Laboratory Medicine and Quality Assurance

Table. 1.

Summary of primary variables analyzed during urine sediment examination

Variable Guidelines
CLSI GP16-A3 CLSI POCT 10-A2 ELCM JCCLS GP1-P4 KAEQAS KSCC KSLM 5th KSLM 6th In this study
Urine storage time (hr) 2 2 4 at 4℃, 0.5 at RT 4 4 NA 2 2 4
Initial volume (mL) NS 12 NS (5–15) 10 10 10 10 10 10
Centrifuge type NA NA NA Swing-type Swing-type NA Swing-type NA Swing-type
Relative centrifugal force (×g) 400 400 400 500 500 400 450–500 400 500
Centrifugation time (min) 5 5 5 5 5 5 5 5 5
Concentration fold NS NS 20 50 50–20 30 20 or 10 NS (67–18) 20
Urine sediment volume (mL) NS NS NS (0.25–0.75) 0.2 0.2–0.5 0.33±0.1 0.5 or 1 NS (0.15–0.55) 0.5
Slide size (mm) NS NA NS 75×26 NA NA NA NA 75×26
Sediment volume examined Measured volume 1 drop 13 μL (18×18 mm), 35–50 μL (24×32 mm) 15 μL 15–20 μL 1 drop (20 μL) 1 drop 1 drop (20 μL) 15 μL
Cover slip size (mm) NS NA 18×18, 24×32 18×18 18×18 18×18 NA 18×18 18×18
Field number of eyepieces NS NA Decided field number 20 NA 22 NA NA 20, 18, 22
Reporting format Cells/mL Cells/HPF Cells/HPF, cells/L Grade of cells/HPF Grade of cells/HPF Cells/HPF, cells/μL Grade of cells/HPF Cells/HPF Cells/HPF
References [2] [3] [4] [5] [7] [8] [9] [10]

Abbreviations: CLSI, Clinical and Laboratory Standards Institute; POCT, point-of-care testing; ELCM, European Confederation of Laboratory Medicine; JCCLS, Japanese Committee for Clinical Laboratory Standards; KAEQAS, Korean Association of External Quality Assessment Service; KSCC, Korean Society of Clinical Chemistry; KSLM, Korean Society for Laboratory Medicine; RT, room temperature; NA, not available; NS, not specified; HPF, high-power field.

Lab Med Qual Assur 2024;46:109~114 https://doi.org/10.15263/jlmqa.2024.46.2.109
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