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Urine Collection Methods in Children: Which is the Best?

Olivia Windham May1

  • 1Capstone College of Nursing, The University of Alabama, PO Box 870358, Tuscaloosa, AL 35487, USA.

The Nursing Clinics of North America
|May 22, 2018
PubMed

Insights

Urinary tract infections are common in young children. Invasive urine collection methods like suprapubic aspiration and urethral catheterization reduce specimen contamination risk, guiding provider decisions based on clinical factors.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Urology

Background:

  • Urinary tract infections (UTIs) represent a significant bacterial infection burden in infants and young children.
  • Accurate diagnosis hinges on obtaining uncontaminated urine specimens.

Purpose of the Study:

  • To review common urine sample collection methods for infants and young children.
  • To discuss the implications of each method on specimen contamination and clinical decision-making.

Main Methods:

  • The study reviews five common urine collection techniques: suprapubic aspiration, urethral catheterization, clean catch void, urine collection bag, and urine collection pad.
  • Compares the invasiveness and contamination rates associated with each method.

Main Results:

  • Invasive methods, specifically suprapubic aspiration and urethral catheterization, demonstrate a lower likelihood of specimen contamination.
  • Non-invasive methods carry a higher risk of sample contamination, potentially impacting diagnostic accuracy.

Conclusions:

  • The choice of urine collection method requires careful consideration of the child's clinical presentation, history, and a risk-benefit analysis.
  • Optimizing urine sample collection is crucial for the accurate diagnosis and management of UTIs in pediatric populations.

Keywords:
ChildrenPediatricsUrinalysisUrinary tract infectionUrine collection

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