246 results match your criteria Suprapubic Aspiration


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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http://dx.doi.org/10.1016/j.arcped.2018.11.005DOI Listing
January 2019
2 Reads

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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http://doi.wiley.com/10.1002/ams2.362
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http://dx.doi.org/10.1002/ams2.362DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6167402PMC
October 2018
21 Reads

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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http://dx.doi.org/10.4103/0974-2727.236111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052824PMC
August 2018
3 Reads

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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http://dx.doi.org/10.1016/j.wem.2018.02.011DOI Listing
September 2018
4 Reads

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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http://dx.doi.org/10.1016/j.cnur.2018.01.001DOI Listing
June 2018
7 Reads

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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http://dx.doi.org/10.1016/j.jpeds.2017.08.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5705283PMC
December 2017
26 Reads

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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http://dx.doi.org/10.1007/s11701-017-0716-yDOI Listing
June 2018
8 Reads

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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http://dx.doi.org/10.1016/j.jpurol.2017.01.025DOI Listing
October 2017
13 Reads

[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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http://dx.doi.org/10.1007/s00120-016-0316-xDOI Listing
February 2017
5 Reads

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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http://dx.doi.org/10.1016/j.jpurol.2016.09.006DOI Listing
February 2017
8 Reads

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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http://dx.doi.org/10.1186/s13104-016-2303-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5120452PMC
November 2016
18 Reads

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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http://dx.doi.org/10.1016/j.jviscsurg.2016.03.005DOI Listing
November 2016
3 Reads

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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http://dx.doi.org/10.1080/20469047.2016.1198561DOI Listing
February 2017
17 Reads

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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http://dx.doi.org/10.1016/j.arcped.2016.05.004DOI Listing
August 2016
6 Reads

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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http://cmr.asm.org/content/29/1/105.full.pdf
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http://cmr.asm.org/lookup/doi/10.1128/CMR.00030-15
Publisher Site
http://dx.doi.org/10.1128/CMR.00030-15DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771218PMC
January 2016
48 Reads

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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http://dx.doi.org/10.1016/j.ucl.2015.05.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914380PMC
November 2015
6 Reads

Acceptance and effectiveness for learning of a simulation manikin for suprapubic aspiration in toddlers constructed with simple means.

BMC Res Notes 2015 Oct 9;8:552. Epub 2015 Oct 9.

Clinic for General Pediatrics, Neonatology and Pediatric Cardiology, University Clinic Düsseldorf (UKD), Heinrich-Heine-University, Moorenstr. 5, 40225, Düsseldorf, Germany.

Background: Skills trainings are increasing in popularity in undergraduate medical education enhancing clinical competencies and motivation for clinical practice. A suprapubic aspiration (SPA) is the gold standard to obtain urine from toddlers and young infants with fever and unclear focus to prove an urinary tract infection.

Methods: In a blended-learning scenario with virtual patients and skills lab training students were trained for a SPA. Read More

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http://www.biomedcentral.com/content/pdf/s13104-015-1536-7.p
Web Search
http://www.biomedcentral.com/1756-0500/8/552
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http://dx.doi.org/10.1186/s13104-015-1536-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600261PMC
October 2015
20 Reads

A Comparison of Bladder Catheterization and Suprapubic Aspiration Methods for Urine Sample Collection From Infants With a Suspected Urinary Tract Infection.

Clin Pediatr (Phila) 2016 Aug 29;55(9):819-24. Epub 2015 Sep 29.

Tepecik Teaching and Research Hospital, Izmir, Turkey.

This study compares 2 sampling methods for urine cultures in young infants. We analyzed data on urine samples obtained from 83 infants using 2 sources of urine: suprapubic bladder aspiration (SPA) and bladder catheterization. All specimens were subjected to both urinalysis and culture, and the results compared. Read More

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http://dx.doi.org/10.1177/0009922815608278DOI Listing
August 2016
41 Reads

Urinary tract infection in infants: the significance of low bacterial count.

Pediatr Nephrol 2016 Feb 10;31(2):239-45. Epub 2015 Sep 10.

Department of Pediatrics, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.

Background: In national guidelines for urinary tract infection (UTI) in children, different cut-off levels for defining bacteriuria are used. In this study, the relationship between bacterial count in infant UTI and inflammatory parameters, frequency of vesicoureteral reflux (VUR), kidney damage, and recurrent UTI was analyzed.

