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[Urinary tract infection in infants: use of urine specimens obtained by suprapubic bladder aspiration in order to determine the reliability of culture specimen of urine collected in perineal bag].
An Esp Pediatr. 1996 Aug; 45(2):149-52.AE

Abstract

OBJECTIVE

To determine if culture specimens of urine collected in perineal bags is reliable in detecting urinary tract infections in infants.

MATERIAL AND METHODS

A prospective study was carried out in a pediatric emergency room of an urban teaching hospital. Forty-eight infants, 12 months old or less, requiring an uncontaminated urine specimen due to the evaluation of febrile illness, suspected urinary tract infection or to a previously contaminated urine culture specimen. Two consecutive urine specimens were collected for culture. A urine specimen was collected in a perineal bag and afterwards all patients underwent suprapubic bladder aspiration. Cultures were considered positive if pure growth of more than 1.000 colonies/ml developed in the suprapubic aspiration urine specimen.

RESULTS

Thirty-two infants had coincident cultures in both urine specimens. A positive culture specimen of urine collected in a perineal bag (pure growth of more than 100,000 colonies/ml) had high sensitivity (100%) and high specificity 88.6% in predicting positive cultures from urine obtained by suprapubic aspiration.

CONCLUSION

A urine culture specimen meticulously collected with a perineal bag is a good screening method for detecting urinary tract infection in low risk infants.

Authors+Show Affiliations

Departamento de Pediatría, Hospital de Cruces, Barakaldo, Vizcaya.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

spa

PubMed ID

8967643

Citation

Benito Fernández, J, et al. "[Urinary Tract Infection in Infants: Use of Urine Specimens Obtained By Suprapubic Bladder Aspiration in Order to Determine the Reliability of Culture Specimen of Urine Collected in Perineal Bag]." Anales Espanoles De Pediatria, vol. 45, no. 2, 1996, pp. 149-52.
Benito Fernández J, Sánchez Echániz J, Mintegui Raso S, et al. [Urinary tract infection in infants: use of urine specimens obtained by suprapubic bladder aspiration in order to determine the reliability of culture specimen of urine collected in perineal bag]. An Esp Pediatr. 1996;45(2):149-52.
Benito Fernández, J., Sánchez Echániz, J., Mintegui Raso, S., & Montejo Fernández, M. (1996). [Urinary tract infection in infants: use of urine specimens obtained by suprapubic bladder aspiration in order to determine the reliability of culture specimen of urine collected in perineal bag]. Anales Espanoles De Pediatria, 45(2), 149-52.
Benito Fernández J, et al. [Urinary Tract Infection in Infants: Use of Urine Specimens Obtained By Suprapubic Bladder Aspiration in Order to Determine the Reliability of Culture Specimen of Urine Collected in Perineal Bag]. An Esp Pediatr. 1996;45(2):149-52. PubMed PMID: 8967643.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Urinary tract infection in infants: use of urine specimens obtained by suprapubic bladder aspiration in order to determine the reliability of culture specimen of urine collected in perineal bag]. AU - Benito Fernández,J, AU - Sánchez Echániz,J, AU - Mintegui Raso,S, AU - Montejo Fernández,M, PY - 1996/8/1/pubmed PY - 1996/8/1/medline PY - 1996/8/1/entrez SP - 149 EP - 52 JF - Anales espanoles de pediatria JO - An Esp Pediatr VL - 45 IS - 2 N2 - OBJECTIVE: To determine if culture specimens of urine collected in perineal bags is reliable in detecting urinary tract infections in infants. MATERIAL AND METHODS: A prospective study was carried out in a pediatric emergency room of an urban teaching hospital. Forty-eight infants, 12 months old or less, requiring an uncontaminated urine specimen due to the evaluation of febrile illness, suspected urinary tract infection or to a previously contaminated urine culture specimen. Two consecutive urine specimens were collected for culture. A urine specimen was collected in a perineal bag and afterwards all patients underwent suprapubic bladder aspiration. Cultures were considered positive if pure growth of more than 1.000 colonies/ml developed in the suprapubic aspiration urine specimen. RESULTS: Thirty-two infants had coincident cultures in both urine specimens. A positive culture specimen of urine collected in a perineal bag (pure growth of more than 100,000 colonies/ml) had high sensitivity (100%) and high specificity 88.6% in predicting positive cultures from urine obtained by suprapubic aspiration. CONCLUSION: A urine culture specimen meticulously collected with a perineal bag is a good screening method for detecting urinary tract infection in low risk infants. SN - 0302-4342 UR - https://www.unboundmedicine.com/medline/citation/8967643/[Urinary_tract_infection_in_infants:_use_of_urine_specimens_obtained_by_suprapubic_bladder_aspiration_in_order_to_determine_the_reliability_of_culture_specimen_of_urine_collected_in_perineal_bag]_ L2 - http://www.diseaseinfosearch.org/result/9683 DB - PRIME DP - Unbound Medicine ER -