Accuracy of clean-catch technique for urine collection in young children

a systematic review of literature

  • Andreia Almeida Centro Hospitalar Universitário de Coimbra, Hospital Pediátrico, Coimbra, Portugal
  • Graça Aparício Instituto Politécnico de Viseu, Escola Superior de Saúde, UICISA:E, Viseu, Portugal http://orcid.org/0000-0001-6149-062X
  • Isabel Bica Instituto Politécnico de Viseu, Escola Superior de Saúde, CINTESIS, Viseu, Portugal
Keywords: urinary tract infections, urinalysis, infant, nursing care

Abstract

Introduction: Urine collection in children should respect efficacy and child safety, considering child/family satisfaction and the quality of nursing care. Clean-Catch (CCU) has been described as a non-invasive, safe and quick urine collection method used in children lacking sphincter control, for Urinary Tract infections (UTI) diagnosis in alternative to invasive methods such as urethral catheterization/suprapubic aspiration (UC/SPA). 

Objective: To identify scientific evidence of the accuracy of clean-catch for the diagnosis of urinary infection in neonates. 

Methods: A systematic review was conducted based on Cochrane Handbook guidelines (Higgins & Green, 2011) of studies comparing urine contamination rates/ accuracy diagnosis between clean-catch and UC/SPA. Selected studies in PUBMED, EBSCO, Web of Science and Scielo databases, published between 2000 and 2017, according to previously established inclusion/exclusion criteria. Two researchers evaluated the studies’ quality. 

Results: In a total of 297 studies, two RCTs were included that met inclusion criteria. In the first study (Labrosse, Autmizguine & Gravel, 2016) it was verified that the contamination rates of the CCU group were 16% versus 6% for UC/SPA, whereas in the second study (Herreros et al., 2015) it was 5% versus 8% for CCU and UC respectively. 

Conclusions: The accuracy of clean-catch for nursing practice needs to be confirmed, given the small number of studies with methodological quality that use this technique. 

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Published
2020-06-01
Section
Life and Healthcare Sciences