Effect of Use of a New Technique for Pediatric Urine Collection in ER (BLST)

Effect of Use of a New Technique for Pediatric Urine Collection on the Length of Stay in the Emergency Department: Prospective Randomized Controlled Trial

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.

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

Success is defined as the collection of a sample within 10 min of starting the stimulation manoeuvres

Urine collection time is defined as time from ordering urine analysis to collection of a urine sample

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

Herreros Fernandez ML, Gonzalez Merino N, Tagarro Garcia A, Perez Seoane B, de la Serna Martinez M, Contreras Abad MT, Garcia-Pose A. A new technique for fast and safe collection of urine in newborns. Arch Dis Child. 2013 Jan;98(1):27-9. doi: 10.1136/archdischild-2012-301872. Epub 2012 Nov 21.