A Comparison of Bladder Catheterization and Suprapubic Aspiration Methods for Urine Sample Collection From Infants With a Suspected Urinary Tract Infection

Eliaçık, Kayı; Kanık, Ali; Yavaşcan, Önder; Alparslan, Caner; Koçyiğit, Cemil; Aksu, Nejat; Bakiler, Ali Rahmi

doi:10.1177/0009922815608278

Cited by 21 publications

(24 citation statements)

References 19 publications

(23 reference statements)

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“…This was the first such study in Hungary and the longest-spanning study of its kind overall. The main indications for the suprapubic aspiration method included urinary retention (e.g., due to hyperplasia or tumours of the prostate, gynaecological malignancies, or spinal cord injuries) and constriction, phimosis, and chronic (therapyresistant) infections or congenital abnormalities of the urinary system in young children and older adults [10]. In addition, this sampling method may be used in the diagnosis of lower UTIs, where obtaining a sample voluntarily or through catheterization is not possible [2,10].…”

Section: Discussionmentioning

confidence: 99%

“…The main indications for the suprapubic aspiration method included urinary retention (e.g., due to hyperplasia or tumours of the prostate, gynaecological malignancies, or spinal cord injuries) and constriction, phimosis, and chronic (therapyresistant) infections or congenital abnormalities of the urinary system in young children and older adults [10]. In addition, this sampling method may be used in the diagnosis of lower UTIs, where obtaining a sample voluntarily or through catheterization is not possible [2,10]. With the appropriate equipment (disinfectant, local anaesthetic, 22-gauge spinal needle, syringe, and sterile collection container) and clinical experience, obtaining the sample is a relatively simple procedure and provides clinically relevant information [11].…”

Section: Discussionmentioning

confidence: 99%

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Microbiology of urine samples obtained through suprapubic bladder aspiration: A 10-year epidemiological snapshot

Gajdács

Ábrók

Lázár

et al. 2019

DHS

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Purpose Suprapubic bladder aspiration is an invasive procedure in which a needle is used to obtain a urine sample directly from the bladder. Its advantages are sensitivity (detection of significant bacteriuria is close to 100%), suitability for cultivation of anaerobic bacteria, and low risk of contamination. Our purpose was to characterize the microbiology and epidemiology of urine samples obtained through this procedure in the Clinical Center of the University of Szeged’s Institute of Clinical Microbiology between 2008 and 2017. Materials and methods Over the 10-year period, patient data were collected and suprapubic bladder aspirations were performed, and the samples are processed in accordance with routine laboratory procedures in clinical bacteriology. Results Of 187 urine samples obtained from 148 patients, 32.6% (n = 61) were culture-positive (defined as 102 colony forming units/ml or more). Conclusions This method should be considered an important sampling procedure in the differential diagnostics of upper urinary tract infections, particularly in children <2 years of age, and in older people, hospitalized patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Microbiology of urine samples obtained through suprapubic bladder aspiration: A 10-year epidemiological snapshot

Gajdács

Ábrók

Lázár

et al. 2019

DHS

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“…There are ample data to refute their position, including specimens obtained by catheterization. [2][3][4] Fortunately, the combination of bacteriuria without inflammation (positive culture-negative urinalysis) occurs in only about 0.5% of febrile infants. Accordingly, the rate of missed bacteriuria is low when screened by urinalysis; moreover, the significance of bacteriuria without inflammation is not clear because inflammation appears to be required to cause renal scars.…”

Section: Reconsidering Asymptomatic Bacteriuria and Contamination As mentioning

confidence: 99%

Reconsidering asymptomatic bacteriuria and contamination as causes of bacteriuria without pyuria

Roberts

Wald

2020

The Journal of Pediatrics

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Yetimakman et al also draw attention to our interpretation of stability in older patients who were already ventilated and who were more likely to remain stable. We do acknowledge that the interpretation of these data is difficult, because natural history data reporting possible changes in hours or modalities of ventilation are scanty and often depend on compliance with standards of care, availability of resources, or, in the past, different approaches to proactive respiratory care. Although we agree completely that these data should be interpreted with caution, we have had feedback from the families that many older ventilated patients were not always stable and had to change parameters over time, often in the setting of infections. Infections or other adverse events often triggered an increased need for ventilation that often persisted after the infection subsided. Furthermore, from our personal experience during continuous interviews with parents and families, most parents report that stability represents one of their targets when choosing treatment for their children. We also fully agree on the need for better surrogates for respiratory function in which proactive care and type and approach to ventilatory care should play a minor part. This may prove to be challenging in our children with type 1 SMA. Vital capacity, as suggested, is definitely a good measure, but not applicable to children younger than 6 years of age or in very weak older patients. More longitudinal data over longer periods will hopefully help to define what is the best measure to monitor ventilatory progression in the treated patients who are developing new phenotypes, compared with those classically identified in the different forms of SMA.

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“…Limitations and ongoing debate exist with current invasive and non-invasive methods of obtaining urine samples from young pre-continent children. 3 4 …”

Section: Introductionmentioning

confidence: 99%

The QuickWee trial: protocol for a randomised controlled trial of gentle suprapubic cutaneous stimulation to hasten non-invasive urine collection from infants

et al. 2016

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Introduction Urinary tract infections (UTIs) are common in young children. Urine sample collection is required to diagnose or exclude UTI; however, current collection methods for pre-continent children all have limitations and guidelines vary. Clean catch urine (CCU) collection is a common and favoured non-invasive collection method, despite its high contamination rates and time-consuming nature. This study aims to establish whether gentle suprapubic cutaneous stimulation with cold fluid-soaked gauze can improve the rate of voiding for CCU within 5 min in young pre-continent children. Methods and analysis This study is a randomised controlled trial of 354 infants (aged 1–12 months) who require urine sample collection, conducted in a single emergency department in a tertiary paediatric hospital in Melbourne, Australia. After standard urogenital cleaning, patients will be randomised to either a novel technique of suprapubic cutaneous stimulation using cold saline-soaked gauze in circular motions or no stimulation. The study period is 5 min, after which care is determined by the treating clinician if a urine sample has not been collected. Primary outcome: whether the child voids within 5 min (yes/no). Secondary outcomes: parental and clinician satisfaction with the method, success in catching a urine sample if the child voids, and sample contamination rates. This trial will allow the definitive assessment of this novel technique, gentle suprapubic cutaneous stimulation with cold saline-soaked gauze, and its utility to hasten non-invasive urine collection in infants. Ethics and dissemination The study has hospital ethics approval and is registered with the Australian New Zealand Clinical Trials Registry—ACTRN12615000754549. The results of the study will be published in a peer-reviewed journal. Trial registration number ACTRN12615000754549; Pre-results.

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A Comparison of Bladder Catheterization and Suprapubic Aspiration Methods for Urine Sample Collection From Infants With a Suspected Urinary Tract Infection

Cited by 21 publications

References 19 publications

Microbiology of urine samples obtained through suprapubic bladder aspiration: A 10-year epidemiological snapshot

Microbiology of urine samples obtained through suprapubic bladder aspiration: A 10-year epidemiological snapshot

Reconsidering asymptomatic bacteriuria and contamination as causes of bacteriuria without pyuria

The QuickWee trial: protocol for a randomised controlled trial of gentle suprapubic cutaneous stimulation to hasten non-invasive urine collection from infants

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