260 results match your criteria Suprapubic Aspiration

Role of the urinary N-acetyl-beta-D-glucosaminidase/creatinine (NAG/Cr) ratio in discriminating between true and false pyuria in sterile urine bag specimens.

J Pediatr Urol 2021 May 14. Epub 2021 May 14.

Department of Emergency Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.

Introduction: Urethral catheterization (CATH) and suprapubic aspiration (SA) are reliable methods of collecting urine for the diagnosis of urinary tract infections (UTIs), but both are invasive and difficult. Therefore, urine collection through a sterile urine bag (SUB) is commonly used for UTI screening. However, when pyuria is found in SUB specimens, it is difficult to interpret whether this result is true or false. Read More

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Contamination rates of different methods of urine culture collection in children: A retrospective cohort study.

J Paediatr Child Health 2021 Mar 24. Epub 2021 Mar 24.

Division of Paediatrics, Kaplan Medical Center, Rehovot, Israel.

Aim: Urinary tract infection is a common cause of paediatric morbidity. However, there is no consensus on the default method for urine culture collection in children. This study aimed to examine the contamination rates of different urine collection methods. Read More

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High incidence of abnormal imaging findings in circumcised boys diagnosed with urinary tract infections.

J Pediatr Urol 2020 Oct 25;16(5):560-565. Epub 2020 Jul 25.

Children's National Medical Center, USA.

Background: The American Academy of Pediatrics guidelines recommend delaying voiding cystourethrogram (VCUG) until the second febrile urinary tract infection (UTI). Similarly, the NICE Guidelines do not recommend VCUG after the first febrile UTI in infants and children under three years of age. Currently, there is no good clinical indicator to determine which patients would benefit from an earlier cystogram. Read More

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October 2020

Informed self-assessment versus preceptor evaluation: a comparative study of pediatric procedural skills acquisition of fifth year medical students.

BMC Med Educ 2020 Sep 21;20(1):318. Epub 2020 Sep 21.

Department of Pediatrics, Faculty of Medicine, University of Tripoli, Tripoli, Libya.

Background: Simulation training is widely used in medical education as students rarely perform clinical procedures, and confidence can influence practitioners' ability to perform procedures. Thus, this study assessed students' perceptions and experiences of a pediatric skills program and compared their informed self-assessment with their preceptor-evaluated performance competency for several pediatric clinical procedures.

Methods: A total of 65 final-year medical students attended a weeklong pediatric skills training course by the University of Tripoli that used a manikin and various clinical scenarios to simulate real-life cases. Read More

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September 2020

Urine collection methods and dipstick testing in non-toilet-trained children.

Pediatr Nephrol 2021 Jul 12;36(7):1697-1708. Epub 2020 Sep 12.

Department of Paediatrics, Whittington Hospital, London, UK.

Urinary tract infection is a commonly occurring paediatric infection associated with significant morbidity. Diagnosis is challenging as symptoms are non-specific and definitive diagnosis requires an uncontaminated urine sample to be obtained. Common techniques for sampling in non-toilet-trained children include clean catch, bag, pad, in-out catheterisation and suprapubic aspiration. Read More

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What's the catch? Urine sample collection from young pre-continent children: a qualitative study in primary care.

BJGP Open 2020 Oct 27;4(4). Epub 2020 Oct 27.

General Practice, Faculty of Medicine Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.

Background: Urinary tract infections (UTIs) are common in young pre-continent children, but collecting urine samples is challenging. Collection methods all have limitations and international guidelines have conflicting recommendations. Choice of method must balance time, resources, invasiveness, reliability, and contamination. Read More

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October 2020

Urinary tract infections in children < 2 years of age hospitalized in a tertiary medical center in Southern Israel: epidemiologic, imaging, and microbiologic characteristics of first episode in life.

Eur J Clin Microbiol Infect Dis 2020 May 13;39(5):955-963. Epub 2020 Jan 13.

Division of Pediatrics, Soroka University Medical Center, Ben-Gurion University, P.O. Box 151, 84101, Beer Sheva, Israel.

The objectives of the study were to describe the epidemiologic, microbiologic, and imaging characteristics of first 44 UTI episode in hospitalized infants and children < 2 years of age. A UTI episode was diagnosed based on suprapubic aspiration or urinary catheterization and report of a significant bacterial growth of true uropathogens. Two thousand two hundred ninety-four UTI episodes were recorded during 2009-2013 in 1694 patients; 1350 (79. Read More

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Evaluation of bladder stimulation as a non-invasive technique for urine collection to diagnose urinary tract infection in infants under 6 months: a randomized multicenter study ("EE-Sti.Ve.N").

Trials 2019 Dec 27;20(1):783. Epub 2019 Dec 27.

Pediatric Emergency Department, Hôpitaux pédiatriques de Nice CHU-Lenval, Nice, France.

