A Protocol for the Urine Dipstick/Pad Method

Abstract

The urinary tract accounts for nearly one third of all infections in the long-term care setting. This article reviews factors that influence nitrite and leukocyte esterase results obtained from traditional urine dipstick analysis for assessment of urinary tract infections in elderly long-term care residents. This article also proposes a protocol for a urine dipstick pressed into an incontinence pad as an alternative to dipstick analysis of a clean-catch or catheterized urine specimen.

Regulatory Guidelines for Bladder Management in Long‐term Care

“…Another option is to obtain a specimen from the absorptive brief; studies have indicated that this method does provide accurate results so long as there is strict adherence to the following protocol. 24 The resident's perineal area should be cleansed with soap and water prior to application of the brief and the resident should be checked at least hourly so that voiding is detected promptly. (Ideally, the specimen is obtained during sleeping hours, since voiding may occur less frequently, thus providing more time for the bacteria to convert nitrate to nitrite.)…”