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Changing a urine collection pad (UCP) every 30 minutes reduced contamination of urine samples more than a UCP kept in the nappy in children with suspected urinary tract infection

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Q Is a urine collection pad (UCP) that is replaced every 30 minutes better than a UCP kept in the nappy (diaper) for reducing bacterial contamination of urine samples to rule out suspected urinary tract infection (UTI) in children?

METHODS

Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

concealed.

Embedded ImageBlinding:

blinded (outcome assessors).

Embedded ImageFollow up period:

after collection of urine samples.

Embedded ImageSetting:

2 acute general children’s wards in the UK.

Embedded ImagePatients:

80 febrile children <2 years of age who were admitted to the acute medical ward with suspected UTI.

Embedded ImageIntervention:

replacement of the UCP every 30 minutes until urine was passed (replaced UCP) (n = 38) or no replacement of the UCP (single UCP) (n = 42). The child’s perineum was cleaned with soap, and the reusable enuresis alarm sensor (Drinite Audio fx 2000 personal enuresis …

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Footnotes

  • For correspondence: Dr P Macfarlane, Rotherham General Hospital, Rotherham, UK. peter.macfarlanerothgen.nhs.uk

  • Source of funding: no external funding.