Effect of Use of a New Technique for Pediatric Urine Collection on the Length of Stay in the Emergency Department: Prospective Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Urinary Tract Infection
- Sponsor
- Jeju National University Hospital
- Enrollment
- 170
- Locations
- 1
- Primary Endpoint
- Success rate of bladder and lumbar stimulation techninc
- Last Updated
- 12 years ago
Overview
Brief Summary
Urinary tract infection is most common serious bacterial infection in children who admit into the emergency department (ED). However the collection of urine from young children is time consuming process. So many children and their family guardian waste time until medical disposition established.
In 2013, Maria Luisa Herreros Fernandez etc have suggested a new urine collection technique for newborn, that bladder and lumbar stimulation technique is fast and safe.
The aim of this study is to determine clinical efficacy of bladder and lumbar stimulation technique (BLST) for pediatric patient in ED.
Detailed Description
Bladder and lumbar stimulation technic Step 1 - Oral or IV hydration : Aprropriate to the weight of the children Step 2 - Bladder stimulation : Gentle tapping in the suprapubic area at a frequency of 100 taps per minute for 30 sec Step 3 - Lumbar stimulation : Lumbar paravertebral zone in the lower back with a light circular massage for 30 sec Both stimulation manoeuvres are repeated until micturition starts and a midstream urine sample can be caught in a sterile collector
Investigators
Kang Jeong Ho
Emergency department
Jeju National University Hospital
Eligibility Criteria
Inclusion Criteria
- •Children have unspecific fever and requiring and urine test
Exclusion Criteria
- •Initial shock state
- •History of congenial urinary tract abnormality
- •Parents who have declined taking part in the research
Outcomes
Primary Outcomes
Success rate of bladder and lumbar stimulation techninc
Time Frame: 10 min
Success is defined as the collection of a sample within 10 min of starting the stimulation manoeuvres
Secondary Outcomes
- Urine collection time(3 hour)