Background: Febrile urinary tract infection (UTI) is common in infants and needs to be diagnosed quickly. However, the symptoms are non-specific, and diagnosis can only be confirmed after high quality urinalysis. The American Academy of Pediatrics recommends suprapubic aspiration (1-9% contamination) and urinary catheterization (8-14% contamination) for urine collection but both these procedures are invasive. Read More

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December 2019

Prevalence of Asymptomatic Bacteriuria in Children: A Meta-Analysis.

J Pediatr 2020 02 28;217:110-117.e4. Epub 2019 Nov 28.

Department of Biostatistics, School of Public Health, University of Pittsburgh, Pittsburgh, PA.

Objective: To determine the point prevalence of bacteriuria and bacteriuria without pyuria in asymptomatic children by a systematic review of the literature.

Study Design: We searched MEDLINE and EMBASE for English-, French-, German-, Italian-, and Spanish-language articles. We included articles reporting data on bacteriuria in asymptomatic children up to 19 years of age who had urine collected by suprapubic bladder aspiration, bladder catheterization, or by 3 consecutive clean catch samples. Read More

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February 2020

Seeing Is Believing: Ultrasound in Pediatric Procedural Performance.

Pediatrics 2019 11 15;144(5). Epub 2019 Oct 15.

Anesthesiology and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania and Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Point-of-care ultrasound is currently widely used across the landscape of pediatric care. Ultrasound machines are now smaller, are easier to use, and have much improved image quality. They have become common in emergency departments, ICUs, inpatient wards, and outpatient clinics. Read More

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November 2019

A complicated case of recurrent Cowper's gland abscess.

Arch Ital Urol Androl 2019 Oct 2;91(3). Epub 2019 Oct 2.

Urology Unit, Cannizzaro Hospital, Catania.

A Caucasian man 64 years old was admitted to our department for fever, strangury, frequency and pain in the perineum secondary to the relapse of Cowper's gland abscess previously treated by antibiotic therapy and trans-perineal ultrasound-guided aspiration. At admission, the clinical parameters were suggestive of sepsis; moreover, the trans-perineal ultrasound detected an hypoechoic mass suspicious for the recurrence of Cowper's gland abscess. A suprapubic catheter was positioned and a targeted antibiotic therapy (Colistin 9000. Read More

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October 2019

How to… collect urine samples from young children.

Jonathan Kaufman

Arch Dis Child Educ Pract Ed 2020 06 23;105(3):164-171. Epub 2019 Aug 23.

Department of General Practice Faculty of Medicine, Dentistry & Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.

Urine samples are commonly collected from young children to diagnose or exclude urinary tract infections, but collection from precontinent children is challenging. Each collection method has advantages and limitations. Non-invasive methods (urine pads, bags, clean catch) are convenient but can be time-consuming and are limited by sample contamination. Read More

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Collecting the golden water: Quality assessment on approach of diagnosing urinary tract infections in 0 to 36 months old children.

Paediatr Child Health 2020 Nov 12;25(7):419-424. Epub 2019 Jul 12.

Department of Paediatrics, Brantford General Hospital, Brantford, Ontario.

Objective: The study aimed to assess current practices of a community hospital for collection of urine sample when diagnosis of urinary tract infection (UTI) is suspected in children aged 0 to 36 months old.

Methods: An analysis of paediatric patients aged 0 to 36 months old was performed in two separate audits to assess the quality of urine sampling. The first, retrospective analysis comprised of urine collections techniques in a community hospital for diagnosis of UTI followed by an education intervention in which the hospital staff was briefed regarding the Canadian Paediatric Society (CPS) position statement for diagnosis and management of UTI. Read More

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November 2020

Urine collection methods used for non-toilet-trained children in pediatric emergency departments in France: A medical practice analysis.

Arch Pediatr 2019 Jan 13;26(1):16-20. Epub 2018 Dec 13.

UMR_A 1341, UMR_S 1241, Inra, Inserm, institut NUMECAN, université de Rennes, 2 rue Henri-le-Guilloux, 35000 Rennes, France; Service de chirurgie pédiatrique, université de Rennes, CHU de Rennes, hôpital Sud16, boulevard de Bulgarie, , 35203 Rennes cedex 2, France.

Introduction: Since April 2015, the French Society of Pediatrics has encouraged suprapubic aspiration (SA) and urethral catheterization (UC) for urine collection in non-toilet-trained children suspected of having urinary tract infections (UTIs) and has tried to reduce the use of urine bag (UB).

Objective: To analyze the medical practices concerning urine collection methods used for non-toilet-trained children in pediatric emergency departments in France.

Methods: We conducted a descriptive medical practice study in October 2017. Read More

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January 2019

Successful management of cesarean scar pregnancy with vacuum extraction under ultrasound guidance.

