Midstream clean-catch urine collection in newborns: a randomized controlled study

We aimed to evaluate a recently defined technique based on bladder stimulation and paravertebral lumbar massage maneuvers in collecting a midstream clean-catch urine sample in newborns. A total of 127 term newborns were randomly assigned either to the experimental group or the control group. Twenty-...

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Published inEuropean journal of pediatrics Vol. 174; no. 5; pp. 577 - 582
Main Authors Altuntas, Nilgun, Celebi Tayfur, Asli, Kocak, Mesut, Razi, Hasan Cem, Akkurt, Serpil
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.05.2015
Springer Nature B.V
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Abstract We aimed to evaluate a recently defined technique based on bladder stimulation and paravertebral lumbar massage maneuvers in collecting a midstream clean-catch urine sample in newborns. A total of 127 term newborns were randomly assigned either to the experimental group or the control group. Twenty-five minutes after feeding, the genital and perineal areas of the babies were cleaned. The babies were held under the armpits with legs dangling. Bladder stimulation and lumbar paravertebral massage maneuvers were only applied to the babies in the experimental group. Success was defined as collection of a urine sample within 5 min of starting the stimulation maneuvers in the experimental group and of holding under the armpits in the control group. The success rate of urine collection was significantly higher in the experimental group (78 %) than in the control group (33 %; p  < 0.001). The median time (interquartile range) for sample collection was 60 s (64.5 s) in the experimental group and 300 s (95 s) in the control group ( p  < 0.0001). Contamination rates were similar in both groups ( p  = 0.770). Conclusion : We suggest that bladder stimulation and lumbar paravertebral massage is a safe, quick, and effective way of collecting midstream clean-catch urine in newborns.
AbstractList We aimed to evaluate a recently defined technique based on bladder stimulation and paravertebral lumbar massage maneuvers in collecting a midstream clean-catch urine sample in newborns. A total of 127 term newborns were randomly assigned either to the experimental group or the control group. Twenty-five minutes after feeding, the genital and perineal areas of the babies were cleaned. The babies were held under the armpits with legs dangling. Bladder stimulation and lumbar paravertebral massage maneuvers were only applied to the babies in the experimental group. Success was defined as collection of a urine sample within 5 min of starting the stimulation maneuvers in the experimental group and of holding under the armpits in the control group. The success rate of urine collection was significantly higher in the experimental group (78 %) than in the control group (33 %; p<0.001). The median time (interquartile range) for sample collection was 60 s (64.5 s) in the experimental group and 300 s (95 s) in the control group (p<0.0001). Contamination rates were similar in both groups (p=0.770). Conclusion: We suggest that bladder stimulation and lumbar paravertebral massage is a safe, quick, and effective way of collecting midstream clean-catch urine in newborns.
We aimed to evaluate a recently defined technique based on bladder stimulation and paravertebral lumbar massage maneuvers in collecting a midstream clean-catch urine sample in newborns. A total of 127 term newborns were randomly assigned either to the experimental group or the control group. Twenty-five minutes after feeding, the genital and perineal areas of the babies were cleaned. The babies were held under the armpits with legs dangling. Bladder stimulation and lumbar paravertebral massage maneuvers were only applied to the babies in the experimental group. Success was defined as collection of a urine sample within 5 min of starting the stimulation maneuvers in the experimental group and of holding under the armpits in the control group. The success rate of urine collection was significantly higher in the experimental group (78 %) than in the control group (33 %; p  < 0.001). The median time (interquartile range) for sample collection was 60 s (64.5 s) in the experimental group and 300 s (95 s) in the control group ( p  < 0.0001). Contamination rates were similar in both groups ( p  = 0.770). Conclusion : We suggest that bladder stimulation and lumbar paravertebral massage is a safe, quick, and effective way of collecting midstream clean-catch urine in newborns.
