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    What is a Urine Culture Test?

    A Urine Culture test is used to detect the presence of microorganisms, such as bacteria and yeast, in a urine sample. This test analyses urine, which is the body’s liquid waste, by adding substances that promote microbial growth. Microorganisms, if present, will multiply, indicating an infection within the urinary system. The urinary system includes a pair of kidneys (that filter out excess water and waste products from blood to form urine), two ureters that connect the kidneys to the bladder (which stores urine), and a short tube called the urethra through which urine leaves the body.

    The Urine Culture test is primarily done to diagnose a urinary tract infection (UTI). It also helps to identify the type of bacteria or yeast causing the UTI. UTIs often begin in the bladder and can spread to the kidneys or prostate. By determining the specific type of bacteria or yeast responsible for the infection, healthcare providers can choose the most effective treatment and check for any antibiotic resistance. The Urine Culture test can be done to check for UTIs in both adults and children. Thus, Urine Culture tests are essential for diagnosing UTIs and starting prompt effective treatment.

    Urine Culture Test Parameters

    Nearly 90% of UTIs are caused by the Escherichia coli ( E. coli ) bacteria that live in the intestine and are found in stools. E. coli can enter the urinary opening and cause an infection if faecal matter from the anus comes in contact with the genitalia. Other bacterial and yeast infections can also lead to UTIs. The primary objective of a Urine Culture test is to find and identify the cause of a UTI. The test encompasses several key parameters, namely:

    This step involves detecting the specific microorganisms responsible for the infection.

    This step measures the number of microorganisms present in the urine sample.

    This parameter is also known as an antibiotic susceptibility test. It helps to identify the microorganism causing the infection and determines which antibiotics are effective against them. This crucial information enables healthcare providers to select the most suitable antibiotic for treating UTIs.

    Parameter 1

    Parameter 2

    Parameter 3

    Urine Culture Test Preparation

    The steps of preparation for a Urine Culture test are as follows:

    Prerequisites

    Fasting is not required for a Urine Culture test.

    Best Time to Get Tested

    There is no specific timing for a Urine Culture test at home. You can schedule it at any time during the day.

    Eligibility for Urine Culture Test

    If you experience symptoms of a UTI, such as burning or discomfort with urination, your doctor may recommend that you get this test. A Urine Culture may also be scheduled after completing treatment for a UTI to ensure that all bacteria have been eliminated.

    Cautions Before Taking Urine Culture Test

    Antibiotic use before a Urine Culture test may impact the results. Therefore, be sure to inform your doctor about any medications you have been taking.

    Why Take a Urine Culture Test?

    You may need this test if you experience symptoms of a UTI, such as:

    • Increased frequency of urination

    • Burning pain during urination

    • Increased urgency of urination

    • Fever

    • Chills

    • Pain in the back or lower abdomen

    • Cloudy or foul-smelling urine

    • Blood in the urine

    • Confused state

    • Extreme tiredness

    • Nausea

    • Vomiting

    Additionally, you may be recommended for the Urine Culture test if you experience frequent or difficult-to-treat UTIs. You may also have a Urine Culture after being treated for a UTI to ensure that the treatment has cleared all microorganisms.

    While UTIs can affect anyone, they are more common in women than in men. This is because women have a shorter urethra and their genitalia are close to the anus. UTIs are also more frequent in women who are sexually active, whose periods have stopped (menopause), and those who use birth control methods like spermicides and diaphragms.

    The following factors also increase the risk of frequent UTIs:

    • Old age – Due to some medications or problems with incontinence (uncontrollable urine leakage).

    • Infancy – Due to the use of nappies and in babies born with urinary system abnormalities.

    • Men with prostate problems where an enlarged prostate gland prevents complete emptying of the bladder.

    • Diabetes – Due to changes in the immune system that increase susceptibility to UTIs.

    • Problems with emptying the bladder fully, especially if a urinary catheter is placed to drain urine.

    • Kidney stones and kidney disease.

    • Due to various causes of a weakened immune system such as:

      • Autoimmune diseases (where the immune system mistakenly attacks the body's healthy cells)

      • Organ transplants

      • Cancer treatments

    • Frequent sex, especially with new partners.

    Individuals with these risk factors are advised to be particularly vigilant about UTIs and undergo testing at the earliest onset of symptoms.

    Urine Culture Test Results & Interpretation

    In general, the results of a Urine Culture test in Bangalore are interpreted as follows:

    This means no harmful organisms are present in the urine.

    However, low levels of microorganisms, previous antibiotic use, and the delicate nature of the infecting organism can lead to false-negative results.

    This indicates a bacterial or fungal infection.

    However, contamination from skin microbes can cause false-positive results. In a positive culture, the following checks are reported.

    Interpretation of the test is done as per clinical and laboratory standards.

    Colonies of the microorganism are counted and the results are interpreted as follows:

    • Negative Culture: Less than 100,000 colony-forming units (CFU)/mL indicate the absence of infection.

    • Positive culture: Equal to or greater than 100,000 CFU/mL indicates that you might have a urinary tract or bladder infection.

    • Susceptible : The medicine being tested worked well against the microbes that caused the infection. Thus, it might be a good treatment choice.

    • Intermediate : The medicine being tested might work better if you take a higher dose.

    • Resistant : The medicine being tested didn't work to kill the microbes that caused the infection. Thus, it might not be a good choice for treatment.

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