guide to Providing a Proper Urine Sample for Microscopic and Culture Sensitivity Testing
A microscopic and culture sensitivity test (MCS) of your urine plays a vital role in detecting and diagnosing urinary tract infections (UTIs). This simple test helps your doctor rule out potential UTIs, which could otherwise complicate your post-surgical recovery.
Here's a breakdown of the steps involved in providing an accurate urine sample:
Step 1: Timing and Hygiene
Contrary to popular belief, an early morning sample isn't always preferred. It's best to avoid collecting urine that has been sitting in your bladder overnight. Before collecting the sample, ensure proper hygiene of your ge***al area. This minimizes the risk of external bacteria contaminating the sample.
Step 2: Midstream Collection
For Males: Retract the fo****in (if present) and allow a small amount of urine to flow first. This helps clear any external bacteria from the opening of the urethra. Then, collect the midstream portion of your urine flow into the sterile container provided.
For Females: Gently clean the ge***al area with a wipe, moving from front to back. You may also use gloves for added hygiene. Similar to males, allow a small amount of urine to flow first, then collect the midstream portion of your flow in the container.
The Importance of Midstream Collection:
The midstream portion of your urine is less likely to be contaminated by bacteria present on the skin. This ensures the collected sample accurately reflects the bacteria within your bladder, providing a clearer picture of your urinary tract health.
By following these simple steps, you can contribute to a more accurate MCS test, allowing your doctor to make informed decisions for your post-surgical care. Remember, open communication with your healthcare provider is crucial. If you have any questions or concerns regarding the urine sample collection process, don't hesitate to ask!
Dr Pankaj Walecha, MS(Orthopaedics)
Fellow Hip & Knee Surgery, UK
Joint replacement fellowships (South Korea, Germany)
Google Location- https://goo.gl/maps/gZhc7PPVN3XQeYLV6
Email- drpankajwalecha@gmail.com
The Waleus clinic,
7/7, Balraj Khanna Marg, East Patel Nagar, New Delhi -110008
(Walking distance from Patel Nagar Metro station, Exit from gate no 2)
011-40503072, 9873824600, 9643757716
Timings-
Evening - 5pm- 8.30 pm (Monday to Saturday)
