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. 2022;106(3):269-273.
doi: 10.1159/000517783. Epub 2021 Aug 26.

Impact of Male Patient Information on Quality of Urine Examination (PIQUE Study)

Philipp J Spachmann  1 , Cathrin Rupp  1 , Hans-Martin Fritsche  1   2 , Stefan Denzinger  1 , Maximilian Burger  1 , Johannes Breyer  1 , Wolfgang Otto  1 , Marco J Schnabel  1
Affiliations

Impact of Male Patient Information on Quality of Urine Examination (PIQUE Study)

Philipp J Spachmann et al. Urol Int. 2022.

Abstract

Background: Urine examination has relevance for treatment, and reliability of positive urine culture (UC) is of importance. The technique of urine sampling (US), storage, and transportation is important. The objective of this study was to investigate if detailed patient information for the technique of US and hygiene reduces rates of contaminated UC in screened male patients, as this group was not investigated yet.

Methods: All patients independently of complaints were enrolled prospectively and consecutively in an outpatient setting in 2 groups - the first group did not receive detailed information and the second group did. We examined 372 consecutive patients in 2017, 190 not receiving (median age 69 years) and 182 receiving information (median age 70 years), with comparable numbers of patients and age. The result of UC and age was imposed.

Results: In all,74.2% of preclarification UC showed a contamination (n = 95) and 75.5% after clarification (n = 83), without significant differences (p = 0.827). This study is limited by the fact that adherence could not be checked.

Conclusions: Similar to studies with females, no difference occurred in rates of contaminated UC, so detailed information regarding the US technique does not decrease rates of contaminated UC and vice versa does not increase the quality of midstream-sampled UC in male patients.

Keywords: Antibiotic stewardship; Midstream urine; Urinary tract infection; Urine culture; Urine culture contamination.

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Conflict of interest statement

The authors declare that none of them has potential conflicts of interest.

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