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Unreliability of female urine specimens leads to unnecessary prescribing, calling for a protocol for midstream urine collection
Why is urine not treated like blood? Female urinary tract, bladder or kidney infections are commonly diagnosed using a urine sample, recommended to be midstream because the first void can be contaminated by bacteria, flora and debris from the skin. Guideline collection is challenging for clinicians to explain and women to perform.
Up to 30% contamination creates false-positive dips and empirical broad spectrum prescribing – or failed lab analysis due to mixed growth. Diagnosing UTI early is challenging when urine collection is left to chance and patient intervention. Women do not need antibiotic over prescribing – they need reliable specimen collection.