The Effect of Urine Collection with a Novel External Catheter Device on Common Urine Chemistry and Urinalysis Results

Abstract

Introduction Urine collection from incontinent individuals can be challenging. Various methods have been devised to collect the sample without catheterization. Recently the PureWick external catheter was developed to draw the sample gently away from external female genitalia. While the primary purpose of the device is to prevent moisture and maintain skin integrity, the urine that is collected may be sent for laboratory analysis. We sought to validate the use of this collection method for common urine chemistry assays and urinalysis. Methods Twenty pools of residual urine samples were separated into “control” and “PureWick” treated samples. The control samples were maintained at room temperature while 15 mL of urine was added to the PureWick device which was connected to a vacuum line through a collection canister. The urine collected in the canister and the controls samples were all subject to urine chemistry strip, microscopic, and automated urine chemistry analysis. Results were compared between pairs of treated and control samples. Results No clear affect was noted on urine strip semi-quantitative or automated chemistry analysis from the PureWick collection. There was a statistically significant decrease in microscopic measurements of white blood cells and crystals in the PureWick urine samples. Discussion This study supports the use of the PureWick external catheter for collection of samples for most urinalysis and urine chemistry tests.

Clinical outcomes of female external urine wicking devices as alternatives to indwelling catheters: a systematic review and meta-analysis

“…Urine Specimen Collection 5 20,29,38,39,42 There were several reports of successful urine diversion and input/output measurements. Validation studies confirmed good agreement between urine samples from normal voiding and PureWick collection for several analytes, including urine protein concentrations.…”