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does boric acid affect urinalysis

by Dolores Schoen Published 2 years ago Updated 2 years ago
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concentrations of boric acid did not impact on the measurement of urinary calcium, chloride, phosphate, creatinine and sodium.

Full Answer

Is boric acid toxic to urine infection?

There was no evidence that borate is toxic to the urinary pathogens encountered in naturally infected urine. Borate also preserves white blood cells in urine and thereby marginally improved the diagnosis of pyuria. The results confirm that boric acid may with benefit be added to bottles used for transporting specimens of urine to the laboratory.

Why is boric acid used to preserve urine samples in laboratory?

Due to this bacteriostatic effect, boric acid is used to preserve urine samples in the laboratory. It can prevent any change in the bacteriologic status of urine for 48 hours. In many infections including bacterial vaginosis, biofilm is formed over the mucosal surface which protects the bacteria from the action of the immune system and antibiotics.

How does boric acid work to kill bacteria?

Boric acid has the latter kind of action against bacteria. The exact mechanism is unknown but it has a weak bacteriostatic effect against different organisms including Gardnerella vaginalis (which causes bacterial vaginosis). Due to this bacteriostatic effect, boric acid is used to preserve urine samples in the laboratory.

Are suppositories of boric acid effective for UTI?

Suppositories of boric acid are often used to manage vaginal infections. But is it effective to prevent or treat urinary tract infections? We are going to discuss it in this article. We will also talk about the efficacy of other suppository medicine in UTI. Let’s start. Prevents the recurrence of UTI, especially among postmenopausal women.

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Why is urine pH acidic?

Urine pH is a vital piece of information and provides insight into tubular function. Normally, urine is slightly acidic because of metabolic activity. A urinary pH greater than 5.5 in the presence of systemic acidemia (serum pH less than 7.35) suggests renal dysfunction related to an inability to excrete hydrogen ions.  On the contrary, the most common cause of alkaline urine is a stale urine sample due to the growth of bacteria and the breakdown of urea releasing ammonia. Determination of urinary pH is helpful for the diagnosis and management of urinary tract infections and crystals/calculi formation. [7][11][14]

What is proteinuria in urine?

Proteinuria is another critical finding. In normal conditions, the glomerular capillary wall is permeable to molecules of less than 20,000 Daltons. Most of the small fraction of filtered proteins are reabsorbed and metabolized by the proximal tubule cells. Thus, proteins are normally present in urine in trace amounts. From the total urinary proteins, approximately one-third of the total is albumin, another third is a protein secreted by the tubular cells called Tamm–Horsfall glycoprotein, and the rest is made up of plasma proteins such as globulins.  Proteinuria can be classified into a transient or persistent, with the first one typically been a benign condition (i.e., orthostatic proteinuria due to prolonged standing). For the latter, persistent proteinuria can my categorized as a glomerular pattern, a tubular pattern, and an overflow pattern. The first occurs when proteins that are not normally filtered (i.e., albumin, transferrin) pass by a damaged glomerular capillary wall. Thus, this pattern may be seen with low serum albumin, secondary generalized edema, and high serum lipids as in nephrotic syndrome. Usually, protein excretion is greater than 3.0 g/day to 3.5 g/day. The tubular pattern results from the tubular cells' inability to reabsorb filtered proteins. Consequently, small serum proteins are typically seen in the microscopic examination, and proteinuria is not relatively high (approximately 1 g/day to 2 g/day). Finally, overflow proteinuria occurs when excessive concentrations of small proteins in plasma are filtered, and tubular cells reabsorption's capacity is surpassed, which occurs in conditions such as rhabdomyolysis (myoglobin) and multiple myeloma (Bence Jones light chains). This phenomenon harms tubular cells, and they may be seen on microscopic examination.  Qualitative assessment of minimal amounts of proteinuria serves as a marker for glomerular injury and risk of progression of renal disease. Normal albumin excretion is less than or equal to 29 mg/g creatinine. It is best to express albuminuria per gram of creatinine. According to the Kidney Disease Improving Global Outcomes (KDIGO) guidelines, albuminuria can be classified into three stages: A1(less than 30 mg/g creatinine; normal to mildly increased), A2(30 mg/g to 300 mg/g creatinine; moderately increased, formerly termed as "microalbuminuria"), and A3(greater than 300 mg/g creatinine; severely increased). [7][14][16][17]

Why is invasive urine collection important?

