TABLE 1.
Body-of-evidence table for clinical question 1, namely, “what is the difference in colony counts when comparing immediate and delayed (≥4 h) processing of fresh urine stored at room temperature after collection?”a
Study (reference), quality rating | Samples | Setting | Time period | Results |
---|---|---|---|---|
Hindman et al. (30), fair | 100 random samples of urine were cultured within 2 h of collection and then again after 2 h and 4 h of storage at room temp. | Clinical Microbiology Laboratory, Hartford Hospital, Hartford, CT | Not given | SG was defined as any growth of >105 CFU/ml. All other growth was considered NSG. Upon receipt, there were 47 SG and 53 NSG specimens. After 4 h, there were 51 SG and 49 NSG specimens. |
Lum and Meers (31), fair | 175 clean-catch urine samples were divided, and one portion was treated with boric acid at a concn of 20 g/liter and the other held in a sterile tube. All samples were cultured upon receipt in the laboratory and again after 4 h, 24 h, and 48 h of storage at room temp. | Microbiology Department, University of Singapore, Kent Ridge, Singapore | 6 mo | SG was defined as ≥105 CFU/ml of 1 or 2 species. All other growth was considered NSG. Upon receipt, there were 38 SG and 137 NSG specimens. At 4 h, there were 42 SG and 133 NSG specimens. At 24 h, there were 90 SG and 82 NSG specimens. At 48 h, there were 109 SG and 66 NSG specimens. |
Porter and Brodie (28), fair | 130 midstream urine specimens that had been collected in sterile tubes and kept at room temp or preserved with 0.5 g of boric acid were mailed to a laboratory and cultured immediately upon receipt (avg delay of 24 h before receipt) and again at 72 h after receipt. | Laboratory, City Hospital, Aberdeen, Scotland | Not given | SG was defined as any growth of >105 CFU/ml. All other growth was considered NSG. Upon receipt, there were 40 SG and 90 NSG specimens. After 72 h, there were 93 SG and 37 NSG specimens. |
SG, significant growth; NSG, nonsignificant growth.