G. Pratap1, M. Yogi2, C. H. Vijayraj3
INTRODUCTION
Clean urine samples are necessary to accurately diagnose several diseases in new-borns, especially Urinary Tract Infections (UTIs). A wide range of clinical interventions for urine collection is described in the literature including non-invasive and invasive methods. The most common non-invasive technique is urine collection using sterile bags, which is associated with significant patient discomfort and contamination of samples. Obtaining a clean-catch urine sample is the recommended method for urine collection in children able to co-operate. However, in children lacking sphincter control, urine catch is more difficult and time-consuming and invasive methods (catheterization and needle aspiration of urine from the bladder) are sometimes needed. There are some stimulation techniques that facilitate emptying of the bladder in situations of bladder dysfunction. We hypothesized that the use of such methods in new-borns could facilitate the collection of a clean-catch urine sample. The aim of this study was to determine the success rate and safety of a new non-invasive technique to obtain clean-catch urine samples in newborns.
AIM
To describe and test a new technique to obtain midstream urine samples in newborns.
MATERIALS AND METHODS
This was a prospective, feasible and safety study conducted in Mahatma Gandhi Memorial Hospital, Warangal, (A secondary centre with a 20-bed neonatal unit, a 130-beded pediatric ward). This study was carried out over 7 months (January-July 2015). Patients consisted of 100 consecutively admitted infants aged less than 30 days who needed a urine analysis according to their attending physician.
RESULTS
This technique was successful in 72% of newborns. Mean time to sample collection was 56.99 Sec. No complications other than controlled crying were observed.
CONCLUSION
A new, quick and safe technique with a high success rate is described, whereby the discomfort and waste of time usually associated with bag collection methods can be avoided.
