Evaluation of a New Strategy for Clean-Catch Urine in Infants

Labrosse, Mélanie; Lévy, Arielle; Autmizguine, Julie; Gravel, Jocelyn

doi:10.1542/peds.2016-0573

Cited by 53 publications

(94 citation statements)

References 18 publications

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“…It would likely hasten the time taken to see, investigate and treat some infants who are suspected of having a urinary tract infection. Although not as successful as the previously described method of suprapubic stimulation in newborns which had a reported success rate of 49%,3 the ‘quick-wee’ method would be easier to introduce and would provide clinicians with a simple non-invasive technique with which they could attempt to collect a clean catch urine sample.…”

Section: Commentarymentioning

confidence: 84%

Quick-Wee is an effective technique for urine collection in infants

Ray

Forbes

2017

Arch Dis Child Educ Pract Ed

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Section: Commentarymentioning

confidence: 84%

Quick-Wee is an effective technique for urine collection in infants

Ray

Forbes

2017

Arch Dis Child Educ Pract Ed

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“…Herreros described a new bladder lumbar stimulation technique in neonates that showed low contamination rates among infants younger than 3 months old . Among infants younger than 6 months of age, a similar technique showed decrease in contamination rate from 49.2 to 27% and was as low as 16% . In another randomised controlled trial, suprapubic cutaneous stimulation with gauze soaked in cold fluid decreased contamination rates in infants younger than 1 year from 45 to 27%, although this was not statistically significant …”

Section: Discussionmentioning

confidence: 97%

Educational intervention does not reduce non‐invasive urine contamination rates in children presenting to the emergency department

Jacob

John‐Denny

Donaldson

et al. 2019

J Paediatrics Child Health

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Aim: Urinary tract infection is common in children with high contamination rates with non-invasive urine sampling (NIU). Our aims were to evaluate an educational tool for decreasing contamination rates and find factors associated with contamination. Methods: This was a prospective cohort interventional study with a review of microbiology data and medical records of all NIU specimens collected at a large tertiary children's emergency department (ED) over a 1-year period. The intervention was the provision of a urine collection kit and educational pamphlet and education of staff. NIU contamination was calculated for 6 months pre-intervention and 6 months post-intervention. The association of factors with NIU contamination was evaluated for all cohorts (age, gender, presence of diarrhoea, season, time of day, time to incubation and activity of the ED). Results: A total of 2104 NIU samples were included (median age 3 years, 52% females). There was no difference between periods in contamination rates (29.2% and 31.2%, respectively, P = 0.322). Collectively, high monthly activity of the department, age and female gender were associated with contamination. The highest contamination rates were among children aged 0-3 months and 12 years and older (38.1 and 48.9%, respectively). Conclusions: The urine collection kit and educational tool did not decrease NIU contamination rates in our ED. Contamination rates were correlated with the monthly activity of our department and female gender and were noticeably high among infants and adolescents. Given the high prevalence of urinary tract infection among these age groups, measures should be taken to reassess indications and methods for urine collection.

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“…Herreros et al. has described a fast, easy and reliable method, to obtain uncontaminated, clean‐catch urine samples from newborns infants, which has been validated by other authors . This technique was proven to be as reliable as catheterisation for a microbiological diagnosis of UTI , but the validity of such samples when using dipstick tests to screen for UTIs remains unknown.…”

Section: Introductionmentioning

confidence: 99%

“…The urine used for UTI screening in infants under 90 days of age is usually obtained through invasive methods, such as catheterisation or bladder taps (7-9), but these have been associated with complications and discomfort for the patient and the family. Herreros et al (10) has described a fast, easy and reliable method, to obtain uncontaminated, clean-catch urine samples from newborns infants, which has been validated by other authors (11,12). This technique was proven to be as reliable as catheterisation for a microbiological diagnosis of UTI (13), but the validity of such samples when using dipstick tests to screen for UTIs remains unknown.…”

Section: Introductionmentioning

confidence: 99%