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DEPARTMENT OF HEALTH SERVICES Division of Public Health F01901B (06/2017)Patient Namesake OF WISCONSIN Page 1 of 2SURGICAL SITE INFECTION (SSI) ORGAN/SPACE SSI(NHS SSI protocol http://www.cdc.gov/nhsn/PDFs/pscManual/9pscSSIcurrent.pdf?agreeyes&nextAccept)Date
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How to fill out symptomatic urinary tract infection:

01
Start by collecting a clean urine sample. Wash your hands thoroughly and use a sterile container to avoid any contamination. You can purchase sterile containers from a pharmacy or your healthcare provider.
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Follow the instructions provided on the container for the proper method of collecting the urine sample. It usually involves mid-stream collection, where you start urinating, stop midstream, and then collect the second half of your urine in the container.
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Make sure to fill the container with a sufficient amount of urine as directed. Usually, 30-60 milliliters of urine is required for testing.
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Close the container tightly to prevent any leakage and ensure the lid is properly sealed.
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Label the container with your name, date, and time of collection. This is important for accurate identification and processing of the sample.
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Transport the urine sample to the designated laboratory or healthcare facility as soon as possible. Keep it refrigerated if instructed to do so.
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Notify your healthcare provider or the laboratory that you have provided a urine sample for symptomatic urinary tract infection testing. They will guide you on the next steps and inform you about when to expect the results.

Who needs symptomatic urinary tract infection:

01
Individuals experiencing symptoms such as frequent urination, a burning sensation during urination, cloudy or bloody urine, strong-smelling urine, or lower abdominal pain may need to be evaluated for a symptomatic urinary tract infection.
02
People with a history of recurrent urinary tract infections or those at higher risk, such as women, the elderly, pregnant individuals, and people with certain medical conditions, may also require testing and treatment for symptomatic urinary tract infections.
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It is important to consult with a healthcare provider who can assess your symptoms, medical history, and perform necessary tests to diagnose and treat a symptomatic urinary tract infection appropriately. They will determine if you need to fill a sample or if other diagnostic methods are required.
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Symptomatic urinary tract infection refers to an infection in the urinary tract that presents with noticeable symptoms such as frequent urination, pain or burning sensation during urination, and cloudy or bloody urine.
Healthcare providers are required to file symptomatic urinary tract infection reports to the appropriate health authorities.
To fill out a symptomatic urinary tract infection report, healthcare providers need to include relevant information such as patient demographics, symptoms, laboratory test results, and treatment administered.
The purpose of reporting symptomatic urinary tract infection is to track and monitor the incidence of these infections in the population, identify outbreaks, and implement appropriate public health measures.
Information that must be reported on symptomatic urinary tract infection includes patient demographics, symptoms, laboratory test results, treatment administered, and any known risk factors.
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