Instructions for Special Urine Tests

A) AFB Urine Culture (First morning clean-catch, midstream urine is required.)
Used to test for tuberculosis infection in the kidney
1. A special sterile container will be provided by the clinic or the laboratory.

2. When you get up, wash your hands thoroughly with soap and warm water.

3. Remove the container lid, without touching the inside of the lid or cup.

4. For women,
• Spread your legs as wide as possible while seated on the toilet.
• Use one hand to spread apart your outer vaginal lips.
• Use the disposable wipe to clean the outer part of the vagina. Wipe downward once over the urine opening and then throw the used wipe into the wastebasket.
• Pass a small amount of urine into the toilet BEFORE collecting urine into the cup.
• Avoid having the urine touch your skin and collect enough urine to fill the cup half way up.
• Finish urinating into the toilet
For men,
• Use the disposable wipe to clean head of the penis. Wipe downward once over the urine opening and then throw the used wipe into the wastebasket.
• Pass a small amount of urine into the toilet BEFORE collecting urine into the cup.
• Collect enough urine to fill the cup half way up.
• Finish urinating into the toilet

5. Replace the lid to prevent leakage, handling only the top of the lid. Record date and time of collection on the label.

6. Be sure your container is labeled with your name, Kaiser Permanente medical record number, and the sample date and time before you leave the laboratory.

7. The urine specimen must be refrigerated or packed on ice if it is not going to be delivered to the laboratory within one hour of collection.

8. Return the urine specimen and any slip(s) the doctor gave you to the laboratory receptionist within four hours of collection.

B) Urine Drugs of Abuse and Adulteration panels
1. Do not use an alcohol-containing disposable wipe ( e.g. Rantex Wipes) for cleansing before collecting the urine.

2. Collect urine in the cup provided, filling at least half-full (full cup is preferred).

3. Replace the lid to prevent leakage.

4. Be sure your container is labeled with your name, Kaiser Permanente medical record number, and the sample date and time before you leave the laboratory.

5. Place the specimen cup and laboratory slip, if you have one, through the specimen window in the restroom or return it to the front desk, as you were instructed.

C) Urine Microalbumin (Random Collection) – tests for early damage to your kidneys.
1. Obtain a special container from the clinic or laboratory.

2. Avoid strenuous physical activity or vigorous exercise such as jogging, jumping, or heavy lifting for 24 hours before this test.

3. This test works best if your urine is concentrated (dark yellow). Don’t drink large amounts of water or other liquids for 6-8 hours before giving your urine specimen (unless specified by your provider ).

4. For men: Do not ejaculate for 24 hours before giving a sample.
For women: Do not give a sample during your menstrual period.

5. Pass a small amount of urine into the toilet BEFORE collecting urine into the cup. Fill the cup about half full. Finish urinating into the toilet.

6. Replace the lid tightly to prevent leakage.

7. Be sure your container is labeled with your name, Kaiser Permanente medical record number, and the sample date and time before you leave the laboratory.

8. Return the urine specimen with any slip(s) the provider gave you to the laboratory the same day the specimen was collected.

9. The urine specimen must be refrigerated or packed on ice if it is not going to be delivered to the laboratory within one hour of collection.

D) Urine Microalbumin (First A.M. Collection) – tests for early damage to your kidneys.
If your provider specifically ordered a first A.M. collection, follow these instructions:
1. Obtain a special container from the clinic or laboratory.

2. Avoid strenuous physical activity or vigorous exercise such as jogging, jumping, or heavy lifting for 24 hours before this test.

3. For men: Do not ejaculate for 24 hours before giving a sample.
For women: Do not give a sample during your menstrual period.

4. Empty bladder immediately before going to sleep.

5. Do not drink water or other liquids after 11 p.m. (unless specified by physician ).

6. This test requires a fairly concentrated urine that is passed first thing in the morning. Collect your first void concentrated urine upon arising (Do not collect urine you may pass during the middle of the night.)* in the cup provided. Fill only half-full.

7. Replace the lid to prevent leakage.

8. Be sure the your container is labeled with your name, Kaiser Permanente medical record number, and the sample date and time before leaving the laboratory.

9. Return the urine specimen with any slip(s) the doctor gave you to the laboratory the same day the specimen was collected.

10. The urine specimen must be refrigerated or packed on ice if it is not going to be delivered to the laboratory within one hour of collection.

* NOTE: Follow these instructions for any other eight-hour period to accommodate insomniacs and night-shift workers.