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Moving from bag to catheter for urine collection in non-toilet-trained children suspected of having urinary tract infection: a paired comparison of urine cultures.
J Pediatr. 2009 Jun; 154(6):803-6.JPed

Abstract

OBJECTIVE

To compare, in the same children, urine culture results from bag- versus catheter-obtained specimens with catheter culture as the reference.

STUDY DESIGN

A total of 192 non-toilet-trained children <3 years of age from 2 emergency departments were recruited for this prospective cross-sectional study. All had positive urinalysis results from bag-obtained specimens that were systematically checked with a catheter-obtained specimen before treatment. Results of comparison of urine cultures obtained with these 2 collecting methods are presented.

RESULTS

A total of 7.5% of bag-obtained specimen positive cultures had false-positive results. Twenty-nine percent of bag-obtained specimen cultures with negative results were false negative. Altogether, bag-obtained specimens led to either a misdiagnosis or an impossible diagnosis in 40% of cases versus 5.7% when urethral catheterization was used.

CONCLUSION

Every bag-obtained positive-result urinalysis should be confirmed with a more reliable method before therapy.

Authors+Show Affiliations

Department of Pediatrics, Limoges University Hospital, Hôpital de la Mère et de l'Enfant, Limoges, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19375715

Citation

Etoubleau, Cécile, et al. "Moving From Bag to Catheter for Urine Collection in Non-toilet-trained Children Suspected of Having Urinary Tract Infection: a Paired Comparison of Urine Cultures." The Journal of Pediatrics, vol. 154, no. 6, 2009, pp. 803-6.
Etoubleau C, Reveret M, Brouet D, et al. Moving from bag to catheter for urine collection in non-toilet-trained children suspected of having urinary tract infection: a paired comparison of urine cultures. J Pediatr. 2009;154(6):803-6.
Etoubleau, C., Reveret, M., Brouet, D., Badier, I., Brosset, P., Fourcade, L., Bahans, C., Garnier, F., Blanc, P., & Guigonis, V. (2009). Moving from bag to catheter for urine collection in non-toilet-trained children suspected of having urinary tract infection: a paired comparison of urine cultures. The Journal of Pediatrics, 154(6), 803-6. https://doi.org/10.1016/j.jpeds.2009.01.008
Etoubleau C, et al. Moving From Bag to Catheter for Urine Collection in Non-toilet-trained Children Suspected of Having Urinary Tract Infection: a Paired Comparison of Urine Cultures. J Pediatr. 2009;154(6):803-6. PubMed PMID: 19375715.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Moving from bag to catheter for urine collection in non-toilet-trained children suspected of having urinary tract infection: a paired comparison of urine cultures. AU - Etoubleau,Cécile, AU - Reveret,Marianne, AU - Brouet,Delphine, AU - Badier,Isabelle, AU - Brosset,Philippe, AU - Fourcade,Laurent, AU - Bahans,Claire, AU - Garnier,Fabien, AU - Blanc,Philippe, AU - Guigonis,Vincent, Y1 - 2009/04/17/ PY - 2008/06/27/received PY - 2008/11/18/revised PY - 2009/01/07/accepted PY - 2009/4/21/entrez PY - 2009/4/21/pubmed PY - 2009/6/6/medline SP - 803 EP - 6 JF - The Journal of pediatrics JO - J Pediatr VL - 154 IS - 6 N2 - OBJECTIVE: To compare, in the same children, urine culture results from bag- versus catheter-obtained specimens with catheter culture as the reference. STUDY DESIGN: A total of 192 non-toilet-trained children <3 years of age from 2 emergency departments were recruited for this prospective cross-sectional study. All had positive urinalysis results from bag-obtained specimens that were systematically checked with a catheter-obtained specimen before treatment. Results of comparison of urine cultures obtained with these 2 collecting methods are presented. RESULTS: A total of 7.5% of bag-obtained specimen positive cultures had false-positive results. Twenty-nine percent of bag-obtained specimen cultures with negative results were false negative. Altogether, bag-obtained specimens led to either a misdiagnosis or an impossible diagnosis in 40% of cases versus 5.7% when urethral catheterization was used. CONCLUSION: Every bag-obtained positive-result urinalysis should be confirmed with a more reliable method before therapy. SN - 1097-6833 UR - https://www.unboundmedicine.com/medline/citation/19375715/Moving_from_bag_to_catheter_for_urine_collection_in_non_toilet_trained_children_suspected_of_having_urinary_tract_infection:_a_paired_comparison_of_urine_cultures_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3476(09)00010-9 DB - PRIME DP - Unbound Medicine ER -