Methods: We conducted a population-based retrospective study of 430 infants age <1 year with symptomatic UTI diagnosed by suprapubic aspiration. Read More

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http://dx.doi.org/10.1007/s00467-015-3199-yDOI Listing
February 2016
5 Reads

Cutaneous metastases of prostatic adenocarcinoma.

J Cytol 2015 Apr-Jun;32(2):121-3

Department of Urology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

Prostatic adenocarcinoma (PA) is a common visceral malignancy of elderly men. Cutaneous metastasis of PA is rare. The incidence is <1%. Read More

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http://dx.doi.org/10.4103/0970-9371.160568DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520044PMC
August 2015
6 Reads

Obstructing Colonic Mass: A Case of Recurrent Endometrial Cancer.

Case Rep Gastrointest Med 2015 24;2015:593786. Epub 2015 Jun 24.

Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh, Pittsburgh, PA 15213, USA.

A 71-year-old female with a history of endometrial cancer presented to our hospital with bilateral lower quadrant abdominal pain, which had been worsening over the past two months. The pain was associated with constipation, pencil-thin stools, and a 60 lb weight loss. On physical examination, the patient had suprapubic and left lower quadrant abdominal tenderness. Read More

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http://dx.doi.org/10.1155/2015/593786DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495181PMC
July 2015
5 Reads

Validity of bag urine culture for predicting urinary tract infections in febrile infants: a paired comparison of urine collection methods.

Korean J Pediatr 2015 May 22;58(5):183-9. Epub 2015 May 22.

Department of Pediatrics, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.

Purpose: Catheter urine (CATH-U) and suprapubic aspiration (SPA) are reliable urine collection methods for confirming urinary tract infections (UTI) in infants. However, noninvasive and easily accessible collecting bag urine (CBU) is widely used, despite its high contamination rate. This study investigated the validity of CBU cultures for diagnosing UTIs, using CATH-U culture results as the gold standard. Read More

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http://dx.doi.org/10.3345/kjp.2015.58.5.183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4481039PMC
May 2015
50 Reads

A midstream urine collector is not a good alternative to a sterile collection method during the diagnosis of urinary tract infection.

Acta Paediatr 2015 Sep 4;104(9):e395-400. Epub 2015 May 4.

Service de Pédiatrie et CHREC, CHU de Limoges, Limoges, France.

Aim: Guidelines recommend collecting urine with suprapubic aspiration or urethral catheterisation in infants with a suspected urinary tract infection (UTI), but the invasiveness of these methods continues to drive research on new urine collection devices. We studied children with a suspected UTI, who had not been toilet trained, to compare a new midstream urine collector and catheterisation.

Method: During this prospective controlled diagnosis study of 94 children, urine collection was performed using the midstream collector and then controlled via catheterisation when the urine dipstick was positive. Read More

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http://dx.doi.org/10.1111/apa.13019DOI Listing
September 2015
5 Reads

Safe and effective catheterisation for patients in the community.

Authors:
Alison Bardsley

Br J Community Nurs 2015 Apr;20(4):166-70; 172

Senior Lecturer (Adult Nursing), Course Director in Non-medical Prescribing, Nursing, Midwifery and Healthcare Practice, Coventry University.

Approximately 450 000 people use long-term urinary catheters in the UK. Permanent catheters are used by 3% of the community population and occupy an estimated 4% of a district nurse's caseload in the UK. Catheterisation is defined as 'drainage or aspiration of the bladder or urinary reservoir' and can be intermittent or indwelling. Read More

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http://dx.doi.org/10.12968/bjcn.2015.20.4.166DOI Listing
April 2015
5 Reads

A comparison between foley and nelatone urinary catheters in causing urinary tract infection in animal models.

Nurs Midwifery Stud 2015 Mar 20;4(1):e24363. Epub 2015 Mar 20.

Department of Biomedical Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran.

Background: Urinary catheterization is one of the main measures used to treat and care for hospitalized patients. Several complications have been attributed to the presence of latex with routine Foley catheters. Therefore, some studies have recommended that Nelatone catheters be substituted for the ordinary Foley catheters to prevent these complications. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377530PMC
March 2015
14 Reads
1 Citation

Urinary tract infections in children: EAU/ESPU guidelines.

Eur Urol 2015 Mar 2;67(3):546-58. Epub 2014 Dec 2.

Hacettepe University, Faculty of Medicine, Department of Urology, Division of Paediatric Urology, Ankara, Turkey.

