The Reliability of Midstream Urine Culture From Circumcised Male Infants

Amir, Jacob; Ginzburg, Mira; Straussberg, Rachel; Varsano, I

doi:10.1001/archpedi.1993.02160330059019

Cited by 15 publications

(14 citation statements)

References 9 publications

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“…This time seems to be quite long to practise. But when compared with the results of previous studies of CCU sampling in infants and children, it is considerably shorter [4,10]. Moreover, we suppose that the procedure might be applied easily by two experienced staff.…”

Section: Discussionmentioning

confidence: 82%

“…Amir et al showed that the midstream method of obtaining urine for a culture is as reliable as SPA in their study including 60 circumcised male infants aged 1 to 21 weeks [4]. Both midstream and SPA specimens were available for bacterial culture in 51 infants and identical results were obtained in all except one patient in whom the midstream urine sample was contaminated.…”

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

Midstream clean-catch urine collection in newborns: a randomized controlled study

Altuntaş

Tayfur²,

Koçak³

et al. 2014

Eur J Pediatr

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 95%

Midstream clean-catch urine collection in newborns: a randomized controlled study

Altuntaş

Tayfur²,

Koçak³

et al. 2014

Eur J Pediatr

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“…In populations with a high percentage of circumcised males, midstream collection is highly recommended as a reliable, non-invasive procedure for the diagnosis of UTI. 8 Furthermore, the American Academy of Pediatrics recognises that the low a priori rate of UTI in this population (0.2-0.4%) does not justify the routine use of an invasive, potentially traumatic diagnostic procedure. 2 The most common oral antibiotics prescribed in Israel for UTI are first generation cephalosporins and co-trimoxazole.…”

Section: Discussionmentioning

confidence: 98%

Bacterial susceptibility to oral antibiotics in community acquired urinary tract infection

Prais

2003

Archives of Disease in Childhood

105

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Background: The most common oral antibiotics used in the treatment of urinary tract infection (UTI) are sulphonamides and cephalosporins, but emerging resistance is not unusual. Aims: To assess the change in susceptibility of urinary pathogens to oral antibiotics during the past decade in children with community acquired UTI. Methods: The study sample included two groups of children with a first community acquired UTI: 142 children enrolled in 1991 and 124 enrolled in 1999. UTI was diagnosed by properly collected urine specimen (suprapubic aspiration, transurethral catheterisation, or midstream specimen in circumcised males) in symptomatic patients. Antimicrobial susceptibility of the isolates was compared between the two groups. Results: The pathogens recovered in the two groups were similar: in 1991-E coli 86%, Klebsiella 6%, others 8%; in 1999-E coli 82%, Klebsiella 13%, and others 5%. A slight but generalised decrease in bacterial susceptibility to common antibiotics in the two groups was shown: ampicillin 35% versus 30%; cephalexin 82% versus 63% (p < 0.001); nitrofurantoin 93% versus 92%. The only exception was co-trimoxazole, 60% versus 69%. Overall resistance to antibiotics in 1999 was as follows: ampicillin 70%, cephalexin 37%, co-trimoxazole 31%, amoxicillin-clavulanate 24%, nitrofurantoin 8%, cefuroxime-axetil 5%, nalidixic acid 3%. Conclusions: This study shows a slight but generalised decrease in bacterial susceptibility to common oral antibiotics in the past decade in our population. Empirical initial treatment with co-trimoxazole or cephalexin is inadequate in approximately one third of UTI cases. A larger number of pathogens may be empirically treated with amoxicillin-clavulanate (24% resistance); 95% of organisms are susceptible to cefuroxime-axetil.

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“…Specimens were obtained either from supra-pubic aspiration (SPA) or via a sterile urine catheter. If these procedures were unsuccessful in obtaining a urine sample, a clean mid-stream voided sample into a sterile cup was obtained (6). Biochemical analyses of leucocyte esterase and nitrites in urine were performed with the Cybow rapid dipstick method (DFI Co Ltd, South Korea).…”

Section: Study Design and Settingsmentioning

confidence: 99%

Infants under two months of age with urinary tract infections are showing increasing resistance to empirical and oral antibiotics

et al. 2016

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The Reliability of Midstream Urine Culture From Circumcised Male Infants

Cited by 15 publications

References 9 publications

Midstream clean-catch urine collection in newborns: a randomized controlled study

Midstream clean-catch urine collection in newborns: a randomized controlled study

Bacterial susceptibility to oral antibiotics in community acquired urinary tract infection

Infants under two months of age with urinary tract infections are showing increasing resistance to empirical and oral antibiotics

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