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How to… collect urine samples from young children

Jonathan Kaufman1,2,3

  • 1Department of General Practice Faculty of Medicine, Dentistry & Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.

Archives of Disease in Childhood. Education and Practice Edition
|August 25, 2019
PubMed

Insights

Collecting urine samples from young children for infection diagnosis is challenging. This review compares non-invasive, stimulation, and invasive methods, detailing procedures and contamination reduction strategies for pediatric urine collection.

Area of Science:

  • Pediatric Medicine
  • Clinical Diagnostics
  • Urology

Background:

  • Urine sample collection is crucial for diagnosing urinary tract infections in children.
  • Obtaining uncontaminated urine samples from precontinent children presents significant challenges.

Purpose of the Study:

  • To review and compare various pediatric urine collection methods.
  • To provide guidance on optimizing success rates and minimizing contamination during urine collection in children.

Main Methods:

  • Review of non-invasive methods (urine pads, bags, clean catch).
  • Evaluation of voiding stimulation techniques (bladder-lumbar stimulation, Quick-Wee).
  • Analysis of invasive methods (catheterization, suprapubic aspiration).

Main Results:

  • Non-invasive methods are convenient but prone to contamination and time-consuming.
  • Voiding stimulation can speed up clean catch collection.
  • Invasive methods offer higher reliability but require expertise and cause discomfort.

Conclusions:

  • Each urine collection method for children has distinct advantages and limitations.
  • Understanding these methods is key to successful and minimally invasive pediatric urine sample collection.
  • Strategies exist to improve success and reduce contamination across all collection types.

Keywords:
general paediatricsvoiding stimulation

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