Investigation of possible acute interstitial nephritis
Hansel Stain
Eosinophils
Urine
Container/Tube: Unstained cytospin slide
Specimen Volume: 1 slide
Collection Instructions:
1. Collect a random urine specimen.
2. Centrifuge 10 mL of a random urine collection.
3. Pour off supernatant. Assess urine sediment for presence of white blood cells (WBC). If no WBC are seen, the eosinophil test cannot be performed. If WBC are present, prepare slides using the centrifuged sediment.
4. The unstained slide should be prepared within 2 hours of collection. Only an unstained slide will be accepted. Any other specimen, including the raw urine specimen, will be rejected.
5. Centrifuge urine in cytospin centrifuge at speed of 750 rpm for 5 minutes.
6. Slides need to be labeled with patient name and date of birth
7. Guidelines for slide preparation. Use the sediment to prepare slides as follows:
a. 150 mcL of sample for 1 to 3 WBC/high power field (hpf)
b. 100 mcL of sample for moderate to normal sediment (<50 cell/hpf)
c. 50 mcL of sample for heavier sediment (>50 cells/hpf)
d. 25 mcL for packed fields of sediment
If not ordering electronically, complete, print, and send a Renal Diagnostics Test Request (T830) with the specimen.
See Specimen Required
Stained slides Urine aliquots | Reject |
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Urine | Ambient (preferred) | 14 days | SLIDE |
Frozen | 14 days | SLIDE | |
Refrigerated | 14 days | SLIDE |
Investigation of possible acute interstitial nephritis
Eosinophils are white blood cells that normally do not appear in urine. The presence of eosinophils in the urine is seen in acute interstitial nephritis, which is caused by an allergic reaction, typically to drugs.
0%
Results of greater than 5% eosinophils are indicative of acute interstitial nephritis; results between 1% and 5% eosinophils are indeterminant.
No significant cautionary statements
1. Hansel FK. In: Clinical Allergy. CV Mosby Company; 1953
2. Brunzel NA. Microscopic examination of urine sediment. In: Fundamentals of Urine and Body Fluid Analysis. 4th ed. Saunders; 2017:141
3. Muriithi AK, Leung N, Valeri AM, et al. Biopsy-proven acute interstitial nephritis, 1993-2011: a case series. Am J Kidney Dis. 2014;64(4):558-566. doi:10.1053/j.ajkd.2014.04.027
Hansel stain.(Brunzel NA, ed: Microscopic examination of urine sediment. In: Fundamentals of Urine and Body Fluids Analysis. 3rd ed. Elsevier; 2012:171-172)
Monday through Sunday
This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.
85999
Test Id | Test Order Name | Order LOINC Value |
---|---|---|
EOSU1 | Eosinophils, U | 32014-3 |
Result Id | Test Result Name |
Result LOINC Value
Applies only to results expressed in units of measure originally reported by the performing laboratory. These values do not apply to results that are converted to other units of measure.
|
---|---|---|
EOSU1 | Eosinophils, U | 32014-3 |
Change Type | Effective Date |
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Test Changes - Specimen Information | 2024-07-02 |