Use of portable ultrasound to assist urine collection by suprapubic aspiration

Gochman, Robert F.; Karasic, Raymond B.; Heller, Michael

doi:10.1016/s0196-0644(05)82381-9

Cited by 71 publications

(24 citation statements)

References 14 publications

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“…In the previous technical report, SPA was reported to have success rates ranging from 23% to 90%, 22-24 although higher success rates have been achieved when SPA is conducted under ultrasonographic guidance. 25,26 SPA is considered more invasive than catheterization and, in RCTs from 2006 27 and 2010, 28 pain scores associated with SPA were significantly higher than those associated with catheterization. This result was found for both boys and girls.…”

Section: Obtaining a Urine Samplementioning

confidence: 97%

Diagnosis and Management of an Initial UTI in Febrile Infants and Young Children

Finnell¹,

Carroll²,

Downs³

2011

Pediatrics

176

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OBJECTIVES: The diagnosis and management of urinary tract infections (UTIs) in young children are clinically challenging. This report was developed to inform the revised, evidence-based, clinical guideline regarding the diagnosis and management of initial UTIs in febrile infants and young children, 2 to 24 months of age, from the American Academy of Pediatrics Subcommittee on Urinary Tract Infection. METHODS: The conceptual model presented in the 1999 technical report was updated after a comprehensive review of published literature. Studies with potentially new information or with evidence that reinforced the 1999 technical report were retained. Meta-analyses on the effectiveness of antimicrobial prophylaxis to prevent recurrent UTI were performed. RESULTS: Review of recent literature revealed new evidence in the following areas. Certain clinical findings and new urinalysis methods can help clinicians identify febrile children at very low risk of UTI. Oral antimicrobial therapy is as effective as parenteral therapy in treating UTI. Data from published, randomized controlled trials do not support antimicrobial prophylaxis to prevent febrile UTI when vesicoureteral reflux is found through voiding cystourethrography. Ultrasonography of the urinary tract after the first UTI has poor sensitivity. Early antimicrobial treatment may decrease the risk of renal damage from UTI. CONCLUSIONS: Recent literature agrees with most of the evidence presented in the 1999 technical report, but meta-analyses of data from recent, randomized controlled trials do not support antimicrobial prophylaxis to prevent febrile UTI. This finding argues against voiding cystourethrography after the first UTI.

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Section: Obtaining a Urine Samplementioning

confidence: 97%

Diagnosis and Management of an Initial UTI in Febrile Infants and Young Children

Finnell¹,

Carroll²,

Downs³

2011

Pediatrics

176

View full text Add to dashboard Cite

show abstract

“…[6][7][8] When ultrasonographic guidance is used, success rates improve. 9,10 The technique has limited risks, but technical expertise and experience are required, and many parents and physicians perceive the procedure as unacceptably invasive, compared with catheterization. However, there may be no acceptable alternative to SPA for boys with moderate or severe phimosis or girls with tight labial adhesions.…”

Section: Diagnosis Action Statementmentioning

confidence: 99%

Urinary Tract Infection: Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children 2 to 24 Months

Roberts¹

2011

Pediatrics

1,357

634

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OBJECTIVE: To revise the American Academy of Pediatrics practice parameter regarding the diagnosis and management of initial urinary tract infections (UTIs) in febrile infants and young children. METHODS:Analysis of the medical literature published since the last version of the guideline was supplemented by analysis of data provided by authors of recent publications. The strength of evidence supporting each recommendation and the strength of the recommendation were assessed and graded.

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“…The use of point‐of‐care US in emergency departments (EDs) has increased since the 1980s, with the technique becoming one of the core competencies of emergency medicine (EM) residency training . The literature demonstrates that point‐of‐care US use can decrease costs, reduce the need for additional diagnostic testing, improve patient throughput and the length of stay, increase the success rate of invasive procedures and decrease the rate of complications, improve patient satisfaction, and reduce the need for further imaging with ionizing radiation . The use of US also has the potential to improve safety and efficiency of care in pediatric EDs, as supported by the American College of Emergency Physicians …”

mentioning

confidence: 99%

Use and Education of Point‐of‐Care Ultrasound in Pediatric Emergency Medicine in Saudi Arabia

Alzayedi

Azizalrahman

Almadi

et al. 2017

J of Ultrasound Medicine

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Use of portable ultrasound to assist urine collection by suprapubic aspiration

Cited by 71 publications

References 14 publications

Diagnosis and Management of an Initial UTI in Febrile Infants and Young Children

Diagnosis and Management of an Initial UTI in Febrile Infants and Young Children

Urinary Tract Infection: Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children 2 to 24 Months

Use and Education of Point‐of‐Care Ultrasound in Pediatric Emergency Medicine in Saudi Arabia

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