Invasive urine collection is warranted when patients cannot cooperate, have urinary incontinence or external urethral ulceration that increases contamination risk. Both of these techniques pose a risk for the inoculation of pathogens, thus causing urinary tract infections.

How long should urine be refrigerated?

If not possible, the sample should be refrigerated at 4 degrees C for up to 24 hours, which will slow down the decomposition process.

What did Hippocrates believe about urine?

Hippocrates (460–355 BC) hypothesized that urine was a filtrate of the humors in the body , originating from the blood filtered through the kidneys. In Aphorisms, he described bubbles on the surface of fresh urine as a sign of long-term kidney disease and associated urinary sediment with fever.[2] .

When was urine analyzed?

Urinalysis - StatPearls - NCBI Bookshelf. Around 6,000 years ago , laboratory medicine began with the analysis of human urine as uroscopy, which later became termed urinalysis. The word "uroscopy" derives from two Greek words: "ouron," which means urine and "skopeoa," which means to 'behold, contemplate, examine, inspect'.

Who wrote the first manuscript on urine?

Galen used the phrase "diarrhea of the urine" to describe excessive urination.[3] . Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively on urine called "De Urinis", determined heating urine would precipitate proteins, documenting proteinuria as a disease state.[4] .

How might I be exposed to boric acid?

You can be exposed if you are applying boric acid and you get it on your skin, in your eyes, breathe it in, or accidentally eat a product. This can also happen if you get some on your hands and eat or smoke without washing your hands first. Exposures can also occur if products are accessible to children or pets. You can limit your exposure to boric acid by following all label instructions carefully.

How does boric acid work?

Boric acid can kill insects if they eat it. It disrupts their stomach and can affect their nervous system. It can also scratch and damage the exterior of insects. Boric acid and borax, a sodium borate salt, can kill plants by causing them to dry out. Sodium metaborate, another sodium borate salt, stops plants from producing the energy they need from light. Boric acid can also stop the growth of fungi, such as mold. It prevents them from reproducing.

What is boric acid?

Boric acid and its sodium borate salts are pesticides that we can find in nature and many products. Borax is one of the most common products. Boric acid and its sodium salts each combine boron with other elements in a different way. In general, their toxicities each depend on the amount of boron they contain.

What are some products that contain boric acid?

Products containing boric acid can be liquids, granules, pellets, tablets, wettable powders, dusts, rods, or baits. They are used indoors in places like homes, hospitals and commercial buildings. They are also used in outdoor residential areas, sewage systems, and on food and non-food crops. There are over five hundred products with boric acid sold in the United States. Several non-pesticide products containing boric acid include soil amendments, fertilizers, household cleaners, laundry detergents, and personal care products.

What are some signs and symptoms from a brief exposure to boric acid?

Borax can also be irritating to the skin. People who have eaten boric acid have had nausea, vomiting, stomach aches, and diarrhea. Diarrhea and vomit may have a blue-green color. Eating extreme amounts has resulted in a red, "boiled lobster" like skin rash, followed by skin loss. People who breathed in borax had a dry mouth, nose, and throat. Coughing, sore throat, shortness of breath, and nose bleeds have also been reported. Infants are more sensitive to pesticide exposures. Some infants that ate large amounts of boric acid also had nervous system effects. These include abnormal postures, convulsions, confusion, and coma.

What happens to boric acid when it enters the body?

Boric acid can absorb rapidly into the body if eaten. It is absorbed poorly by skin contact unless the skin is damaged. Studies with workers and rats showed that boric acid can also be absorbed if inhaled. However, it is not clear how much is directly absorbed in the lungs and how much is cleared from the lungs and swallowed. Once inside, boric acid generally moves evenly throughout the body. However, it can be stored in bone and is generally found at lower levels in fatty tissues. There is no evidence that boric acid is broken down in the body. The majority of boric acid in the body is eliminated in the urine within four days.

