Low Contamination Rates in Bag Urine Samples Can Be Achieved
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 1
Abstract
Aims: Although international guidelines consider bag urine sample (BUS) as an unreliable way to collect urine in non-cooperative children suspected to have urinary tract infection (UTI), BUS is a commonly used method both in hospital and at home. Contamination of urine samples is believed to be a major problem of this technique. To assess the contamination rate of BUS in our clinical practice we reviewed our microbiological data of the last three years in young children investigated for UTI. Study Design: Retrospective study. Place and Duration of Study: Department of Pediatrics, G.B. Morgagni-L. Pierantoni Hospital, Forlì, Italy (2010-2012). Methodology: Microbiological records of BUS and clean catch urine (CCU), in infants younger than 36 months of age, were retrospectively reviewed. Trained nurses collected BUS according to a standardized procedure. We also reviewed the three-year microbiological records of CCU in children older than 36 months of age. Contamination of a urine sample was defined as the growth of multiple pathogens irrespective to CFU counts. Results: A total of 583 microbiological records were reviewed, 71% were BUS, 7% and 22% were CCU in children younger and older than 36 months of age respectively. In children younger than 36 months of age, contamination rates were comparable (P=.90) when urine was collected with BUS (16%) or with CCU (14%). In patients older than 36 months of age, contamination rates were significantly reduced (2.4%; P<.001) in CCU compared with both BUS and CCU in younger children. Conclusion: A good adherence to a standardized nursing procedure for bag urine collection could limit the risk of contamination of urine samples.
Authors and Affiliations
Giovanna La Fauci, Vittorio Venturoli, Enrico Valletta
Keywords
Related Articles
- EP ID EP348564
- DOI 10.9734/BJMMR/2014/5354
- Views 50
- Downloads 0
Stem Cell Therapy for Stroke, Recent Advances, Controversies and Literature Review
Stem cells based therapy has shown to improve stroke recovery in multiple animal models. Translating these findings into clinical research can result in a potential therapeutic option for stroke. At this moment multiple...
Effectiveness of the APACHE II Scoring System in an Intensive Care Unit: Results of a Prospective Study
Background: The high cost of intensive care unit (ICU) services and limitations in health resources can prompt managers to use predictive scoring systems. Objective: To evaluate the role of APACHE II as a scoring system...
Liver Protein and Enzymes in HIV Infected Pregnant and Non-pregnant Women on Antiretroviral Therapy
This in vivo study was carried out to investigate alterations in the levels of proteins and enzymes produced by the liver of HIV infected pregnant women and HIV infected non pregnant women under different antiretroviral...
The Rabbit Model of Femoral Bone Defects: Steps to Overcome Potential Pitfalls
Aims: To identify the potential pitfalls and indicate procedures to prevent them, during the evaluation of biomaterials for orthopaedic and craniofacial research in the New Zealand White (NZW) rabbit animal model of femo...
Prevalence of ACS and Causal Relation of Hypomagnesaemia
Magnesium is an important intracellular cation [1], actually the second most abundant cation after Potassium, which has gained an essential role in normal human homeostasis. Low serum magnesium has been detected commonly...