The Journal of Pediatrics
Volume 154, Issue 6 , Pages 803-806 , June 2009

Moving from Bag to Catheter for Urine Collection in Non-Toilet-Trained Children Suspected of Having Urinary Tract Infection: A Paired Comparison of Urine Cultures

  • Cécile Etoubleau, MD

      Affiliations

    • Department of Pediatrics, Limoges University Hospital, Hôpital de la Mère et de l'Enfant, Limoges, France
    • Contributed equally to the article.
    • ,
  • Marianne Reveret, MD

      Affiliations

    • Department of Pediatrics, Limoges University Hospital, Hôpital de la Mère et de l'Enfant, Limoges, France
    • Contributed equally to the article.
    • ,
  • Delphine Brouet, MD

      Affiliations

    • Department of Pediatrics, Limoges University Hospital, Hôpital de la Mère et de l'Enfant, Limoges, France
    • ,
  • Isabelle Badier, MD

      Affiliations

    • Department of Pediatrics, Hôpital Intercommunal, Poissy, France
    • ,
  • Philippe Brosset, MD

      Affiliations

    • Department of Pediatrics, Limoges University Hospital, Hôpital de la Mère et de l'Enfant, Limoges, France
    • Comité de l' HME pour la Recherche Clinigue, CHREC
    • ,
  • Laurent Fourcade, MD, PhD

      Affiliations

    • Department of Pediatrics, Limoges University Hospital, Hôpital de la Mère et de l'Enfant, Limoges, France
    • Comité de l' HME pour la Recherche Clinigue, CHREC
    • ,
  • Claire Bahans

      Affiliations

    • Department of Pediatrics, Limoges University Hospital, Hôpital de la Mère et de l'Enfant, Limoges, France
    • Comité de l' HME pour la Recherche Clinigue, CHREC
    • ,
  • Fabien Garnier, Pharm D, PhD

      Affiliations

    • Department of Microbiology, Limoges University Hospital, Hôpital Dupuytren, Limoges, France
    • ,
  • Philippe Blanc, MD

      Affiliations

    • Department of Pediatrics, Hôpital Intercommunal, Poissy, France
    • ,
  • Vincent Guigonis, MD

      Affiliations

    • Department of Pediatrics, Limoges University Hospital, Hôpital de la Mère et de l'Enfant, Limoges, France
    • Comité de l' HME pour la Recherche Clinigue, CHREC
    • Corresponding Author InformationReprint requests: Dr Vincent Guigonis, Département de Pédiatrie, Hôpital de la Mère et de l'Enfant, 8 Ave D Larrey, 87000 Limoges, France

Received 27 June 2008 ,Revised 18 November 2008 ,Accepted 7 January 2009.

References 

  1. Hoberman A, Wald ER. Urinary tract infections in young febrile children. Pediatr Infect Dis J. 1997;16:11–17
  2. Jenner R, Afzalnia S. Best evidence topic report (Clean catch or bag specimen in UTI in non toilet trained children?). Emerg Med J. 2006;23:219–220
  3. American Academy of Pediatrics. Committee on Quality Improvement. Subcommittee on Urinary Tract Infection. Practice parameter: the diagnosis, treatment, and evaluation of the initial urinary tract infection in febrile infants and young children. Pediatrics. 1999;103:843–852
  4. AFSSAPS. Diagnostic et antibiotherapie des infections urinaires bacteriennes communautaires du nourrisson et de l'enfant. 2007;http://agmed.sante.gouv.fr/pdf/5/rbp/antibiotherapie-infections-urinaire-nourisson-argu.pdfAccessed 2009 Feb 11
  5. Hansson S, Bollgren I, Esbjorner E, Jakobsson B, Marild S The Swedish Pediatric Nephrology Association. Urinary tract infections in children below two years of age: a quality assurance project in Sweden. Acta Paediatr. 1999;88:270–274
  6. Verrier-Jones K, Hockley B, Scrivener R, Pollock J. Diagnosis and management of urinary tract infections in children under two years: assessment of practice against published guidelines. London: Royal College of Paediatrics and Child Health; 2001;
  7. Pollack CV, Pollack ES, Andrew ME. Suprapubic bladder aspiration versus urethral catheterization in ill infants: success, efficiency and complication rates. Ann Emerg Med. 1994;23:225–230
  8. Munir V, Barnett P, South M. Does the use of volumetric bladder ultrasound improve the success rate of suprapubic aspiration of urine?. Pediatr Emerg Care. 2002;18:346–349
  9. Kozer E, Rosenbloom E, Goldman D, Lavy G, Rosenfeld N, Goldman M. Pain in infants who are younger than 2 months during suprapubic aspiration and transurethral bladder catheterization: a randomized, controlled study. Pediatrics. 2006;118:e51–e56
  10. Al-Orifi F, McGillivray D, Tange S, Kramer MS. Urine culture from bag specimens in young children: are the risks too high?. J Pediatr. 2000;137:221–226
  11. McGillivray D, Mok E, Mulrooney E, Kramer MS. A head-to-head comparison: “clean-void” bag versus catheter urinalysis in the diagnosis of urinary tract infection in young children. J Pediatr. 2005;147:451–456
  12. Bag urine specimens still not appropriate in diagnosing urinary tract infections in infants. Can J Infect Dis Med Microbiol. 2004;15:210–211
  13. Schroeder AR, Newman TB, Wasserman RC, Finch SA, Pantell RH. Choice of urine collection methods for the diagnosis of urinary tract infection in young, febrile infants. Arch Pediatr Adolesc Med. 2005;159:915–922
  14. Urinary tract infection in children: NICE guideline. 2007;http://www.nice.org.uk/nicemedia/pdf/UTICConsultationFull%20guideline1006.pdfAccessed 2009 Feb 11
  15. Lau AY, Wong SN, Yip KT, Fong KW, Li SP, Que TL. A comparative study on bacterial cultures of urine samples obtained by clean-void technique versus urethral catheterization. Acta Paediatr. 2007;96:432–436
  16. Braude H, Forfar JO, Gould JC, McLeod JW. Diagnosis of urinary tract infection in childhood based on examination of paired non-catheter and catheter specimens of urine. BMJ. 1967;4:702–705
  17. Martin Puerto MJ, Cela de Julian ME, Mendoza Soto A, Sanchez del Pozo J, Ramos Amador JT. Perineal bag versus urethral catheterization of suprapubic aspiration for the diagnosis of urinary tract infections in infants in emergency units. An Esp Pediatr. 1999;50:447–450
  18. Chen L, Hsiao AL, Moore CL, Dziura JD, Santucci KA. Utility of bedside bladder ultrasound before urethral catheterization in young children. Pediatrics. 2005;115:108–111

 The authors declare no conflict of interest.

PII: S0022-3476(09)00010-9

doi: 10.1016/j.jpeds.2009.01.008

The Journal of Pediatrics
Volume 154, Issue 6 , Pages 803-806 , June 2009

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