A Comparison of Bladder Catheterization and Suprapubic Aspiration Methods for Urine Sample Collection From Infants With a Suspected Urinary Tract Infection

2016 ◽  
Vol 55 (9) ◽  
pp. 819-824 ◽  
Author(s):  
Kayi Eliacik ◽  
Ali Kanik ◽  
Onder Yavascan ◽  
Caner Alparslan ◽  
Cemil Kocyigit ◽  
...  
Author(s):  
Rini Riyanti ◽  
Prihatini Prihatini ◽  
M.Y Probohoesodo

Urinary tract infection diagnosis is based on urine culture, taken from a midstream collection in the morning. Obtaining samplesin this manner is difficult in children less than 3 years. In children less than 3 years, urine is obtained by urine collectors. Using urinecollectors may cause discomfort, and the possibility that the urine collectors may not adhere resulting in contamination. (1) Developinga practical method for urine sample collection. (2) Comparing culture from diapers and urine collectors samples. (3) Knowing the limittime for using diapers acceptable for urine culture. Urine samples were obtained from 20 children less than 3 years, using urine collectorsand diapers used for 1 hour, 2 hours and 3 hours and then cultured. Majority of the urine culture from diapers used for 1 hour and 2hours showed the same result with the urine culture from urine collectors. Contamination was found in the urine culture result fromdiapers used for 3 hours. Urine samples from diapers used for 1 hour and 2 hours can be used as samples for urine culture. The techniqueis easy and can be done in children less than 3 years.


2019 ◽  
Vol 23 ◽  
Author(s):  
Myria Ribeiro da Silva ◽  
Irene Maurício Cazorla ◽  
João Luís Almeida da Silva ◽  
Talita Hevilyn Ramos da Cruz Almeida ◽  
Patrícia Peres deOliveira ◽  
...  

2016 ◽  
Vol 33 (2) ◽  
pp. 127-132 ◽  
Author(s):  
Christopher C Butler ◽  
Kathryn O’Brien ◽  
Mandy Wootton ◽  
Timothy Pickles ◽  
Kerenza Hood ◽  
...  

2018 ◽  
Vol 1 (1) ◽  
pp. e21-e27
Author(s):  
Omar Al-Mula Abed ◽  
Shaun Trecarten ◽  
Shahid Islam ◽  
Ananda Kumar Dhanasekaran

Objectives To assess the incidence of bacteriuria and urinary tract infection following use of Endosheath®, and to assess patient comfort and satisfaction post-procedure.  Patients and Methods One hundred thirty-five patients undergoing Endosheath® flexible cystoscopy (FC) were prospectively identified. Patients were excluded if pre-procedure urinalysis or symptoms suggested infection. Those who underwent FC were asked to provide a urine sample 72 hours post-procedure, assessing for bacterial culture and sensitivity. Patients completed a questionnaire assessing comfort, pain and whether they would recommend the procedure to others if required.  Results Of the 135 patients, 117 patients returned their post-procedure samples and processed. Thirteen (11.1%) of the urine cultures samples were positive. Four (3.4%) of this 13 patients had symptoms of urinary tract infection (UTI) and were treated with antibiotics. One hundred and seven (79%) patients found the procedure comfortable and 104 (77%) patients would recommend the procedure to others.  Conclusions Flexible Cystoscopy utilising Endosheath® appears to have comparable incidence of bacteriuria and UTI post procedure compared with standard FC, and is well tolerated by most patients.


2021 ◽  
Vol 8 (6) ◽  
pp. 993
Author(s):  
Sandeep N. Wathore ◽  
Poonam Wade

Background: Urinary tract infection (UTI) is represented as one of the most common disease encountered in medical practice today, occurring from neonate to geriatric age group. It is an important cause of morbidity in children and affects up to 10% of the childhood population.Methods: After properly cleaning ano-genital area, in infants and young children up to 3 years of age, urine sample was collected in proper aseptic way. Midstream urine sample were collected from children older than 3 years in a sterile container. Isolation of bacteria was done on blood agar and MacConkey agar using semi quantitative methods. Antibiotic sensitivity test was carried out by disc diffusion method using Mueller-Hinton (MH) agar.Results: Over a study period of eighteen months, one hundred eighty diagnosed cases of culture positive UTI were recruited in our study. It was found that UTI was more commonly seen in females than males with male to female ratio of 0.8:1. It was more commonly seen in children with age group from one month to one year of age and least commonly seen in children’s above 4 years of age. Most commonly isolated microorganism on urine culture was Escherichia Coli (86.7%), followed by Klebsiella pneumonae (11.7%). Maximum sensitivity was to nitrofurantoin (95%) as oral antibiotics and to meropenem (97.8%) for intravenous use. Ampicillin and cefotaxime were the least sensitive antibiotics.Conclusions: E. coli was the most common uropathogen for UTI. Nitrofurantoin and meropenam were the antibiotics with maximum sensitivity.


2021 ◽  
Vol 7 (4) ◽  
pp. 205-211
Author(s):  
Mahishma K ◽  
Anil Kumar K

To determine the prevalence of urinary tract infection in febrile children, less than 5 years of age. To assess the validity of microscopic urine analysis and urine culture in the diagnosis of urinary tract infection.Prospective study. Children attending   the department of paediatrics, Dr.V.R.K. Women’s Medical College, Teaching Hospital & Research Centre, with febrile illness during June 2019-June 2020.370 children between 1 month to 5 years of age.Data related to age, sex, nutritional status, socioeconomic status and predisposing risk factors like urethral instrumentation, bowel habits etc, were noted. A thorough physical examination with relevant investigations were carried out in all these patients. Routine urinary microscopy was done in all patients and urine culture was done in those who showed pyuria of >5 pus cells/HPF in centrifuged urine sample.In our study, overall prevalence of UTI was 3.5% in children between 1 month to 5 yrs and 4.1% in children <2yrs and 7% in Children <1 year of age with M:F ratio of 1:1in children <2yrs. Prevalence of culture positivity was 44% in those who showed >10 pus cells/HPF in centrifuged sample of urine and 2.5% in those who showed >5pus cells/HPF.The presence of obvious source of fever such as upper respiratory tract infection or otitis media is not reliable in excluding urinary tract infection. Overall prevalence of UTI in our study was low (3.5%) and prevalence among children <2yrs was 4.1% and <1 year of age was 7%. Pyuria of >5pus cells/HPF (centrifuged urine sample) should be considered as significant and further evaluation should be done to initiate prompt treatment.


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