Quick-Wee Versus Bladder Stimulation System to Collect Midstream Urine From Pre-continent Infants
NCT04587999 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 230
Last updated 2023-09-29
Summary
Urinary tract infections are common in infants. Obtaining urine from pre-continent children can be difficult and time consuming. The method of collection must balance reliability, speed, low rate of contamination, and invasiveness.
According to the American Academy of Pediatrics, midstream clean-catch urine is an acceptable method to diagnose urinary tract infections. However, it is impractical in pre-continent children.
Recently, two quick, safe and effective methods have been reported in the literature:
* The Quick-wee method: it consists in stimulating the suprapubic area with a cold and wet compress to obtain urines.
* The bladder stimulation method : the child is held under the armpits with legs dangling and a physician taps the suprapubic area and massages lumbar area alternatively.
However, advanced age, high weight, and level of discomfort during bladder stimulation were significantly associated with failure to obtain urines.
Conditions
Interventions
- OTHER
-
bladder stimulation
The bladder stimulation technique requires the presence of 2 people: * The child must be held by an adult (caregiver or parent) under the armpits, legs dangling. * the first person (the investigator), performs the stimulation technique consisting of: rapid tapping (frequency of about 100 / min), over the pubic area, at the level of the bladder, alternated with external rotational movements of the pits lumbar, in the kidneys. Alternate these 2 maneuvers every 30 seconds. * The second person starts the stopwatch at the start of the stimulation, and is about to collect the urine, 2nd jet in a sterile pot * The maneuver ends as soon as urine is obtained, and will be stopped after 5 minutes in case of failure.
- OTHER
-
Quick wee
The Quick wee technique requires the presence of only one person: Stimulation of the suprapubic area by circular movements, with a cold and wet compress held by sterile forceps. Collection of urine in a sterile container.
Sponsors & Collaborators
-
Fondation Lenval
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Max Age
- 1 Year
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-01-29
- Primary Completion
- 2022-06-06
- Completion
- 2022-11-17
Countries
- Canada
- France
Study Locations
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