Can boric acid affect birds, fish, or other wildlife?

Boric acid is practically non-toxic to birds. It is slightly toxic to practically non-toxic to freshwater fish. Boric acid is practically non-toxic to frogs and toads and aquatic life, such as waterfleas. The U.S. EPA concluded that boric acid is relatively nontoxic to bees.

Is boron oxide a solid?

Boric Acid is an odourless solid compound that is also known as orthoboric acid or boron oxide hydroxide. Chemically it is a weakly acidic hydrate of boric oxide. It has mild but broad antiseptic, antifungal, and antiviral properties.

Is boric acid effective for mycotic infections?

Chronic fungal infection is difficult to cure. A study shows that the ineffectiveness of conventional antifungal agents is the main reason for chronic mycotic infections. In contrast, boric acid was effective in curing 98% of the patients who had previously failed to respond to the most commonly used antifungal agents and was clearly indicated as the treatment of choice for prophylaxis.

Does boric acid help with UTI?

But, boric acid may help you to prevent recurrent UTI by promoting vaginal health. It prevents bacterial vaginosis and vaginal candidiasis as we have already discussed. You know bacterial vaginosis is a risk factor for recurrent urinary tract infection.

Can you put boric acid in your urethra?

Boric acid suppositories ( and literally all suppositories) are not suitable to use via the urethra. And if you put it accidentally in your urethra, you may experience pain and burning micturition. So, practically you can’t use boric acid to treat urinary tract infections.

Is boric acid an antibiotic?

To understand the efficacy of boric acid in urinary tract infection, we need to discuss its antimicrobial effect first. Boric acid is not usually classified as an antibiotic, but it has some antimicrobial properties.

Can you take boric acid orally?

Excessive boric acid intake may cause cell damage in different organs, especially the kidneys. So, you can’t take it orally to treat or prevent urinary tract infections.

Does boric acid help with bacterial vaginosis?

Boric acid has the latter kind of action against bacteria. The exact mechanism is unknown but it has a weak bacteriostatic effect against different organisms including Gardnerella vaginalis (which causes bacterial vaginosis). Due to this bacteriostatic effect, boric acid is used to preserve urine samples in the laboratory. It can prevent any change in the bacteriologic status of urine for 48 hours.

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Overview

  • Boric acid and its sodium borate salts are pesticides that we can find in nature and many products. Borax is one of the most common products. Boric acid and its sodium salts each combine boron with other elements in a different way. In general, their toxicities each depend on the amount of boron they contain.
See more on npic.orst.edu

Uses

  • Boric acid and its sodium salts can be used to control a wide variety of pests. These include insects, spiders, mites, algae, molds, fungi, and weeds. Products that contain boric acid have been registered for use in the United States since 1948. Products containing boric acid can be liquids, granules, pellets, tablets, wettable powders, dusts, rods, or baits. They are used indoors in place…
See more on npic.orst.edu

Effects

  • Boric acid can kill insects if they eat it. It disrupts their stomach and can affect their nervous system. It can also scratch and damage the exterior of insects. Boric acid and borax, a sodium borate salt, can kill plants by causing them to dry out. Sodium metaborate, another sodium borate salt, stops plants from producing the energy they need fro...
See more on npic.orst.edu

Causes

  • You can be exposed if you are applying boric acid and you get it on your skin, in your eyes, breathe it in, or accidentally eat a product. This can also happen if you get some on your hands and eat or smoke without washing your hands first. Exposures can also occur if products are accessible to children or pets. You can limit your exposure to boric acid by following all label instructions care…
See more on npic.orst.edu

Safety

  • Boric acid is low in toxicity if eaten or if it contacts skin. However, in the form of borax, it can be corrosive to the eye. Borax can also be irritating to the skin. People who have eaten boric acid have had nausea, vomiting, stomach aches, and diarrhea. Diarrhea and vomit may have a blue-green color. Eating extreme amounts has resulted in a red, \"boiled lobster\" like skin rash, follow…
See more on npic.orst.edu