Context: In 30% of children with urinary tract anomalies, urinary tract infection (UTI) can be the first sign. Failure to identify patients at risk can result in damage to the upper urinary tract.

Objective: To provide recommendations for the diagnosis, treatment, and imaging of children presenting with UTI. Read More

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http://dx.doi.org/10.1016/j.eururo.2014.11.007DOI Listing
March 2015
46 Reads

Suprapubic Bladder Aspiration or Urethral Catheterization: Which is More Painful in Uncircumcised Male Newborns?

Int J Prev Med 2014 Sep;5(9):1125-30

Department of Pediatrics, School of Medicine, and Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: The aim was to compare the intensity of pain caused by suprapubic aspiration (SPA) and urethral catheterization for urine sampling in premature infants.

Methods: A prospective randomized controlled design with 80 premature infants in Alzahra University Hospital, Isfahan, Iran was conducted. Premature newborns who needed urine samples for microbiologic analysis were randomly assigned into two groups: SPA group and urethral catheterization group. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4192774PMC
September 2014
8 Reads

Videos in clinical medicine. Suprapubic bladder aspiration.

N Engl J Med 2014 Sep;371(10):e13

From the Departments of Pediatrics (J.R.M., N.S., S.G.D., R.W.H., A.H.) and Emergency Medicine (J.R.M.), University of Pittsburgh, Pittsburgh.

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http://www.nejm.org/doi/10.1056/NEJMvcm1209888
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http://dx.doi.org/10.1056/NEJMvcm1209888DOI Listing
September 2014
13 Reads

[Measurement of intra-abdominal pressure with intravesical system Unometer Abdo-Pressure].

Rev Enferm 2014 Apr;37(4):42-8

The measurement of intra-abdominal pressure (IAP) has been incorporated routinely in Critical Units in order to monitor and control those clinical situations that make us suspicious of intraabdominal hypertension (IAH). There are several methods to measure IAP [1-3]: direct measurement, a catheter inserted through suprapubic aspiration, although it is a discouraged procedure by being very invasive; and indirect measurement. In this method there are mainly three different techniques: Through femoral vein puncture: a catheter into the inferior vena cava is channeled. Read More

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April 2014
3 Reads

Basic ultrasound-guided procedures.

Crit Care Clin 2014 Apr 21;30(2):275-304, vi. Epub 2014 Jan 21.

EM Residency Program, Department of Emergency Medicine, Maricopa Medical Center, School of Medicine-Phoenix, University of Arizona, 550 E Van Buren Street, Phoenix, AZ 85004, USA.

Use of bedside ultrasound to guide simple procedures increases safety by allowing real-time visualization of patient anatomy. This article discusses ultrasound guidance for basic procedures including peripheral and central intravenous access, arterial access, suprapubic aspiration, abscess incision and drainage, foreign body identification, and joint arthrocentesis. It reviews the indications and complications of the procedure, advantages of ultrasound guidance, anatomy, and procedural technique. Read More

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http://dx.doi.org/10.1016/j.ccc.2013.10.004DOI Listing
April 2014
7 Reads

Crossed renal ectopia presenting with suprapubic swelling and acute renal failure.

J Pak Med Assoc 2013 Sep;63(9):1189-91

Addenbrooke's Hospital, Cambridge University, Cambridge.

A 17-year-old male was admitted with a fluctuant suprapubic mass. A bladder scan demonstrated > 999 ml filling so he was catheterised. However, only 75ml of urine was drained. Read More

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September 2013
3 Reads

The comparison of pain caused by suprapubic aspiration and transurethral catheterization methods for sterile urine collection in neonates: a randomized controlled study.

ScientificWorldJournal 2014 23;2014:946924. Epub 2014 Jan 23.

Department of Pediatrics, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran ; Division of Neonatology, Boo-Ali Sina Teaching Hospital, Mazandaran University of Medical Sciences, P.O. Box 48158-38477, Sari, Iran.

This study was performed to compare the levels of pain experienced by young infants undergoing either suprapubic aspiration (SPA) or transurethral catheterization (TUC) for the collection of sterile urine samples. This prospective randomized clinical trial was conducted in hospitalized neonates in a university-affiliated hospital. Patients who required urine cultures were randomly assigned into one of two groups, the SPA or TUC group. Read More

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http://dx.doi.org/10.1155/2014/946924DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3920630PMC
October 2014
6 Reads
1.220 Impact Factor

Transrectal ultrasound-guided aspiration in the management of prostatic abscess: A single-center experience.

