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Midstream clean-catch urine collection in newborns: a randomized controlled study
Nilgun Altuntas1, Asli Celebi Tayfur, Mesut Kocak
1Department of Pediatrics, Division of Neonatology, Kecioren Training and Research Hospital, Pınarbaşı Mah. Sanatoryum Cad. Ardahan Sok. No: 25, 06380, Kecioren, Ankara, Turkey, nilgunaltuntas@hotmail.com.
European Journal of Pediatrics
|October 17, 2014
Summary
A new technique using bladder stimulation and lumbar massage significantly improves urine sample collection in newborns. This method is faster and more effective than traditional approaches, with similar contamination rates.
Area of Science:
- Neonatal care
- Urology
- Pediatric diagnostics
Background:
- Collecting midstream clean-catch urine samples from newborns can be challenging.
- Existing methods may be time-consuming and have variable success rates.
Purpose of the Study:
- To evaluate a novel technique for obtaining midstream clean-catch urine samples in newborns.
- The technique involves bladder stimulation and paravertebral lumbar massage.
Main Methods:
- 127 term newborns were randomized into an experimental group (bladder stimulation and massage) and a control group.
- Urine sample collection success was defined as obtaining a sample within 5 minutes.
- Genital and perineal areas were cleaned prior to the procedure.
Main Results:
- The experimental group showed a significantly higher success rate (78%) compared to the control group (33%).
- Median collection time was significantly shorter in the experimental group (60 seconds) versus the control group (300 seconds).
- Contamination rates were comparable between both groups.
Conclusions:
- Bladder stimulation and lumbar paravertebral massage offer a safe, rapid, and effective method for collecting urine samples in newborns.
- This technique enhances the efficiency of neonatal urine sample collection.
