Mdr. Moreno et al., A new chemical preservative that permits analysis of urine sediment for light microscopic examination 12 h after emission, NEPHRON, 82(1), 1999, pp. 65-71
Introduction: Urine diagnosis by light microscopy is considerably more diff
icult when specimens are analyzed after a certain period of time. Objective
s: (1) To investigate whether this change effectively exists at a significa
nt level of 12 h. (2) To apply measures, once the above has been done, allo
wing for the analysis of samples beyond 12 h in similar conditions. Materia
ls and Methods: Both freshly produced urine and pathological samples were u
sed under certain experimental conditions: initial, 12 h, 12 h + fridge at
4 degrees C (F), 12 h + chemical preservation (S) and 12 h + SF. The chemic
al 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 s
olution of pH 7.35 at 25 degrees C room temperature. Urinalysis was carried
out on all samples: glucose (enzymatic method of hexokinase) and total pro
tein in liquid (red pyrogallol method). Centrifugation was followed by sedi
ment analysis with light microscopy. Statistical analysis was done with the
Kolmogorov-Smirnov normality test, Friedman nonparametric test and multipl
e comparisons. Results and Conclusion: Urine samples tested 12 h after havi
ng 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 an
y 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).