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Clean catch or bag specimen in UTI in non toilet trained children?
Manchester Royal Infirmary
Report by Rachel Jenner, Specialist Registrar
Search checked by Shadi Afzalnia, Medical Student
Manchester Royal Infirmary
| The first 150 words of the full text of this article appear below. |
A short cut review was carried out to establish whether bagged specimens of urine in children are more likely to be contaminated than clean catch specimens. 316 papers were found, of which two presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are tabulated. The clinical bottom line is that clean catch is a better non-invasive method of obtaining a urine specimen, compared with bag urine, in non-toilet trained children.
In a [non toilet-trained child with suspected UTI] is [clean catch or bag specimen of urine] better at [reducing the risk of contamination and therefore providing an accurate diagnosis of UTI]?
An 18 month old child with fever and vomiting is brought to the emergency department by its parents. There is no clear focus of infection on clinical
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