UNLABELLEDWe aimed to evaluate a recently defined technique based on bladder stimulation and paravertebral lumbar massage maneuvers in collecting a midstream clean-catch urine sample in newborns. A total of 127 term newborns were randomly assigned either to the experimental group or the control group. Twenty-five minutes after feeding, the genital and perineal areas of the babies were cleaned. The babies were held under the armpits with legs dangling. Bladder stimulation and lumbar paravertebral massage maneuvers were only applied to the babies in the experimental group. Success was defined as collection of a urine sample within 5 min of starting the stimulation maneuvers in the experimental group and of holding under the armpits in the control group. The success rate of urine collection was significantly higher in the experimental group (78%) than in the control group (33%; p < 0.001). The median time (interquartile range) for sample collection was 60 s (64.5 s) in the experimental group and 300 s (95 s) in the control group (p < 0.0001). Contamination rates were similar in both groups (p = 0.770). CONCLUSIONWe suggest that bladder stimulation and lumbar paravertebral massage is a safe, quick, and effective way of collecting midstream clean-catch urine in newborns.
We aimed to evaluate a recently defined technique based on bladder stimulation and paravertebral lumbar massage maneuvers in collecting a midstream clean-catch urine sample in newborns. A total of 127 term newborns were randomly assigned either to the experimental group or the control group. Twenty-five minutes after feeding, the genital and perineal areas of the babies were cleaned. The babies were held under the armpits with legs dangling. Bladder stimulation and lumbar paravertebral massage maneuvers were only applied to the babies in the experimental group. Success was defined as collection of a urine sample within 5 min of starting the stimulation maneuvers in the experimental group and of holding under the armpits in the control group. The success rate of urine collection was significantly higher in the experimental group (78%) than in the control group (33%; p < 0.001). The median time (interquartile range) for sample collection was 60 s (64.5 s) in the experimental group and 300 s (95 s) in the control group (p < 0.0001). Contamination rates were similar in both groups (p = 0.770). We suggest that bladder stimulation and lumbar paravertebral massage is a safe, quick, and effective way of collecting midstream clean-catch urine in newborns.
Author Kocak, Mesut
Altuntas, Nilgun
Razi, Hasan Cem
Celebi Tayfur, Asli
Akkurt, Serpil
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  surname: Altuntas
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  givenname: Asli
  surname: Celebi Tayfur
  fullname: Celebi Tayfur, Asli
  organization: Department of Pediatrics, Division of Nephrology, Kecioren Training and Research Hospital
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  givenname: Mesut
  surname: Kocak
  fullname: Kocak, Mesut
  organization: Department of Pediatrics, Kecioren Training and Research Hospital
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  givenname: Hasan Cem
  surname: Razi
  fullname: Razi, Hasan Cem
  organization: Department of Pediatrics, Kecioren Training and Research Hospital
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  givenname: Serpil
  surname: Akkurt
  fullname: Akkurt, Serpil
  organization: Department of Pediatrics, Kecioren Training and Research Hospital
BackLink https://www.ncbi.nlm.nih.gov/pubmed/25319844$$D View this record in MEDLINE/PubMed
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Keywords Clean-catch midstream urine
Newborn
Midstream urine sample
Contamination
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Snippet We aimed to evaluate a recently defined technique based on bladder stimulation and paravertebral lumbar massage maneuvers in collecting a midstream clean-catch...
UNLABELLEDWe aimed to evaluate a recently defined technique based on bladder stimulation and paravertebral lumbar massage maneuvers in collecting a midstream...
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StartPage 577
SubjectTerms Babies
Bladder
Breastfeeding & lactation
Female
Food contamination & poisoning
Humans
Infant, Newborn
Intubation
Male
Massage
Medicine
Medicine & Public Health
Original Article
Pediatrics
Physical Stimulation
Urinary Bladder - physiology
Urinary tract diseases
Urinary tract infections
Urinary Tract Infections - urine
Urine
Urine Specimen Collection - methods
Urogenital system
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Title Midstream clean-catch urine collection in newborns: a randomized controlled study
URI https://link.springer.com/article/10.1007/s00431-014-2434-z
https://www.ncbi.nlm.nih.gov/pubmed/25319844
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