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Related Experiment Videos

Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial.

Jonathan Kaufman1,2,3, Patrick Fitzpatrick1,2, Shidan Tosif1,2,3

  • 1Royal Children's Hospital, Parkville, Victoria, Australia.

BMJ (Clinical Research Ed.)
|April 9, 2017
PubMed
Summary

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The Quick-Wee method, a simple stimulation technique, significantly increases infant voiding rates for clean catch urine collection within five minutes. This method improves successful sample collection and satisfaction for parents and clinicians.

Area of Science:

  • Pediatrics
  • Urology
  • Clinical Trials

Background:

  • Collecting clean catch urine samples from infants can be challenging and time-consuming.
  • Standard methods often have low success rates and may require prolonged waiting periods.

Purpose of the Study:

  • To evaluate the efficacy of the Quick-Wee method, a simple suprapubic cutaneous stimulation technique, in increasing infant voiding for clean catch urine collection.
  • To compare the Quick-Wee method against standard clean catch urine collection without additional stimulation.

Main Methods:

  • A randomized controlled trial was conducted with 354 infants aged 1-12 months requiring urine samples.
  • Infants were randomized to either the Quick-Wee method (n=174) or standard clean catch urine collection (n=170).
  • The primary outcome was urine voiding within five minutes, with secondary outcomes including successful collection, contamination rates, and satisfaction.

Related Experiment Videos

Main Results:

  • The Quick-Wee method significantly increased voiding within five minutes (31% vs. 12%, P<0.001).
  • Successful urine sample collection rates were higher with Quick-Wee (30% vs. 9%, P<0.001), alongside greater parental and clinician satisfaction.
  • Contamination rates did not differ significantly between the groups (27% vs. 45%, P=0.29).

Conclusions:

  • The Quick-Wee method is a simple and effective technique for enhancing infant voiding and improving the success rate of clean catch urine collection within five minutes.
  • This method offers a practical solution for pediatric emergency departments seeking to expedite urine sample acquisition.
  • The study demonstrates a significant improvement in clinical efficiency and patient/clinician experience.