A technique for fast and safe collection of urine in newborns

Nepal, Ajit; Basnet, Rydam; Acharya, R; Shrestha, Shree Krishna; Koirala, Satish; Rajbhandari, Rateena; Sharna, Dharma

doi:10.3126/jkmc.v5i3.18419

Cited by 2 publications

(12 citation statements)

References 1 publication

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“…The finding is similar to the study done by Herreros et al, where the technique was successful in 86.3% of neonates. The finding is also supported by the prospective feasibility study done by Nepal A, in which the success rate of urine collection was 91% [6,7].…”

Section: Discussionsupporting

confidence: 52%

“…Invasive methods for obtaining clean urine such as SPA and bladder catheterization are aggressive and have a high failure rate in newborns due to their anatomical characteristics and irregular voiding pattern [5]. Obtaining a mid-stream clean catch urine collection is tedious, unpredictable, time consuming and requires lot of patience [7]. Hence a method of mid-stream urine sample collection involving suprapubic tap and lumbosacral massage is worthwhile in children who have not attended continence [6].…”

Section: Discussionmentioning

confidence: 99%

“…This reflex is voluntarily inhibited and controlled in continent individuals by the cortex, but not in newborns. In neonates, it can be triggered [6,7,8] The study finding showed that the success rate in obtaining a urine sample was higher in the experimental group (88.9%) than the control group (25.9%) (p<0.001). This result is consistent with the result of the study done by Atluntas A et al, where the success rate in EG and CG was 78% and 33% (p<0.0001) respectively [5].…”

Section: Discussionmentioning

confidence: 99%

“…Obtaining a clean catch MSU sample in neonates and infants is a great challenge as it is unpredictable, time consuming and requires a lot of patience [7]. According to NATIONAL INSTITUTE OF HEALTH AND CLINICAL EXCELLENCE clinical guidelines issued in 2007, clean catch urine (CCU) sample is recommended method for urine collection.…”

Section: Mid Stream Clean Catch Urine Collectionmentioning

confidence: 99%

“…Few studies hypothesize that the use of some stimulation technique that facilitate emptying of bladder in situation of bladder dysfunction could facilitate the collection of midstream urine samples in newborns, and developed a new non invasive technique based on bladder stimulation and lumbar paravertebral massage maneuver [5,6,7].…”

Section: Mid Stream Clean Catch Urine Collectionmentioning

confidence: 99%

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The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns

Mamta¹

2019

AJP

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Background: Sign and symptoms of urinary tract infections (UTI) are not specific in infants and young children, fever being the commonest sign. Therefore, collecting urine samples for culture is required to diagnose or exclude UTI. Obtaining a clean catch urine sample in neonates and infants is a great challenge as it is unpredictable, time consuming and requires lot of patience. Objectives: The objectives of the study were to determine the effect of bladder and lumbar stimulation technique (BLST) for collection of midstream urine in newborns and to evaluate contamination rates of urine samples collected. Methods: An experimental research was conducted in BPKIHS, Dharan, Nepal including total of 54 term newborns. Urine culture was indicated for different reasons to the admitted newborns. They were randomly assigned either to the experimental group or the control group. Twenty-five minutes after feeding, the genitals and perineal area of the babies were cleaned. The newborns were held under the armpits with legs dangling. Bladder and Lumbar stimulation technique was only applied to the newborns in the experimental group. Success was defined as collection of urine sample within 5 minutes (<300s) of starting the stimulation maneuver in the experimental group and of holding under the armpits in the control group. Results: The success rate of urine collection was significantly higher in the experimental group (88.88%) than in the control group (25.92%) p<0.001. The median time for sample collection was 1.07 minutes (64.2s) [IQR=1.52minutes (91.2s)] in experimental group and 1.52minutes (91.2s) [IQR= 2.78 minutes (166.8s) for control group (p=0.069). Contamination was not found in urine samples collected by BLST in experimental group. Conclusion: The study suggests that bladder and lumbar stimulation technique is safe, quick and effective way of collecting midstream clean catch urine in newborns.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Mid Stream Clean Catch Urine Collectionmentioning

confidence: 99%

Section: Mid Stream Clean Catch Urine Collectionmentioning

confidence: 99%

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The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns

Mamta¹

2019

AJP

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Non-invasive techniques for stimulating urine production in non-toilet trained children: a systematic review

et al. 2020

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BackgroundUrinary tract infection requires collection of a sterile urine specimen for diagnosis, which is difficult and time consuming in pre-continent children. This systematic review summarises evidence of the effectiveness of bladder stimulation techniques on urine collection in pre-continent children, compared with standard techniques.MethodsMEDLINE, PubMed, EMBASE and CINAHL were searched to May 2019. Selection, data extraction, risk of bias and quality assessment were undertaken by two independent reviewers. Inclusion: (1) all study designs; (2) pre-continent, age <3 years receiving bladder stimulation techniques; (3) outcomes including time to urine collection or contamination rates; (4) English-language articles. Exclusion: coexisting neurological disorders.ResultsThree randomised controlled trials (RCTs) were identified using three techniques in 568 participants aged 1 day to 35 months. Two RCTs demonstrated an increased success in voiding within 5 min, one using a finger tapping and lumbar paravertebral massage technique and the other cold saline-soaked gauze rubbed over the suprapubic region, compared with no active intervention. A third RCT using a mechanical vibration device demonstrated no difference in time to voiding from advice alone. Non-randomised studies compared different temperatures for the gauze intervention and tapping alone versus urine bags. Six uncontrolled studies tested the finger tapping and massage technique. Risk of bias was low for one RCT and unclear for two RCTs with the other studies rated poor to fair quality. Overall, the evidence on success rates was graded low for tapping plus massage and moderate for the gauze rubbing intervention. Adverse effects included crying and mild distress.DiscussionThe results suggest a positive effect of stimulation techniquesbut lack of replication in rigorous RCTs and heterogeneity of techniques and outcomes assessed prevent conclusive recommendations being made. Further RCTs are required comparing non-invasive stimulation methods and assessing time to successful collection, contamination rates, adverse effects, caregiver and clinical staff acceptability.

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A technique for fast and safe collection of urine in newborns

Cited by 2 publications

References 1 publication

The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns

The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns

Non-invasive techniques for stimulating urine production in non-toilet trained children: a systematic review

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