Acute Med Surg 2018 Oct 13;5(4):358-361. Epub 2018 Aug 13.

Zonguldak Bulent Ecevit University Health Application and Research Center Zonguldak Turkey.

Aim: Cesarean scar pregnancy (CSP) is a rare type of ectopic pregnancy. The gestational sac is implanted in the myometrium at the site of a previous cesarean section. Mothers with CSP are faced with risks of unpredictable massive bleeding or more fatal complications. Read More

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October 2018

Cytologic diagnosis of unusual, large multiple cutaneous myxomas in a case of Carney complex.

J Lab Physicians 2018 Jul-Sep;10(3):354-356

Department of Pathology, Seth GS Medical College and KEM Hospital, Acharya Donde Marg, Mumbai, Maharashtra, India.

Cutaneous myxomas are rare benign neoplasms which are frequently associated with Carney complex (CNC). Although more than 500 cases of CNC are reported, there is no literature on cytologic diagnosis of Cutaneous myxomas. An 18-year-old male, with no significant family history, presented with multiple cutaneous swellings, largest measuring 15 cm on the right cheek. Read More

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Methoxyflurane for Procedural Analgesia at 4470 m Altitude.

Wilderness Environ Med 2018 09 26;29(3):388-391. Epub 2018 Jul 26.

Royal Gwent Hospital, Newport, United Kingdom (Dr Mason); International Porter Protection Group, Cardiff, United Kingdom (Dr Mason).

Methoxyflurane is a volatile, fluorinated anesthetic agent with analgesic properties. Although no longer used as an anesthetic due to concerns regarding renal toxicity in high doses, it has enjoyed a resurgence as an inhaled analgesic in prehospital care and in the emergency department. The agent is nonflammable and leads to rapid, titratable analgesia without intravenous access. Read More

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September 2018

Urine Collection Methods in Children: Which is the Best?

Nurs Clin North Am 2018 06;53(2):137-143

Capstone College of Nursing, The University of Alabama, PO Box 870358, Tuscaloosa, AL 35487, USA. Electronic address:

Urinary tract infection is one of the most common bacterial infections in infants and young children. There are 5 collection methods commonly used to obtain a urine sample from an infant or small child: suprapubic aspiration, urethral catheterization, clean catch void, urine collection bag, and urine collection pad. Although invasive, suprapubic aspiration and urethral catheterization are less likely to cause contamination of the specimen. Read More

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What Urinary Colony Count Indicates a Urinary Tract Infection in Children?

J Pediatr 2017 12 28;191:259-261.e1. Epub 2017 Sep 28.

University of North Carolina, Chapel Hill, NC.

Post-hoc analysis of the Randomized Intervention for Children with Vesicoureteral Reflux study suggests that, in concordance with European guidelines, using bacteriologic criterion of ≥10 000 colony forming units/mL of a single organism does not decrease diagnostic specificity of an urinary tract infection in children aged 2 months to 6 years in a properly collected urine if symptoms/fever and pyuria are present.

Trial Registration: ClinicalTrials.gov: NCT00405704. Read More

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December 2017

A giant pararectal cyst successfully treated by robotic surgery.

J Robot Surg 2018 Jun 2;12(2):365-367. Epub 2017 Jun 2.

Department of Urology, School of Medicine, Ankara Ataturk Training and Research Hospital, Yildirim Beyazit University, Bilkent, 06800, Ankara, Turkey.

A 50 year-old patient was referred to our department with severe obstructive lower urinary tract symptoms, suprapubic pain and rectal fullness that started after a perianal fistula operation performed one year ago. Radiologic evaluation showed a large pararectal cystic lesion with septa formation on the right side compressing the bladder and prostate. Aspiration of the cystic fluid attempted initially but was not successful. Read More

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The method of urine sampling is not a valid predictor for vesicoureteral reflux in children after febrile urinary tract infections.

J Pediatr Urol 2017 Oct 16;13(5):500.e1-500.e5. Epub 2017 Mar 16.

Department of Pediatric Urology, Hospital of the Sisters of Charity, Linz, Austria.

Introduction: The likelihood of detecting vesicoureteral reflux (VUR) after febrile urinary tract infections (UTI) in children logically should correlate with the correct diagnosis of the UTI. Beneath the unspecific symptoms of fever urine analysis is the main diagnostic criterion for the exact diagnosis of febrile UTIs in children. Use of inadequate urine sampling techniques during diagnosis may lead to impaired accuracy in UTI diagnosis. Read More

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October 2017

[Urinary tract infections in children].

Urologe A 2017 Feb;56(2):247-262

Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität München, Campus Großhadern, Marchioninistr. 15, 81377, München, Deutschland.

