In a recent RCT we could show that cold water suprapubic stimulation in infants increased 5 min voiding from 12% to 31%.
Royal Children's Hospital
Kaufman J1,2,3, Fitzpatrick P1,2, Tosif S1,2,3, Hopper SM1,2, Donath SM2,3, Bryant PA1,2,3, Babl FE4,2,3.
Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial.
BMJ. 2017 Apr 7;357:j1341. doi: 10.1136/bmj.j1341.
Objective To determine if a simple stimulation method increases the rate of infant voiding for clean catch urine within five minutes.Design Randomised controlled trial.Setting Emergency department of a tertiary paediatric hospital, Australia.Participants 354 infants (aged 1-12 months) requiring urine sample collection as determined by the treating clinician. 10 infants were subsequently excluded.Interventions Infants were randomised to either gentle suprapubic cutaneous stimulation (n=174) using gauze soaked in cold fluid (the Quick-Wee method) or standard clean catch urine with no additional stimulation (n=170), for five minutes.Main outcome measures The primary outcome was voiding of urine within five minutes. Secondary outcomes were successful collection of a urine sample, contamination rate, and parental and clinician satisfaction with the method.Results The Quick-Wee method resulted in a significantly higher rate of voiding within five minutes compared with standard clean catch urine (31% v 12%, P<0.001), difference in proportions 19% favouring Quick-Wee (95% confidence interval for difference 11% to 28%). Quick-Wee had a higher rate of successful urine sample collection (30% v 9%, P<0.001) and greater parental and clinician satisfaction (median 2 v 3 on a 5 point Likert scale, P<0.001). The difference in contamination between Quick-Wee and standard clean catch urine was not significant (27% v 45%, P=0.29). The number needed to treat was 4.7 (95% confidence interval 3.4 to 7.7) to successfully collect one additional urine sample within five minutes using Quick-Wee compared with standard clean catch urine.Conclusions Quick-Wee is a simple cutaneous stimulation method that significantly increases the five minute voiding and success rate of clean catch urine collection.Trial registration Australian New Zealand Clinical Trials Registry ACTRN12615000754549.
Obtaining a clean catch urine sample from a baby. [BMJ. 2017
From: Pediatric Emergency Medicine Discussion List [mailto:[log in to unmask]] On Behalf Of Leah Finkel
Sent: Friday, 5 January 2018 4:57 AM
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> Hi all,
> Wondering if any of you would be willing share techniques for getting non toilet trained children to give urine? Waiting for urine really seems to be affecting our flow and was hoping for some tips.
> Is it worthwhile to teach nursing staff some of the techniques for getting infants to pee such as percussion of the lower back and cool cloths over the suprapubic area? Do you bladder scan them first? Do you do a bag specimen and if dirty then cath or do you usually go right to cath?
> Much thanks!
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