Indian J Radiol Imaging 2013 Jul;23(3):253-7

Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.

Objectives: The safety and efficacy of transrectal ultrasound (TRUS) guided aspiration of prostatic abscess (PA) is known. The objective of this study is to describe a treatment algorithm for management of PA with TRUS-guided aspiration, emphasizing on indications and factors predicting the treatment outcome.

Materials And Methods: After the institutional review board approval was obtained, a retrospective study was done of all patients suspected with PA on digital rectal examination (DRE) and confirmed on TRUS. Read More

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http://dx.doi.org/10.4103/0971-3026.120262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3843335PMC
July 2013
11 Reads

Severe hydronephrosis caused by an infected intra-abdominal fluid collection in a patient with a ventriculoperitoneal shunt.

Childs Nerv Syst 2014 Jun 19;30(6):1121-3. Epub 2013 Nov 19.

Pediatric Urology, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA,

Case: The authors report a case of a 10-year-old boy with myelodysplasia and shunted hydrocephalus who developed acute severe hydronephrosis presumed secondary to a large abdominal cerebrospinal fluid (CSF) collection.

Method: The patient had recently begun having trouble catheterizing his Monti channel, and had been diagnosed and treated for an Escherichia Coli urinary tract infection. He presented with abdominal pain, and an abdominal CT demonstrated severe hydronephrosis and a large abdominal fluid collection presumed to be a CSFoma. Read More

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http://dx.doi.org/10.1007/s00381-013-2322-2DOI Listing
June 2014
6 Reads

Top 10 forgotten diagnostic procedures: suprapubic bladder aspiration.

Can Fam Physician 2013 Jan;59(1):50

Department of Family Medicine, University of Ottawa in Ontario.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3555656PMC
January 2013
3 Reads

Success rate of BladderScan-assisted suprapubic aspiration.

Emerg Med Australas 2012 Dec;24(6):647-51

Emergency Department, Royal Children's Hospital, Melbourne, Victoria, Australia.

Objective: Suprapubic aspiration (SPA) is the gold standard for obtaining uncontaminated urine specimens in young febrile children. The use of real-time ultrasound (RTUS) has been shown to increase the success rate of SPA. The BladderScan (BSUS) Verathon(®) is an alternative portable ultrasound device designed to provide automated measurement of bladder volume. Read More

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http://dx.doi.org/10.1111/1742-6723.12011DOI Listing
December 2012
14 Reads

Persistent inguinal seroma managed with sprinkling of talcum powder: a case report.

J Med Case Rep 2012 Nov 21;6:391. Epub 2012 Nov 21.

General Surgery Department, Henares Hospital, Avenida Marie Curie, s/n, 28822, Coslada, Madrid, Spain.

Unlabelled:

Introduction: We present a new method to treat recurrent seromas, which is based on our experience with a patient who had recurrent groin seroma and was treated successfully with a sprinkling of talcum powder in the seroma cavity.

Case Presentation: A 67-year-old Caucasian man with a suprapubic recurrent right groin hernia underwent inguinal hernioplasty with a polypropylene plug. Three days later the patient presented with a right groin fluctuating mass beneath the surgical wound with no signs of infection, and was discharged after seroma aspiration. Read More

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http://dx.doi.org/10.1186/1752-1947-6-391DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3514382PMC
November 2012
20 Reads

Is it justified to include urine cultures in early (< 72 hours) neonatal sepsis evaluations of term and late preterm infants?

Am J Perinatol 2013 Jun 12;30(6):499-504. Epub 2012 Nov 12.

Department of Neonatology, Bnai Zion Medical Center, Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel.

Objective: Evaluate the need for urine culture in early neonatal sepsis workup of term and late preterm infants.

Study Design: Urine culture by suprapubic aspiration or catheter was included in early sepsis evaluations of 173 term and late preterm newborns (mean gestational age 38.6 ± 2. Read More

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https://www.thieme-connect.com/products/ejournals/pdf/10.105
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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0032-1329180
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http://dx.doi.org/10.1055/s-0032-1329180DOI Listing
June 2013
8 Reads

[Ultrasound-guided suprapubic bladder aspiration increases the success of the technique in infants less than 4 months-old].

An Pediatr (Barc) 2013 May 22;78(5):321-5. Epub 2012 Oct 22.