Urinary tract infections (UTI) are the most common bacterial infections in children. The symptoms are not very specific and range from abdominal pain, poor feeding to nocturnal urinary incontinence. The technique of collecting urine plays an important role for securing the diagnosis. Read More

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February 2017

Does perception of catheterization limit its use in pediatric UTI?

J Pediatr Urol 2017 Feb 20;13(1):48.e1-48.e6. Epub 2016 Oct 20.

Department of Urology, University of California, San Francisco, San Francisco, CA, USA. Electronic address:

Introduction: Urinary tract infections (UTIs) affect 3-8% of febrile children annually, but correctly diagnosing UTI in young children can present a challenge. Diagnosis requires a non-contaminated urine sample, which requires catheterization or suprapubic aspiration in infants and young children that have not completed toilet training. To improve adherence to these guidelines, it is critical to understand the barriers to urine testing and catheterization. Read More

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February 2017

Bladder outlet obstruction; a rare complication of the neglected schistosome, Schistosoma haematobium: two case reports and public health challenges.

BMC Res Notes 2016 Nov 22;9(1):493. Epub 2016 Nov 22.

District Hospital Ndu, North West Region, Cameroon.

Background: Schistosomiasis is a severe parasitic infestation with debilitating complications and is the third most devastating tropical disease in the world. It is one of the neglected tropical diseases (NTDs) with a high disease-burden. We present two rare cases of bladder outlet obstruction: one which led to a chronic kidney disease and ultimately death and a second which recovered after treatment with praziquantel. Read More

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November 2016

Feasibility prospective study of laparoscopic cholecystectomy with suprapubic approach.

J Visc Surg 2016 Nov 23;153(5):327-331. Epub 2016 Apr 23.

Digestive Department, Estaing Hospital, 1, place Lucie-Aubrac, 63003 Clermont-Ferrand, France.

Background: Since the publication of laparoscopic cholecystectomy (LC) using three ports instead of four, no significant evolution has impacted on our clinical practice in order to improve length of stay, postoperative pain, time of recovery and cosmetic results. Recently, a renewed interest has been observed with the suprapubic approach, called occult scar laparoscopic cholecystectomy (OSLC). The aim of this prospective multicentric study was to evaluate the feasibility of OSLC in 2 French centers. Read More

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November 2016

Bacterial infections in HIV-infected children admitted with severe acute malnutrition in Durban, South Africa.

Paediatr Int Child Health 2017 Feb 4;37(1):6-13. Epub 2016 Jul 4.

a King Edward VIII Hospital , Durban.

Background: Bacterial infections in HIV-infected children admitted with severe acute malnutrition (SAM) contribute to higher mortality and poorer outcomes. This study describes the spectrum of bacterial infections in antiretroviral treatment (ART)-naïve, HIV-infected children admitted with SAM.

Methods: Between July 2012 and February 2015, 82 children were prospectively enrolled in the King Edward VIII Hospital, Durban. Read More

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February 2017

Prospective evaluation of a cutaneous stimulation technique to induce on-demand urination in non-toilet-trained infants.

Arch Pediatr 2016 Aug 28;23(8):815-9. Epub 2016 Jun 28.

Hôpital Mère-Enfant, Département de pédiatrie, 8, avenue Dominique-Larrey, 87000 Limoges, France. Electronic address:

Context: When a urinary tract infection is suspected, it is recommended to capture a midstream sample of urine for analysis, but this strategy is difficult to apply before successful toilet training. A cutaneous stimulation technique has been reported to be effective in provoking micturition in newborns.

Objective: To evaluate the feasibility and the efficacy of this technique in a population of non-toilet-trained infants. Read More

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Effectiveness of Preanalytic Practices on Contamination and Diagnostic Accuracy of Urine Cultures: a Laboratory Medicine Best Practices Systematic Review and Meta-analysis.

Clin Microbiol Rev 2016 Jan;29(1):105-47

Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Background: Urinary tract infection (UTI) in the United States is the most common bacterial infection, and urine cultures often make up the largest portion of workload for a hospital-based microbiology laboratory. Appropriately managing the factors affecting the preanalytic phase of urine culture contributes significantly to the generation of meaningful culture results that ultimately affect patient diagnosis and management. Urine culture contamination can be reduced with proper techniques for urine collection, preservation, storage, and transport, the major factors affecting the preanalytic phase of urine culture. Read More

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January 2016

Work-up of Pediatric Urinary Tract Infection.

Urol Clin North Am 2015 Nov 4;42(4):519-26. Epub 2015 Aug 4.

University of California - San Francisco, San Francisco, CA 94143, USA. Electronic address:

Pediatric urinary tract infection (UTI) costs the health care system more than $180 million annually, and accounts for more than 1.5 million clinician visits per year. Accurate and timely diagnosis of these infections is important for determining appropriate treatment and preventing long-term complications such as renal scarring, hypertension, and end-stage renal disease. Read More

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November 2015