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changing a urine collection pad (ucp) every 30 minutes reduced contamination of urine samples more than a ucp kept in the nappy in children with suspected urinary tract infection

by:KJTDQ     2020-06-10
Method Design: a randomized controlled trial.
Distribution: concealment. oas_tag.
Load: Blind (
Result assessor).
Follow-up period: after collecting urine samples.
Settings: 2 acute general children\'s wards in the UK.
Patient: 80 children with fever under 2 years of age were admitted to the acute internal medicine ward for suspected UTI.
Intervention: change the UCP every 30 minutes until the urine passes (replaced UCP)(NHS Supplies)
And then put it in front of the child\'s diaper.
An audio alarm is installed on children\'s clothing or near the crib.
The UCP is removed when the enuresis alarm signals the passage of urine.
Discard UCPs stained with feces and try to repeat the sampling.
Urine samples (⩾0. 5 ml)
Suction from the UCP with a 20 ml syringe and bacterial culture, identification and sensitivity tests were performed.
Results: urine samples with severe contamination (
> 105 mixed growth organisms/ml)
Diagnosis of UTI cannot be clearly ruled out;
Sample collection time;
Adverse effects of enuresis alarms.
Patient follow-up: 85% of children (53% boys).
Design: a randomized controlled trial.
Distribution: concealment. oas_tag.
Load: Blind (
Result assessor).
Follow-up period: after collecting urine samples.
Settings: 2 acute general children\'s wards in the UK.
Patient: 80 children with fever under 2 years of age were admitted to the acute internal medicine ward for suspected UTI.
Intervention: change the UCP every 30 minutes until the urine passes (replaced UCP)(NHS Supplies)
And then put it in front of the child\'s diaper.
An audio alarm is installed on children\'s clothing or near the crib.
The UCP is removed when the enuresis alarm signals the passage of urine.
Discard UCPs stained with feces and try to repeat the sampling.
Urine samples (⩾0. 5 ml)
Suction from the UCP with a 20 ml syringe and bacterial culture, identification and sensitivity tests were performed.
Results: urine samples with severe contamination (
> 105 mixed growth organisms/ml)
Diagnosis of UTI cannot be clearly ruled out;
Sample collection time;
Adverse effects of enuresis alarms.
Patient follow-up: 85% of children (53% boys).
Main results 3 children (4%)had a UTI (
> 105 biological/ml pure single biological growth).
Children in the replaced UCP group had fewer contaminated urine samples than children in the single UCP group (table⇓).
The replaced and single UCP groups did not differ in the time of collection of samples (320:1312–3.
OpenUrlFREE full text script for communications: Dr. P Macfarlane, Rotherham General Hospital, United Kingdom. peter.
Mike flange in Logannhs.
Source of funds: no external funds.
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