Bladder Stimulation for Clean Catch Urine Collection: Improved Parent and Provider Satisfaction.

Area of Science:

• Pediatric Emergency Medicine
• Urology
• Clinical Practice Implementation

Background:

• Clean catch urine (CCU) collection in infants is crucial for diagnosing urinary tract infections.
• Traditional methods like urethral catheterization can be invasive and cause distress.
• Previous studies suggest fluid intake combined with massage aids CCU collection.

Purpose of the Study:

• To investigate the acceptability and feasibility of integrating bladder stimulation technique (BST) into routine pediatric emergency department (PED) care for CCU collection.
• To compare BST with urethral catheterization regarding success rates, contamination, patient distress, and satisfaction.

Main Methods:

• Prospective cohort study involving infants under 6 months requiring urinalysis/urine culture.
• Standardized training for nurses and technicians on BST.
• Comparison of BST outcomes (success, contamination, distress, satisfaction) with urethral catheterization.

Main Results:

• BST was successful in 38% of cases, with higher success rates in infants <90 days old.
• No significant difference in urinary tract infection rates between BST (2%) and catheterization (7%).
• BST resulted in significantly less patient discomfort (2/10 vs 6/10) and higher parent (98% vs 58%) and provider (98%) satisfaction.

Conclusions:

• Bladder stimulation technique (BST) for CCU collection is a well-tolerated and well-received approach.
• BST can be easily implemented into clinical practice with minimal training.
• BST offers a less distressing and more satisfactory alternative to catheterization for infant urine collection.