Manual de Exames


Letra C


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CULTURA COM CONTAGEM DE COLÔNIAS + TSA

Material:

Urina jato medio

Instruções de coleta:

Coletar urina jato médio. De preferência semear o material logo após a coleta. Enviar a cultura ou o material sob refrigeração.

Informações:

Diagnóstico de infecção do trato urinário. A urina é um filtrado estéril do sangue. Na ausência de infecção do trato urinário, ela surge a partir dos rins e bexiga, livre de organismos. A bacteriúria significativa é normalmente caracterizada por contagens de colônias maiores que 1.000.000 ou mais unidades formadoras de colônias/mL. Contagens bacterianas baixas, obtidas em urinas aspiradas assepticamente de cateter, devem ser consideradas significativas, visto que estas não podem ser responsabilizadas por contaminação durante a coleta. Algumas espécies bacterianas, particularmente estafilococos coagulase positivo (S. aureus), crescem lentamente na urina, podendo apenas alcançar de 10.000 a 100.000 ufc/mL. Esta contagem é considerada "bacteriúria significativa" para estes microorganismos. Os resultados de culturas de urinas com densidade baixa (principalmente de crianças) devem ser analisados e sempre levados em consideração, mesmo com contagem de colônias menor que 1.000.000 ufc/mL.

Referência:

  • Cultura negativa
  • ufc/mL : Unidades formadoras de colonias por mL
  • Laminocultivo : Meios CLED e MacConkey
 

Laboratório Bioclinico

Exames de Rotina

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