英国和爱尔兰对尿液酸化进行了国家审计
Emma Hughes1,2, Louise Ward2,3, Wassif S Wassif2,3
1Department of Clinical Biochemistry, Aberdeen Royal Infirmary, Aberdeen, UK.
Annals of clinical biochemistry
|December 15, 2025
概括
国家卫生服务局 (NHS) 实验室展示了尿样酸化以保存的各种做法. 许多实验室仍然需要酸化,尽管有证据表明它.
科学领域:
- 临床化学 临床化学
- 实验室医学 实验室医学
- 尿液分析 尿液分析
背景情况:
- 尿酸化是一种传统的方法,用于保持样本的完整性和分析物的稳定性.
- 酸性防腐剂的使用对实验室人员和患者构成安全风险.
- 英国国家卫生服务 (NHS) 实验室关于尿液酸化的现行做法没有得到充分的记录.
研究的目的:
- 评估NHS实验室当前的尿酸化实践.
- 为了识别样品采集,保存和储存协议的变化.
- 评估对特定分析物的历史尿酸化要求的必要性.
主要方法:
- 在实验室医学协会的成员中分发了一份包含11个问题的调查.
- 数据收集时间为2023年1月24日至2023年2月24日.
- 来自69个实验室的答案使用Microsoft Excel进行了分析,详细介绍了各种分析物的实践.
主要成果:
- 在NHS实验室中,尿样使用酸性防腐剂存在显著差异.
- 大多数实验室提供安全信息,如果需要酸性化,88%的实验室将测试pH值样本.
- 在冷藏下报告的样本稳定时间和特定的分析物保存方法中观察到差异.
结论:
- 在NHS实验室内,尿液酸化协议存在相当大的异质性.
- 根据当前的证据,对于某些分析物质,尿酸酸化的历史要求可能不再必要.
- 建议对尿样保存实践进行标准化,以提高安全性和效率.
相关概念视频
Urine Studies I: Urinalysis
1.1K
Urinalysis is a widely used diagnostic test that analyzes urine's physical, chemical, and microscopic characteristics. Healthcare providers use it to detect and monitor various health conditions, including renal disease, urinary tract infections (UTIs), diabetes, and metabolic or systemic disorders.Components of UrinalysisUrinalysis consists of three primary components: physical, chemical, and microscopic examination. Each provides unique insights into the urine sample and, by extension, the...
1.1K
Formation of Dilute Urine
2.9K
The formation of dilute urine is a critical renal adaptation that maintains fluid balance, particularly during periods of high fluid intake. This process primarily involves the juxtamedullary nephrons. By adjusting the permeability of water and ions in response to physiological conditions, the kidneys can either conserve or excrete water, resulting in concentrated or dilute urine.
Filtrate Osmolarity in the PCT
Initially, as the filtrate passes through the proximal convoluted tubule (PCT), its...
Filtrate Osmolarity in the PCT
Initially, as the filtrate passes through the proximal convoluted tubule (PCT), its...
2.9K
Physiology of the Genitourinary System III: Urine Concentration and Dilution
520
The kidneys concentrate or dilute urine to maintain water and electrolyte balance. Nephrons, particularly the loop of Henle, play a crucial role in this process through the countercurrent multiplication system. This system establishes a high osmolarity in the renal medulla, which is essential for water reabsorption. In the loop of Henle’s descending limb, water is reabsorbed into the surrounding medulla due to its permeability to water. In contrast, the ascending limb actively transports...
520
Urine Studies II: Urine Culture and Sensitivity Test
755
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
755
Urine: Physical and Chemical Properties
3.2K
Urine comprises approximately 95% water and 5% solutes. The primary ingredient, apart from water, is urea - a byproduct of the breakdown of amino acids. Other notable components include uric acid, a residue from nucleic acid metabolism, and creatinine, a metabolite from creatine phosphate breakdown in skeletal muscle tissue.
The concentration of these solutes varies, with urea being the most abundant nitrogenous waste product. Other solutes include sodium, chloride, potassium, phosphate,...
The concentration of these solutes varies, with urea being the most abundant nitrogenous waste product. Other solutes include sodium, chloride, potassium, phosphate,...
3.2K
Formation of Concentrated Urine
3.1K
There is a gradient of solutes in the interstitial fluid from the renal cortex through the medulla, known as the medullary osmotic gradient. The juxtamedullary nephrons establish and maintain this gradient using countercurrent mechanisms with loops extending deep into the medulla. These nephrons also use countercurrent mechanisms to regulate urine volume and concentration. The interaction between the descending and ascending limbs of the nephron loop creates an osmotic gradient through...
3.1K