Servicio de Urgencias Pediátricas, Hospital Universitario Materno-Infantil de las Palmas, Las Palmas de Gran Canaria, Spain.

Introduction: Suprapubic bladder aspiration (SBA) is a widely accepted technique used to collect uncontaminated urine samples from infants with suspected urinary tract infection (UTI). Ultrasound-based guidance improves the success rates. The standard measurements for a successful procedure, however, have been scarcely evaluated. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S16954033120038
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http://dx.doi.org/10.1016/j.anpedi.2012.09.004DOI Listing
May 2013
6 Reads

Urinary tract infection in febrile children with sickle cell anaemia.

West Afr J Med 2011 Jul-Aug;30(4):268-72

Departments of Paediatrics,University of Maiduguri Teaching Hospital, P.M.B. 1414, Maiduguri, Borno State, Nigeria. Email:

Background: Sickle cell anaemia (SCA) is very common in Maiduguri, North-Eastern Nigeria. Children with this disease have increased tendency to develop frequent and severe infections especially of the urinary tract, bones and lungs. The prevalence of urinary tract infection (UTI) has however not been reported in this part of the Nigeria. Read More

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April 2014
3 Reads

Contamination rates of different urine collection methods for the diagnosis of urinary tract infections in young children: an observational cohort study.

J Paediatr Child Health 2012 Aug 27;48(8):659-64. Epub 2012 Apr 27.

Emergency Department, Royal Children's Hospital Melbourne, Melbourne, VIC 3052, Australia.

Aims:   The optimal method for diagnostic collection of urine in children is unclear. National Institute of Health and Clinical Excellence recommend specimens taken by clean catch urine (CCU) for identification of urinary tract infection (UTI). We investigated contamination rates for CCU, suprapubic aspiration (SPA), catheter specimen urine (CSU) and bag specimen urine (BSU) collections. Read More

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http://doi.wiley.com/10.1111/j.1440-1754.2012.02449.x
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http://dx.doi.org/10.1111/j.1440-1754.2012.02449.xDOI Listing
August 2012
11 Reads

Evaluation of a novel in-vitro diagnostic device for the detection of urinary tract infections in diaper wearing children.

Swiss Med Wkly 2012 5;142:w13560. Epub 2012 Apr 5.

Cabinet Médical, Le Mont-sur-Lausanne, Switzerland.

Questions: Is the novel in-vitro diagnostic device U-Test(®) reliable and secure for urine collection in diaper-wearing children and simultaneous evaluation of the urine collected for the presence of leucocytes and nitrite?

Methods: The qualitative and functional performance of U-Test(®) was evaluated in a multicentre prospective clinical trial. The diagnostic performance of the novel in-vitro diagnostic device was determined in reference to the established procedure involving urine sampling by urine-bag, clean-catch, catheterisation and suprapubic aspiration followed by dipstick analysis and urine culture, and in an in-vitro study.

Results: U-Test(®) proved to be comfortable and secure for the child and well accepted by the persons responsible for the participating children. Read More

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http://dx.doi.org/10.4414/smw.2012.13560DOI Listing
August 2012
9 Reads

Laparoscopic management of large ovarian cysts.

Surg Innov 2012 Dec 26;19(4):370-4. Epub 2012 Feb 26.

Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Athens, Greece.

The aim of this study was to describe a new technique for laparoscopic removal of large ovarian cystic masses. The authors performed a retrospective study during the period January 2008 to December 2009 in the Second Department of Obstetrics and Gynecology of Aretaieion University Hospital; 19 women with large ovarian cysts were included in the study. During the study period, 53 women underwent laparoscopic excision of ovarian cysts. Read More

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http://journals.sagepub.com/doi/10.1177/1553350611432722
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http://dx.doi.org/10.1177/1553350611432722DOI Listing
December 2012
4 Reads

Interventional radiology in pregnancy complications: indications, technique, and methods for minimizing radiation exposure.

Radiographics 2012 Jan-Feb;32(1):255-74

Division of Abdominal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, 55 Fruit St, White 270, Boston, MA 02114, USA.

