Accuracy of clean-catch technique for urine collection in young children
a systematic review of literature
DOI:
https://doi.org/10.29352/mill0205e.17.00320Keywords:
urinary tract infections, urinalysis, infant, nursing careAbstract
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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References
Altuntas N., Tayfur A.C., Kocak M., Razi H.C., & Akkurt S. (2015). Midstream clean-catch urine collection in newborns: a randomized controlled study. Eur J Pediatr, 174(5), 577–582.
Altuntas N., & Alan B. (2019). Midstream Clean-Catch Urine Culture Obtained by Stimulation Technique versus Catheter Specimen Urine Culture for Urinary Tract Infections in Newborns: A Paired Comparison of Urine Collection Methods. Med Princ Pract. DOI: 10.1159/000504443. Retrieved from https://doi.org/10.1159/000504443
Badiee, Z., Sadeghnia, A., & Zarean, N. (2014). Suprapubic Bladder Aspiration or Urethral Catheterization: Which is More Painful in Uncircumcised Male Newborns?. International Journal of Preventive Medicine, 5(9), 1125–1130.
Carneiro, A.V. (2008). Como avaliar a investigação clínica. O exemplo da avaliação crítica de um ensaio clínico. GE - Jornal Português de Gastrenterologia, 15, 30-36.
Chang, S.L., & Shortliffe, L.D., (2006). Pediatric Urinary Tract Infections. Pediatr Clin N Am, 53(3),379– 400. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S0031395506000277?via%3Dihub
Chu, R. W., Wong, Y. C., Luk, S. H., & Wong, S. N. (2002). Comparing suprapubic urine aspiration under real-time ultrasound guidance with conventional blind aspiration. Acta Paediatr, 91, 512–6.
Cordeiro, M.P. (2012). Colheita asséptica de urina em crianças até aos 36 meses de idade. (Dissertação de mestrado, Instituto Politécnico de Viseu). Retrieved from http://hdl.handle.net/10400.19/1742
Direção-Geral da Saúde. Diagnóstico e tratamento da infeção do trato urinário em idade pediátrica. (2012); Lisboa: DGS. Retrieved from https://www.dgs.pt/directrizes-dadgs/normas-e-circulares-normativas/norma-n-0082012-de-16122012.aspx
El-Naggar, W., Yiu, A., Mohamed, A., Shah, V., Manley, J., McNamara, P., & et al. (2010). Comparison of pain during two methods of urine collection in preterm infants. Pediatrics, 125, 1224–9.
Herreros, M. L., González, N. M., García, A. T., Beatriz Pérez Seoane, B. P., Martinez, M. S., Abad, M. T. C, & Garcia-Pose, A. (2013). A new technique for fast and safe collection of urine in newborns. Arch Dis Child, 98, 27–29. DOI:10.1136/archdischild-2012-301872
Herreros, M. L., Tagarro, A., García-Pose, A., Sánchez, A., Cañete, A., & Gili, P. (2015). Accuracy of a new clean-catch technique for diagnosis of urinary tract infection in infants younger than 90 days of age. Paediatr Child Health., 20(6), e30-e3. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4578477/
Higgins, J. P. T. & Green, S. (Eds.) (2011). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0. The Cochrane Collaboration. Retrieved from www.Cochrane-handbook.org
Instituto de Apoio à Criança (2008). Carta da Criança Hospitalizada (4ª ed.). Retrieved from http://www.ordemenfermeiros.pt/colegios/Documents/MCENFERMEIROESIP_carta_crianca_hospitalizada.pdf
Labrosse, M., Levy, A., Autmizguine, J., & Gravel, J. (2016). Evaluation of a new strategy for clean-catch urine in infants. Pediatrics. 138(3), DOI: 10.1542/peds.2016-0573
National Collaborating Centre for Women’s and Children’s Health (UK) (2007). Urinary Tract Infection in Children: Diagnosis, Treatment and Long-term Management. London: RCOG Press. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK50606
Ordem dos Enfermeiros (2015). Estatuto da Ordem dos Enfermeiros e REPE. Lisboa: Ordem dos Enfermeiros. Retrieved from http://www.ordemenfermeiros.pt/publicacoes/Documents/nEstatuto_REPE_29102015_VF_site.pdf
Ouellet-Pelletier, J., Guimont, C., Gauthier, M., & Gravel, J. (2014). Adverse events following diagnostic urethral catheterization in the pediatric emergency department. Paediatr Child Health, 19(6), 18.
Pereira, Â., & Bachion, M. (2006). Atualidades em revisão sistemática de literatura, critérios de força e grau de recomendação de evidência. Revista Gaúcha de Enfermagem, 27(4), 491. Retrieved from http://seer.ufrgs.br/index.php/RevistaGauchadeEnfermagem/article/view/4633
Santos, C. A. S. L. (2011). Colheita asséptica de urina em crianças até aos 36 meses de idade (Dissertação de mestrado, Instituto Politécnico de Viseu). Retrieved from http://hdl.handle.net/10400.19/1488
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