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Urine test strips or "dipsticks" allow for the rapid measurement of numerous urine parameters and substances. The strip is dipped into the urine sample and the color changes on the reagent pads are read after a defined period of time, either by eye or using an automated instrument. [43]
A random urine, meaning a specimen that is collected at any time, can be used for many tests. However, a sample collected during the first urination of the morning (first morning specimen) is preferred for tests like urinalysis and pregnancy screening because it is typically more concentrated, making the test more sensitive.
A standard urine test strip may comprise up to 10 different chemical pads or reagents which react (change color) when immersed in, and then removed from, a urine sample.The test can often be read in as little as 60 to 120 seconds after dipping, although certain tests require longer.
In urine cytology, collected urine is examined microscopically. One limitation, however, is the inability to definitively identify low-grade cancer cells and urine cytology is used mostly to identify high-grade tumors. [4] If the test detects atypical or cancerous cells, further tests may be recommended, such as cystoscopy and a CT scan.
These tests require only a single drop of whole blood, urine or saliva, and they can be performed and interpreted by any general physician within minutes. Recently, a portable medical diagnostic device called "BioPoC" has been reported which employs free-standing enzyme-modified responsive polymer membrane-based biosensors and a newly devised ...
After a suspected positive sample is detected during screening, the sample is tested using a confirmation test. Samples that are negative on the screening test are discarded and reported as negative. The confirmation test in most laboratories (and all SAMHSA certified labs) is performed using mass spectrometry, and is precise but expensive ...
Any specimen sample should only be used for testing, as any sharing of patient biological samples without patient consent is unethical and could heavily bias/slow research progress, not to mention grossly violate patient privacy. [7]
Records of urinalysis for uroscopy date back as far as 4000 BC, originating with Babylonian and Sumerian physicians. [1] At the outset of the 4th century BC Greek physician Hippocrates hypothesized that urine was a "filtrate" of the four humors, and limited possible the diagnoses resulting from this method to issues dealing with the bladder, kidneys, and urethra. [2]