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Pain experienced by infants and toddlers at urine collection bag removal: A randomized, controlled, clinical trial

Charles Lamy1, Valérie Loizeau2, Catherine Couquet1

  • 1CHU de Limoges, Hôpital de la mère et de l'enfant, Département de pédiatrie, 8 Avenue Dominique Larrey 87000 Limoges, France.

International Journal of Nursing Studies
|April 15, 2019
PubMed

Insights

Urine collection bag removal causes pain in young children. An oleo-calcareous liniment did not reduce this pain during urine specimen collection in pediatric patients.

Area of Science:

  • Pediatric Emergency Medicine
  • Pain Management
  • Urology

Background:

  • Urine collection bags are commonly used for pediatric urine specimen collection.
  • Guidelines often recommend collection bags for UTI screening due to perceived ease and reduced pain.
  • Clinical experience suggests bag removal can be a painful procedure for young children.

Purpose of the Study:

  • To evaluate if an oleo-calcareous liniment reduces acute pain during urine collection bag removal in pre-continent children.
  • To investigate a potential non-pharmacological intervention for pain associated with urine sample collection.

Main Methods:

  • Prospective, randomized, controlled, single-blind study in pediatric emergency departments.
  • Included pre-continent children aged 0-36 months requiring urine testing.
  • Pain during bag removal was assessed using the FLACC scale, with video recording and blinded evaluators.

Main Results:

  • 135 children were analyzed (70 intervention, 65 control).
  • No significant difference in median FLACC pain scores between the liniment group (4.0) and control group (4.0).
  • Moderate to severe pain (FLACC ≥4) was observed in 56% of patients.

Conclusions:

  • Urine collection bag removal induces moderate to severe pain in approximately half of young children.
  • Oleo-calcareous liniment application did not effectively reduce pain associated with urine collection bag removal.
  • Alternative methods for less painful urine specimen collection in pediatrics may be warranted.
Abstract

Keywords:
Bag collectionPainPrecontinent childrenUrinary tract infectionUrineanalysis

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