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Letters

Quick and easy methods for “clean-catch” urine samples

Zahra N. Jaffer and Brenda Muselius
CMAJ May 23, 2017 189 (20) E731; DOI: https://doi.org/10.1503/cmaj.733101
Zahra N. Jaffer
Family physicians, Weeneebayko General Hospital, Moose Factory, Ont.
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Brenda Muselius
Family physicians, Weeneebayko General Hospital, Moose Factory, Ont.
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We read with interest the article by Hudson and colleagues on urinary tract infection in children.1 As clinicians working in rural and remote locations with limited staff and limited experience in invasive urine collection in children, we have successfully used a clean-catch urine collection method developed by Herreros Fernández and colleagues.2 The technique, derived from methods used for patients with bladder dysfunction, begins with breastfeeding/formula feeding the infant, followed by holding the child upright with legs dangling. After cleansing external genitalia, gentle suprapubic tapping (100 taps/min) is alternated with lumbar paravertebral massage for 30 seconds and repeated until micturition begins.2 The method is most successful in infants less than 90 days old but can be used in those who are up to six months of age.3

We are planning to attempt a recently published alternate manoeuvre, the Quick-Wee method, for infants up to 12 months of age.4 We believe these simple yet effective methods will save time and aggravation for clinicians who require urine collection in patients where invasive testing is unavailable or not indicated.

Footnotes

  • Competing interests: None declared.

References

  1. ↵
    1. Hudson A,
    2. Romao RLP,
    3. MacLellan D
    . Urinary tract infection in children. CMAJ 2017;189:E608.
    OpenUrlFREE Full Text
  2. ↵
    1. Herreros Fernández M,
    2. González Merino N,
    3. Tagarro García A,
    4. et al
    . A new technique for fast and safe collection of urine in newborns. Arch Dis Child 2013;98:27–9.
    OpenUrlAbstract/FREE Full Text
  3. ↵
    1. Labrosse M,
    2. Levy A,
    3. Autmizguine J,
    4. et al
    . Evaluation of a new strategy for clean catch urine in infants. Pediatrics 2016;138. pii: e20160573.
  4. ↵
    1. Kaufman J,
    2. Fitzpatrick P,
    3. Tosif S,
    4. et al
    . Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ 2017;357:j1341.
    OpenUrlAbstract/FREE Full Text
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Canadian Medical Association Journal: 189 (20)
CMAJ
Vol. 189, Issue 20
23 May 2017
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Quick and easy methods for “clean-catch” urine samples
Zahra N. Jaffer, Brenda Muselius
CMAJ May 2017, 189 (20) E731; DOI: 10.1503/cmaj.733101

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Quick and easy methods for “clean-catch” urine samples
Zahra N. Jaffer, Brenda Muselius
CMAJ May 2017, 189 (20) E731; DOI: 10.1503/cmaj.733101
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