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Therapeutics
Contamination of urine specimens did not differ with collection technique in women with acute dysuria

https://doi.org/10.1136/ebm.6.3.91

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    (2000) Arch Intern Med 160, 2537. Lifshitz E, Kramer L.. Outpatient urine culture. Does collection technique matter?. Sep 11;. :. –40.
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 QUESTION: In women with acute dysuria, does contamination of urine specimens differ with collection technique (midstream, midstream plus vaginal tampon, or non-midstream with no cleansing)?

    Design

    Randomised {allocation not concealed*}†, blinded (outcome assessors),* controlled trial.

    Setting

    An outpatient clinic for students at Rutgers University, New Jersey, USA.

    Patients

    242 consecutive women (mean age 21 y) who were mostly undergraduates and had symptoms suggestive of cystitis. Exclusion criteria were antibiotic use, use of urethral instrumentation in the previous 7 days, or known urological abnormality or nephrolithiasis. Follow up was complete.

    Intervention

    84 women were allocated to midstream collection and were instructed to cleanse the perineum with a bactericidal wipe by wiping from front to rear; spread the labia; discard …

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    Footnotes

    • Source of funding: no external funding.

    • For correspondence: Dr E Lifshitz, Rutgers University Health Services, 110 Hospital Road, Piscataway, NJ 08854, USA. Fax + 732 445 3725. A modified version of this abstract appears in Evidence-Based Nursing.

    • ↵* See glossary.

    • ↵† Information provided by author.