Does Suprapubic Stimulation in Infants Facilitate Collection of a Clean Catch Urine Specimen?

Shannon Hall-Million1, Patricia Kunz Howard

  • 1Makenna David Pediatric Emergency Department, University of Kentucky Chandler Hospital, Lexington (Dr Hall-Million); University of Kentucky College of Nursing, Lexington (Dr Hall-Million); and Emergency Services, University of Kentucky HealthCare, Lexington (Dr Howard).

Insights

The Quick Wee method significantly increases spontaneous infant voiding for clean catch urine collection within five minutes. This faster, non-invasive technique improves patient and provider satisfaction in pediatric emergency care.

Area of Science:

  • Pediatric Emergency Medicine
  • Nursing Practice
  • Clinical Trials

Background:

  • Accurate urine specimen collection is crucial for diagnosing infections in infants.
  • Traditional clean catch urine collection methods can be invasive and time-consuming.
  • The advanced practice nurse (APN) plays a key role in implementing evidence-based practices.

Observation:

  • A randomized controlled trial evaluated the Quick Wee method for infant clean catch urine collection.
  • The study involved 344 infants aged 1-12 months in an emergency department setting.
  • Key variables included time to specimen collection and satisfaction levels.

Findings:

  • Infants in the Quick Wee group voided spontaneously more often within five minutes compared to the usual care group.
  • The Quick Wee procedure successfully obtained clean catch urine specimens without invasive methods.
  • Both patient and provider satisfaction were higher with the Quick Wee method.

Implications:

  • The Quick Wee method offers a faster, non-invasive alternative for obtaining infant urine samples.
  • APNs can effectively integrate this evidence-based practice to improve pediatric care.
  • This approach reduces the need for invasive procedures, enhancing patient comfort and care efficiency.

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