When obtaining a urine sample for specific gravity, ketones, blood, etc,
bagging is perfectly fine. When looking for nitrites/leuks and/or obtaining
a culture, bagging is never acceptable. Even if the perfect prep of the area
is done with povidone-iodine, the bactericidal action of the prep would
render a culture virtually useless.
My .02 cents,
Steve Taylor, RN, CEN
Children's Hospital of Philadelphia
----- Original Message -----
From: "David B. Toth" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, September 06, 2000 4:52 AM
Subject: Urine samples in children
> What is the current, unemotional wisdom regarding the method of obtaining
> urine sample in children?
> Specifically, when would "bagging" be OK? Is it EVER OK?
> Do you really have to cath every child you suspect as having a UTI ???
> case in point was a male child with fever that we bagged - mother was not
> keen about a cath sample, and we were not going to start calling her names
> over it. Our pediatrics person is livid that I didn't cath this child (age
> about 10 months) despite the fact that we prepped the perineum.
> I did make sure that a C&S was done despite the fact that the sample
> Help me fight local dogma with reasonable facts/analysis. Don't get me
> wrong, I do do my share of caths.
> David B. Toth, MD mailto:[log in to unmask]
> Dept. of Emergency Medicine
> Div. of Hyperbaric Medicine
> Lima Memorial Hospital, "Seek not every quality in one individual"
> Lima, Ohio - Confucius
> For more information, send mail to [log in to unmask] with the
message: info PED-EM-L
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