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[Suprapubic bladder aspiration. Utility and complication]

M T García Muñoz1, J M Cerezo Pancorbo, G Martínez Bastida

  • 1Servicio de Pediatría, Hospital Valle del Nalón, Langreo, Asturias.

Anales Espanoles De Pediatria
|October 1, 1996
PubMed
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Suprapubic bladder aspiration (SBA) is a reliable method for diagnosing urinary tract infections (UTIs) in children, with minimal complications. However, its use requires a more cautious approach in newborns.

Area of Science:

  • Pediatrics
  • Urology
  • Infectious Diseases

Background:

  • Urinary tract infections (UTIs) are common in children.
  • Accurate diagnosis is crucial for effective treatment and preventing complications.
  • Suprapubic bladder aspiration (SBA) is a method for obtaining sterile urine samples.

Purpose of the Study:

  • To evaluate the diagnostic utility of SBA for pediatric UTIs.
  • To identify and document complications associated with SBA.
  • To review existing literature on SBA-related complications.

Main Methods:

  • Retrospective review of 668 SBAs performed on 642 children (neonate to 5 years) over 3 years.
  • Urine culture positive defined by bacterial growth.
  • Analysis of complication rates and types.

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Main Results:

  • Ninety-four UTIs (14.6%) were diagnosed.
  • Escherichia coli was the predominant pathogen (87.2%).
  • Two complications occurred: needle breakage and vaginal bleeding.

Conclusions:

  • SBA is a reliable and low-complication method for accurate UTI diagnosis in children.
  • A more restrictive application of SBA is recommended for neonates.
  • SBA remains essential for definitive UTI diagnosis in pediatric cases.