Other animals

  • Boric acid affects animals in a similar way. If eaten, signs of poisoning in animals can start within 2 hours. See the fact sheet on Pets and Pesticide Use for more information.
See more on npic.orst.edu

Prevention

  • Children have different behaviors than adults that can put them at greater risk. They may crawl or play on the floor and put their hands or other items in their mouths. For this reason, many boric acid products require that they be applied in places out of children's reach. Consider getting down to your child's level to confirm after an application. Always carefully read and follow the label.
See more on npic.orst.edu

Ecology

  • Boric acid naturally occurs in the environment. It can be found in soil, water, and plants. Boric acid dissolves in water and can move with water through the soil. Under certain soil conditions it can reach ground water. However, its mobility in soil depends on pH and the presence of some metals. Boric acid can also be taken up from the soil by plants. It moves through plants into thei…
See more on npic.orst.edu

Toxicity

  • Boric acid is practically non-toxic to birds. It is slightly toxic to practically non-toxic to freshwater fish. Boric acid is practically non-toxic to frogs and toads and aquatic life, such as waterfleas. The U.S. EPA concluded that boric acid is relatively nontoxic to bees.
See more on npic.orst.edu

1.Boric acid preservation of urine samples.

Url:https://brd.nci.nih.gov/brd/paper/br-med-j/1969/boric-acid-preservation-of-urine-samples/125530

33 hours ago Although the number of significant culture results increased when unpreserved urine was stored for three days at room temperature before inoculation, it did not increase for boric-acid preserved urine. Further, results were similar in dip-inoculum transport medium and boric acid- preserved urine when analyzed immediately after arrival in the laboratory, but less growth was observed …

2.Urinalysis - StatPearls - NCBI Bookshelf

Url:https://www.ncbi.nlm.nih.gov/books/NBK557685/

10 hours ago The results confirm that boric acid may with benefit be added to bottles used for transporting specimens of urine to the laboratory. Similarly, you may ask, does boric acid affect urinalysis? Boric acid keeps urinary pH below 7, prevents dissolution of pus cells (29) and is associated with false negative strip test results (e.g. protein, white blood cells and ketones). Is boric acid …

3.Boric acid converts urine into an effective bacteriostatic …

Url:https://pubmed.ncbi.nlm.nih.gov/2915130/

10 hours ago There was no evidence that borate is toxic to the urinary pathogens encountered in naturally infected urine. Borate also preserves white blood cells in urine and thereby marginally improved the diagnosis of pyuria. The results confirm that boric acid may with benefit be added to bottles used for transporting specimens of urine to the laboratory.

4.Boric Acid General Fact Sheet - Oregon State University

Url:http://npic.orst.edu/factsheets/boricgen.html

10 hours ago  · Boric acid has the latter kind of action against bacteria. The exact mechanism is unknown but it has a weak bacteriostatic effect against different organisms including Gardnerella vaginalis (which causes bacterial vaginosis). Due to this bacteriostatic effect, boric acid is used to preserve urine samples in the laboratory.

5.Boric acid for UTI – KNOW & TREAT UTI

Url:https://www.treatut.com/boric-acid-uti/730/

2 hours ago Our in vitro study of simulated urine cultures revealed that urine samples could be kept up to 12 h before culture in the preservative without any inhibitory effect of boric acid. Though the use of boric acid kit may marginally increase the initial cost but has indirect effects like preventing delays in treatment and avoidance of false prescription of antibiotics.

6.Evaluation of commercial boric acid containing vials for …

Url:https://pubmed.ncbi.nlm.nih.gov/24152505/

12 hours ago Many women who haven't had success using other options like over-the-counter medications and antifungal prescriptions rely on vaginal boric acid suppositories to solve their problems. One can use boric acid vaginal suppositories topically or internally, depending on their condition. Doctors recommend using boric acid suppositories when other medications are not working. However, …

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