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Novel Technique Feasible for Clean-Catch Urine in Infants

Noninvasive bladder stimulation technique effective for children aged younger than 90 days

FRIDAY, Aug. 19, 2016 (HealthDay News) — A new noninvasive bladder stimulation technique can obtain clean-catch urine (CCU) in infants aged younger than 90 days, according to a study published online Aug. 19 in Pediatrics.

Mélanie Labrosse, M.D., Ph.D., from the University of Montreal, and colleagues conducted a prospective cohort study in a tertiary pediatric emergency department among 126 infants aged younger than 6 months needing a urine sample. Using a standardized stimulation technique, CCU samples were collected. For three specific conditions, invasive techniques were performed after CCU.

The researchers found that the CCU technique was effective in 49 percent of infants, with a median time of 45 seconds. Compared with infants aged >89 days, infants aged 0 to 29 days, 30 to 59 days, and 60 to 89 days had more successful procedures (odds ratios, 4.3, 3.2, and 4.44, respectively). In the CCU group the contamination proportion was 16 percent, which was not statistically different from the invasive method group (6 percent).

“The CCU procedure is a quick and effective noninvasive method in children aged <90 days,” the authors write. “Circumstances for which the CCU procedure could be performed are proposed.”

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