Pain experienced by infants and toddlers at urine collection bag removal: A randomized, controlled, clinical trial

Lamy, Charles; Loizeau, Valérie; Couquet, Catherine; Sturtzer, Caroline; Fluteau, Coralie; Dugas, M; Labrunie, Anaïs; Marin, Benoît; Desfougères, J L; Bahans, Claire; Guigonis, Vincent; Beloni, Pascale

doi:10.1016/j.ijnurstu.2019.03.014

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…There is a clinician concern that the adhesion of the bag to sensitive skin causes moderate to severe pain when assessed on visual pain scales [ 42 ]. A study of French doctors reported bag removal as “equally to more painful” than catheter removal for females and “equally to less painful” for males [ 43 ].…”

Section: Methods Of Collectionmentioning

confidence: 99%

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

Diviney

Jaswon

2020

Pediatr Nephrol

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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. The pros and cons of each method are examined in detail in this review. They differ significantly in frequency of use, contamination rates and acceptability to parents and clinicians. National guidance of which to use differs significantly internationally. No method is clearly superior. For non-invasive testing, clean catch sampling has a lower likelihood of contamination and can be made more efficient through stimulation of voiding in younger children. In invasive testing, suprapubic aspiration gives a lower likelihood of contamination, a high success rate and a low complication rate, but is considered painful and is not preferred by parents. Urine dipstick testing is validated for ruling in or out UTI provided that leucocyte esterase (LE) and nitrite testing are used in combination.

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Section: Methods Of Collectionmentioning

confidence: 99%

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

Diviney

Jaswon

2020

Pediatr Nephrol

View full text Add to dashboard Cite

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“…Although this method is non‐invasive, urine bags have a high contamination rate, making it unreliable for culture 1,6,7 . The use of urine bags in the ED may increase ED length of stay 8,9 and removal of the bag can cause significant pain 10 . A positive urinalysis collected via urine bag requires that a sterile urine sample be obtained via catheterization to fully evaluate for a UTI, which also may delay care as well as cause the adverse effects as listed above.…”

Section: Introductionmentioning

confidence: 99%