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Volume 8

Pediatrics & Therapeutics

ISSN: 2161-0665

Pediatrics and Pediatric Gastroenterology 2018

March 21-22, 2018

Annual World Congress on

March 21-22, 2018 | New York, USA

PEDIATRICS

PEDIATRIC NUTRITION,

GASTROENTEROLOGY & CHILD DEVELOPMENT

The effect of bladder and lumbar stimulation technique for collection of urine in newborns

Rajbanshi M, Karn B K, Yadav U, Shah S

and

Yadav S

B P Koirala Institute of Health Sciences, Nepal

Background & Objectives:

Sign and symptoms of urinary tract infections (UTI) are not specific in infants and young children, fever

being the commonest sign. Therefore, collecting urine samples for culture is required to diagnose or exclude UTI. Obtaining a clean

catch urine sample in neonates and infants is a great challenge as it is unpredictable, time consuming and requires lot of patience. The

objective of the study was to determine the effect of Bladder and Lumbar Stimulation Technique (BLST) for collection of midstream

urine in newborns and to evaluate contamination rates of urine samples collected.

Methods:

An experimental research was conducted in BPKIHS, Dharan, Nepal including total of 54 term newborns. Urine culture

was indicated for different reasons to the admitted newborns. They were randomly assigned either to the experimental group (n=27)

or the control group (n=27). Twenty-five minutes after feeding, the genitals and perineal area of the babies were cleaned. The newborns

were held under the armpits with legs dangling. Bladder and Lumbar stimulation technique was only applied to the newborns in the

experimental group. Success was defined as collection of urine sample within 5 minutes (<300s) of starting the stimulation maneuver

in the experimental group and of holding under the armpits in the control group.

Results:

The success rate of urine collection was significantly higher in the experimental group (88.88%) than in the control group

(25.92%) p<0.001. The median time for sample collection was 1.07minutes (64.2s) [IQR=1.52minutes (91.2s)] in experimental group

and 1.52minutes (91.2s) [IQR= 2.78 minutes (166.8s) for control group (p=0.069). Contamination was not found in urine samples

collected in both the groups.

Conclusion:

The study suggests that the bladder and lumbar stimulation technique is safe, quick and effective way of collecting

midstream clean catch urine in newborns.

Pediatr Ther 2018, Volume: 8

DOI: 10.4172/2161-0665-C1-049