Obtain clean catch UA in infants quickly

September 16, 2016

Short Attention Span Summary

Infant UA on demand?
I have been christened by all my children while changing diapers and have determined (via rigorous scientific methods) the probability of spontaneous infant urination is inversely correlated with the frumpiness of my clothing.  I thought the way to make them urinate on demand was to simply wear a nice sport coat or suit.  But these Aussie authors have proven me wrong.  Using saline soaked gauze stimulation to the suprapubic area, 30% of infants voided, allowing a clean catch UA.  This method is deemed Quick-Wee by the authors – a novel method to obtain urine in precontinent kids.  This caution, I don’t think it can’t replace sterile catheter for the sepsis workup if the urine is captured in a bag applied to the perineum.  This article’s title is only beaten by: If you twinkle when you tinkle, stones are found on ultrasound. 

Spoon Feed
Why wait for urine?  Obtain it Quick-Wee in infants.

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Abstract

Emerg Med J. 2016 Aug 26. pii: emermed-2016-206000. doi: 10.1136/emermed-2016-206000. [Epub ahead of print]

Quick-Wee: a novel non-invasive urine collection method.

Kaufman J1, Tosif S2, Fitzpatrick P3, Hopper SM3, Bryant PA2, Donath SM4, Babl FE1.

Author information:

1Emergency Department, Royal Children’s Hospital, Melbourne, Victoria, Australia Murdoch Childrens Research Institute, Melbourne, Victoria, Australia Faculty of Medicine Dentistry and Health Sciences, Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.

2Murdoch Childrens Research Institute, Melbourne, Victoria, Australia Faculty of Medicine Dentistry and Health Sciences, Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia Department of General Medicine, Royal Children’s Hospital, Melbourne, Victoria, Australia.

3Emergency Department, Royal Children’s Hospital, Melbourne, Victoria, Australia Murdoch Childrens Research Institute, Melbourne, Victoria, Australia.

4Murdoch Childrens Research Institute, Melbourne, Victoria, Australia Clinical Epidemiology and Biostatistics Unit, Murdoch Children’s Research Institute, Melbourne, Victoria, Australia.

Abstract

BACKGROUND:

Clean catch urine (CCU) collection in precontinent children is often time-consuming, with associated collection failure. We hypothesise that stimulating cutaneous reflexes hastens voiding for CCU.

METHODS:

40 children aged 1-24 months in the ED. Standard CCU was augmented with gentle suprapubic cutaneous stimulation using saline-soaked gauze (Quick-Wee method).

RESULTS:

12/40 (30%) children voided within 5 min for successful CCU. Parental and clinician satisfaction was high.

CONCLUSIONS:

Quick-Wee appears to be a simple method to speed CCU in young children.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go tohttp://www.bmj.com/company/products-services/rights-and-licensing/

PMID: 27565196 [PubMed – as supplied by publisher]