24-hour urine protein

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24-hour urine protein measures the amount of protein excreted in urine over a 24-hour period.

See also: Bence-Jones protein test

Urine protein - 24 hour

A 24-hour urine sample is needed.

• On day 1, urinate into the toilet when you get up in the morning.
• Afterwards, collect all urine in a special container for the next 24 hours.
• On day 2, urinate into the container when you get up in the morning.
• Cap the container. Keep it in the refrigerator or a cool place during the collection period.
• Label the container with your name, the date, the time of completion, and return it as instructed.

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For an infant, thoroughly wash the area around the urethra. Open a urine collection bag (a plastic bag with an adhesive paper on one end), and place it on the infant. For males, place the entire penis in the bag and attach the adhesive to the skin. For females, place the bag over the labia. Diaper as usual over the secured bag.

This procedure may take a couple of attempts -- lively infants can move the bag, causing the urine to be absorbed by the diaper. The infant should be checked frequently and the bag changed after the infant has urinated into the bag. Drain the urine from the bag into the container provided by your health care provider.

Deliver it to the laboratory or your health care provider as soon as possible upon completion.

Your health care provider will instruct you, if necessary, to stop taking any drugs that may interfere with the test results.

Drugs that may interfere with test results include:

• Acetaminophen
• Antibiotics
• Gentamicin
• Nonsteroidal anti-inflammatory drugs

If the collection is being taken from an infant, a couple of extra collection bags may be needed.

The test involves only normal urination, and there is no discomfort.

Your doctor may order this test if you have signs or symptoms of glomerular disease, such as nephrotic syndrome, or another condition that affects kidney function.

Additional conditions under which the test may be performed include complicated UTI (pyelonephritis).

Review Date: 08/07/2009
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).