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      A New Chemical Preservative That Permits Analysis of Urine Sediment for Light Microscopic Examination 12 h after Emission

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          Abstract

          Introduction: Urine diagnosis by light microscopy is considerably more difficult when specimens are analyzed after a certain period of time. Objectives: (1) To investigate whether this change effectively exists at a significant level of 12 h. (2) To apply measures, once the above has been done, allowing for the analysis of samples beyond 12 h in similar conditions. Materials and Methods: Both freshly produced urine and pathological samples were used under certain experimental conditions: initial, 12 h, 12 h + fridge at 4°C (F), 12 h + chemical preservation (S) and 12 h + SF. The chemical preservative was prepared at a 50/50 ratio with 3% formaldehyde and 2.5% glutaraldehyde by the addition of a buffer of pH 7.2–7.4, resulting in a solution of pH 7.35 at 25°C room temperature. Urinalysis was carried out on all samples: glucose (enzymatic method of hexokinase) and total protein in liquid (red pyrogallol method). Centrifugation was followed by sediment analysis with light microscopy. Statistical analysis was done with the Kolmogorov-Smirnov normality test, Friedman nonparametric test and multiple comparisons. Results and Conclusion: Urine samples tested 12 h after having been produced changed significantly (p < 0.0001), making it necessary to adopt certain measures to maintain their initial conditions. In our case, after the addition of the chemical preservative, samples did not present any changes (p > 0.10) in relation to the initial conditions and were seen to be reliable, therefore indicating the suitability and effectiveness of the analytical conditions (urinalysis in particular, sediment analysis).

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          Author and article information

          Journal
          NEF
          Nephron
          10.1159/issn.1660-8151
          Nephron
          S. Karger AG
          1660-8151
          2235-3186
          1999
          May 1999
          28 April 1999
          : 82
          : 1
          : 65-71
          Affiliations
          aService of Clinical Biochemistry, University Hospital of Granada and bDepartment of Cellular Biology, cDepartment of Biostatistics and dDepartment of Pathology, Faculty of Medicine, University of Granada, Spain
          Article
          45369 Nephron 1999;82:65–71
          10.1159/000045369
          10224486
          42e64df8-8490-472c-808d-b1a58aacbc6b
          © 1999 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          History
          Page count
          Figures: 3, Tables: 6, References: 18, Pages: 7
          Categories
          Technical Note

          Cardiovascular Medicine,Nephrology
          Urine,Preservation,Cell count,Formaldehyde,Glutaraldehyde,Light microscopy

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