TY - JOUR
T1 - Bladder Stimulation for Clean Catch Urine Collection Improved Parent and Provider Satisfaction
AU - Ravichandran, Yagnaram
AU - Parker, Sarah
AU - Farooqi, Ahmad
AU - DeLaroche, Amy
N1 - Funding Information:
Funding was received for this research project from multiple sources: Blue Cross Blue Shield of Michigan Foundation Young Physician Investigator Award, Children's Hospital of Michigan Foundation Research Award/Festival of Trees Award, and Ashok and Ingrid Sarnaik Endowment Award for Resident and Fellow Research at Children's Hospital of Michigan; however, the manuscript preparation received no funding support.
Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.
PY - 2022/1/1
Y1 - 2022/1/1
N2 - Objectives: Previous studies have demonstrated the efficacy of fluid intake with suprapubic and lumbar paravertebral massage for clean catch urine (CCU) collection in infants. We investigated the acceptability and feasibility of integrating this bladder stimulation technique (BST) into routine care in the pediatric emergency department (PED). Methods: This was a prospective cohort study. Infants less than 6 months of age requiring a urinalysis and urine culture as part of their PED visit were recruited. All PED nurses and technicians received a standardized training outlining the BST using a video module and print materials. Success rates, bacterial contamination, parental perception of patient distress, and parent and provider satisfaction with the BST for CCU collection were compared with urethral catheterization. Results: A total of 124 patients were recruited. The BSTwas successful in 38% (47/124) with a median time to void of 73 seconds (interquartile range: 19, 151). The BST was more likely to be successful in infants less than 90 days (53%; 95% confidence interval, 0.075-0.046; P = 0.005). A urinary tract infection was diagnosed in 4% of patients, with no significant differences between BST (1/47; 2%) and catheterization (4/59; 7%; P = 0.65). Patients experienced less discomfort during the BST compared with catheterization (mean numeric rating scale score, 2/10 vs 6/10; P < 0.001), and the BST was viewed positively by both parents and providers. Compared with catheterization, parents were significantly more satisfied with the BST (BST, 98%; catheterization, 58%; P < 0.001) and were more likely to consent to the BST in the future (BST, 98%; catheterization, 69%; P < 0.001). Most providers reported that the BST was well tolerated by participants (46/47; 98%), and providers felt that the BST improved parental satisfaction with the clinical encounter (46/47; 98%). Conclusion: The BST for CCU collection is a well-tolerated and wellreceived approach that can easily be implemented into clinical practice with minimal training.
AB - Objectives: Previous studies have demonstrated the efficacy of fluid intake with suprapubic and lumbar paravertebral massage for clean catch urine (CCU) collection in infants. We investigated the acceptability and feasibility of integrating this bladder stimulation technique (BST) into routine care in the pediatric emergency department (PED). Methods: This was a prospective cohort study. Infants less than 6 months of age requiring a urinalysis and urine culture as part of their PED visit were recruited. All PED nurses and technicians received a standardized training outlining the BST using a video module and print materials. Success rates, bacterial contamination, parental perception of patient distress, and parent and provider satisfaction with the BST for CCU collection were compared with urethral catheterization. Results: A total of 124 patients were recruited. The BSTwas successful in 38% (47/124) with a median time to void of 73 seconds (interquartile range: 19, 151). The BST was more likely to be successful in infants less than 90 days (53%; 95% confidence interval, 0.075-0.046; P = 0.005). A urinary tract infection was diagnosed in 4% of patients, with no significant differences between BST (1/47; 2%) and catheterization (4/59; 7%; P = 0.65). Patients experienced less discomfort during the BST compared with catheterization (mean numeric rating scale score, 2/10 vs 6/10; P < 0.001), and the BST was viewed positively by both parents and providers. Compared with catheterization, parents were significantly more satisfied with the BST (BST, 98%; catheterization, 58%; P < 0.001) and were more likely to consent to the BST in the future (BST, 98%; catheterization, 69%; P < 0.001). Most providers reported that the BST was well tolerated by participants (46/47; 98%), and providers felt that the BST improved parental satisfaction with the clinical encounter (46/47; 98%). Conclusion: The BST for CCU collection is a well-tolerated and wellreceived approach that can easily be implemented into clinical practice with minimal training.
KW - Bladder stimulation
KW - Feasibility
KW - Satisfaction
KW - Training
UR - http://www.scopus.com/inward/record.url?scp=85123067314&partnerID=8YFLogxK
U2 - 10.1097/PEC.0000000000002524
DO - 10.1097/PEC.0000000000002524
M3 - Article
C2 - 34475366
AN - SCOPUS:85123067314
SN - 0749-5161
VL - 38
SP - E29-E33
JO - Pediatric Emergency Care
JF - Pediatric Emergency Care
IS - 1
ER -