A new technique for fast and safe collection of urine in newborns.

Herreros Fernández, María Luisa; González Merino, Noelia; Tagarro García, Alfredo; Pérez Seoane, Beatriz; de la Serna Martínez, María; Contreras Abad, María Teresa; García-Pose, Araceli · Arch Dis Child · 2013

prospective_cohort · Level II

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Abstract

To describe and test a new technique to obtain midstream urine samples in newborns. This was a prospective feasibility and safety study conducted in the neonatal unit of University Infanta Sofía Hospital, Madrid. A new technique based on bladder and lumbar stimulation manoeuvres was tested over a period of 4 months in 80 admitted patients aged less than 30 days. The main variable was the success rate in obtaining a midstream urine sample within 5 min. Secondary variables were time to obtain the sample and complications. This technique was successful in 86.3% of infants. Median time to sample collection was 45 s (IQR 30). No complications other than controlled crying were observed. A new, quick and safe technique with a high success rate is described, whereby the discomfort and waste of time usually associated with bag collection methods can be avoided.

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