Complications of pregnancy, whether they occur during gestation or postpartum, often pose complex challenges because they affect two patients (mother and fetus or infant) and because both short- and long-term outcomes must be considered in management decision making. Interventional radiologists play a critical role in treating complications such as ectopic implantation, postpartum hemorrhage, symptomatic ovarian cyst, post-cesarean section fluid collection, obstructive uropathy, and vesicouterine fistula. Interventional radiology offers therapeutic options that obviate surgery, thereby minimizing morbidity and mortality and maximizing the potential for fertility preservation. Read More

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http://dx.doi.org/10.1148/rg.321115064DOI Listing
May 2012
8 Reads

Evaluation of the Nitrite Test in Screening for Urinary Tract Infection in Febrile Children with Sickle Cell Anaemia in Maiduguri- Nigeria.

Niger Med J 2011 Jan;52(1):45-48

Depatrment of Paediatrics, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria.

BACKGROUND: Urinary tract infection is a significant cause of morbidity in children with sickle cell anaemia (SCA). Individuals with SCA have increased risk of urinary tract infection (UTI). Facilities for urine culture may not be available in most rural and even some urban areas in most developing countries like Nigeria. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180749PMC
January 2011
5 Reads

Assessing bladder volumes in young children prior to instrumentation: accuracy of an automated ultrasound device compared to real-time ultrasound.

Acad Emerg Med 2011 Aug;18(8):816-21

Emergency Department, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Victoria, Australia.

Objectives: Automated bladder ultrasound (ABUS) devices are portable and designed to provide automated measurement of bladder volume. They are simple and require minimal training compared to conventional real-time ultrasound (RTUS). Their most common application in the acute pediatric setting is to assess bladder volumes prior to performing invasive urine collection such as suprapubic aspiration (SPA) in children younger than 2 years of age. Read More

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http://dx.doi.org/10.1111/j.1553-2712.2011.01130.xDOI Listing
August 2011
23 Reads

Risk factors for contamination of catheterized urine specimens in febrile children.

Pediatr Emerg Care 2011 Jan;27(1):1-4

Division of Emergency Medicine, Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA.

Background: Urinary tract infections are the most common serious bacterial infection in febrile infants. Bladder catheterization is the preferred method of obtaining urine for culture in young children. Contamination of urine can be recognized when nonpathogens or multiple pathogens are isolated; preliminary culture results may lead to unnecessary antibiotics pending final identification. Read More

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http://dx.doi.org/10.1097/PEC.0b013e3182037c20DOI Listing
January 2011
5 Reads

Neonatal circumcision reduces the incidence of asymptomatic urinary tract infection: a large prospective study with long-term follow up using Plastibell.

J Pediatr Urol 2012 Jun 5;8(3):320-3. Epub 2010 Nov 5.

Shahid Labbafinejad Medical Center, Urology and Nephrology Research Center (UNRC), Shahid Beheshti University, M.C. (SBMU), No#103, Boostan 9th St., Pasdaran Ave., Tehran, Islamic Republic of Iran.

Objective: To evaluate the preventive effect of neonatal circumcision on urinary tract infection and the incidence of complications following neonatal circumcision using Plastibell.

Materials And Methods: A prospective study was carried out between 2004 and 2008. During this period, there were 3000 neonatal circumcisions. Read More

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http://dx.doi.org/10.1016/j.jpurol.2010.10.008DOI Listing
June 2012
24 Reads

Comparison of pain during two methods of urine collection in preterm infants.

Pediatrics 2010 Jun 17;125(6):1224-9. Epub 2010 May 17.

Department of Pediatrics, Hospital for Sick Children, Toronto, Ontario, Canada.

Background: Suprapubic aspiration (SPA) and urine catheterization (UC) are performed frequently in preterm neonates to rule out urinary tract infection; however, a comparison of the pain caused by both procedures has not been made previously.

Objective: To compare pain responses in preterm infants who are undergoing urine collection by using SPA versus UC.

Methods: Prospective, single-blind, randomized clinical trial was conducted in 2 NICUs. Read More

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http://pediatrics.aappublications.org/content/pediatrics/125
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http://pediatrics.aappublications.org/cgi/doi/10.1542/peds.2
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http://dx.doi.org/10.1542/peds.2009-3284DOI Listing
June 2010
13 Reads

The relationship between infantile atopic dermatitis and urinary tract infection.

Iran J Allergy Asthma Immunol 2009 Dec;8(4):211-4

Department of Pediatric Dermatology, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran.

Atopic dermatitis (AD) is one of the most common infantile diseases. Immunological dysfunctions in AD patients may predispose them to infections. The aim of this study was to evaluate the relationship between infantile AD and urinary tract infection (UTI). Read More

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http://dx.doi.org/08.04/ijaai.211214DOI Listing
December 2009
7 Reads