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[Perineal bag versus urethral catheterization of suprapubic aspiration for the diagnosis of urinary tract infections in infants in emergency units].
An Esp Pediatr. 1999 May; 50(5):447-50.AE

Abstract

OBJECTIVE

Our objective was to determine the utility of urine cultures collected by sterile perineal bags as a method of diagnosis of urinary tract infection in infants.

PATIENTS AND METHODS

Forty-two patients, aged 0 to 27 months, were diagnosed with urinary tract infections based on the growth of more than 100,000 colonies/ml in two urine cultures collected by sterile bags. Confirmation of the infection was done by urine cultures obtained by suprapubic aspiration or urethral catheterization. A urinalysis was simultaneously performed.

RESULTS

Urinary tract infection was confirmed in only 6 out of 42 patients. The positive predictive value of the sterile bag was 14%, increasing to 42% combined with an abnormal urinalysis.

CONCLUSIONS

The sterile perineal bag is not an accurate method to collect urine for diagnosis of urinary tract infections in febrile infants or those who need prompt diagnosis and treatment.

Authors+Show Affiliations

Martín Puerto MJ
Sección de Urgencias Pediátricas, Hospital Materno-Infantil 12 de Octubre, Madrid.
Cela de Julián ME
No affiliation info available
Mendoza Soto A
No affiliation info available
Sánchez del Pozo J
No affiliation info available
Ramos Amador JT
No affiliation info available

MeSH

Child, PreschoolEmergency Medical ServicesFemaleHumansInfantInfant, NewbornMalePerineumPubic BonePuncturesRetrospective StudiesSpecimen HandlingUrinalysisUrinary CatheterizationUrinary Tract Infections

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

10394180

Citation

Martín Puerto, M J., et al. "[Perineal Bag Versus Urethral Catheterization of Suprapubic Aspiration for the Diagnosis of Urinary Tract Infections in Infants in Emergency Units]." Anales Espanoles De Pediatria, vol. 50, no. 5, 1999, pp. 447-50.
Martín Puerto MJ, Cela de Julián ME, Mendoza Soto A, et al. [Perineal bag versus urethral catheterization of suprapubic aspiration for the diagnosis of urinary tract infections in infants in emergency units]. An Esp Pediatr. 1999;50(5):447-50.
Martín Puerto, M. J., Cela de Julián, M. E., Mendoza Soto, A., Sánchez del Pozo, J., & Ramos Amador, J. T. (1999). [Perineal bag versus urethral catheterization of suprapubic aspiration for the diagnosis of urinary tract infections in infants in emergency units]. Anales Espanoles De Pediatria, 50(5), 447-50.
Martín Puerto MJ, et al. [Perineal Bag Versus Urethral Catheterization of Suprapubic Aspiration for the Diagnosis of Urinary Tract Infections in Infants in Emergency Units]. An Esp Pediatr. 1999;50(5):447-50. PubMed PMID: 10394180.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Perineal bag versus urethral catheterization of suprapubic aspiration for the diagnosis of urinary tract infections in infants in emergency units]. AU - Martín Puerto,M J, AU - Cela de Julián,M E, AU - Mendoza Soto,A, AU - Sánchez del Pozo,J, AU - Ramos Amador,J T, PY - 1999/7/8/pubmed PY - 1999/7/8/medline PY - 1999/7/8/entrez SP - 447 EP - 50 JF - Anales espanoles de pediatria JO - An Esp Pediatr VL - 50 IS - 5 N2 - OBJECTIVE: Our objective was to determine the utility of urine cultures collected by sterile perineal bags as a method of diagnosis of urinary tract infection in infants. PATIENTS AND METHODS: Forty-two patients, aged 0 to 27 months, were diagnosed with urinary tract infections based on the growth of more than 100,000 colonies/ml in two urine cultures collected by sterile bags. Confirmation of the infection was done by urine cultures obtained by suprapubic aspiration or urethral catheterization. A urinalysis was simultaneously performed. RESULTS: Urinary tract infection was confirmed in only 6 out of 42 patients. The positive predictive value of the sterile bag was 14%, increasing to 42% combined with an abnormal urinalysis. CONCLUSIONS: The sterile perineal bag is not an accurate method to collect urine for diagnosis of urinary tract infections in febrile infants or those who need prompt diagnosis and treatment. SN - 0302-4342 UR - https://www.unboundmedicine.com/medline/citation/10394180/[Perineal_bag_versus_urethral_catheterization_of_suprapubic_aspiration_for_the_diagnosis_of_urinary_tract_infections_in_infants_in_emergency_units]_ DB - PRIME DP - Unbound Medicine ER -