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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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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.

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

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

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

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

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

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

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

Department of Family Medicine, University of Ottawa in Ontario.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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