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RACCOMANDAZIONI E LINEE GUIDA   

La Rivista Italiana della Medicina di Laboratorio 2019 Marzo;15(1):46-59

DOI: 10.23736/S1825-859X.19.00008-2

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Physical, chemical and morphological urine examination: recommendations for the postanalytical phase from the Interdisciplinary Urinalysis Group (GIAU)

Fabio MANONI 1 , Gianluca GESSONI 2, Giovanni B. FOGAZZI 3, Maria G. ALESSIO 4, Rudi RAVASIO 4, Alberta CALEFFI 5, Giovanni GAMBARO 6, Sandra SECCHIERO 7, Barbara PIERETTI 8, Cosimo OTTOMANO 9, Anna LIVERANI 1, Cettina DRAGO 10, Fiamma BALBONI 11, Maria G. EPIFANI 7, Graziella SACCANI 12, Giovanni DI RIENZO 13, Sara VALVERDE 2, Giuliano BRUNORI 14, Loreto GESUALDO 15, a nome del Gruppo Interdisciplinare Analisi delle Urine 

1 Dipartimento dei Servizi di Diagnosi e Cura, Ospedali Riuniti Padova Sud “Madre Teresa di Calcutta”, Monselice, Padova, Italia; 2 Servizio di Medicina di Laboratorio, Ospedale Madonna della Navicella, Chioggia, Venezia, Italia; 3 Laboratorio Clinico e di Ricerca sul Sedimento Urinario, U.O. Di Nefrologia e Dialisi, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milano, Italia; 4 Laboratorio Analisi Chimico Cliniche, ASST Papa Giovanni XXIII, Piazza OMS, Bergamo, Italia; 5 U.O Diagnostica Ematochimica, Dipartimento Diagnostico, Azienda Ospedaliero-Universitaria, Parma, Italia; 6 Divisione di Nefrologia e Dialisi, Fondazione Policlinico A. Gemelli, Università Cattolica del Sacro Cuore, Roma, Italia; 7 Centro di Ricerca Biomedica, UOC Medicina di Laboratorio, Azienda Ospedaliera-Università, Padova, Italia; 8 UOC Laboratorio Analisi, Ospedale S. Croce, Fano, Pesaro-Urbino, Italia; 9 Centro Analisi Monza, Monza, Italia; 10 Laboratorio di Analisi Cliniche e Microbiologiche, Centro Cuore Morgagni in Pedara, Pedara, Catania, Italia; 11 Laboratorio Analisi IFCA, Firenze, Italia; 12 Servizio di Medicina di Laboratorio, Ospedale Orlandi, Bussolengo, Verona; 13 UOC Patologia Clinica, Ospedale Altamura, ASL Bari, Bari, Italia; 14 UOC Nefrologia e Dialisi, Ospedale Santa Chiara, Trento, Italia; 15 Università degli Studi di Bari, Azienda Ospedaliero-Universitaria Consorziale “Policlinico“ di Bari, Bari, Italia



The Interdisciplinary Urinalysis Group (GIAU) aims to provide some recommendations to improve and standardize the postanalytical approach to physical, chemical and morphological urine examination (ECMU). The common goals are to emphasize the value added to ECMU, by selection of clinically significant parameters, indication of analytical methods, of units of measurement, of reference values, as well as to improve the interpretation of dip stick urinalysis with particular regard to the reconsideration of the diagnostic significance of the evaluated parameters together with an increasing awareness of the limits of sensitivity and specificity of this analytical method. Accompanied by the skills to propose and carry out in-depth investigations with analytical methods that are more sensitive and specific. Besides it is fundamental to increase the awareness of the importance of professional skills in the field of urinary morphology and their relationships with the clinicians. through the introduction, in the report, of descriptive and interpretative comments depending on the type of request, the complexity of the laboratory, the competence of the pathologist. The final aim is to implement a policy of evaluation of the analytical quality by using, in addition to traditional internal and external controls, a program for the evaluation of morphological competence. The hope is to revalue the enormous potential diagnostic of ‘ECMU, implementing a urinalysis on personalized diagnostic needs that each patient brings with it.


KEY WORDS: Health planning guidelines; Urinalysis; Diagnostic techniques, urological

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