Document Detail

Urine samples from disposable diapers: an accurate method for urine cultures.
MedLine Citation:
PMID:  9071249     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The method of collection of the urine sample is of paramount importance in making a diagnosis of urinary tract infection in infants and children. Squeezing urine out of disposable diapers can provide a urine sample that can be used to detect chemical abnormalities as well as a specimen suitable for microscopic examination. To date there have been no reported studies on the use of this technique for urine culture as compared with samples collected by suprapubic aspiration and catheterization. METHODS: Urine was obtained from 38 infants aged under 2 years who presented with fever with no obvious cause. All infants had urine collected either by catheterization or suprapubic aspiration and by extraction from a disposable diaper. The urine samples were cultured using standard bacteriologic techniques. RESULTS: Five infants had a urinary tract infection, as shown by a pure growth of more than 10(5) colonies/mL of a single species of bacterium. In all the cases the same result was obtained from both the diaper urine sample and the sample obtained by suprapubic aspiration or catheter. In 31 infants the urine samples collected by both techniques (diaper and catheter or suprapubic aspiration) were negative, and in only 2 infants did the diaper specimen yield a positive result, while the urine obtained by suprapubic aspiration or catheter was sterile. CONCLUSIONS: Urine obtained from a disposable diaper can provide a valid sample for diagnosing urinary tract infection. The technique is simple, and can be carried out readily in ambulatory settings with minimal equipment and expense.
H A Cohen; B Woloch; N Linder; A Vardi; A Barzilai
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of family practice     Volume:  44     ISSN:  0094-3509     ISO Abbreviation:  J Fam Pract     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-04-09     Completed Date:  1997-04-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7502590     Medline TA:  J Fam Pract     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  290-2     Citation Subset:  AIM; IM    
Pediatric Ambulatory Center, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel.
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MeSH Terms
Disposable Equipment*
Escherichia coli / isolation & purification
Infant Care*
Sensitivity and Specificity
Specimen Handling / methods*
Urinary Catheterization
Urinary Tract Infections / diagnosis*,  microbiology
Urine / microbiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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