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Urine collection methods used for non-toilet-trained children in pediatric emergency departments in France A medical practice analysis

Abstract : Introduction - Since April 2015, the French Society of Pediatrics has encouraged suprapubic aspiration (SA) and urethral catheterization (UC) for urine collection in non-toilet-trained children suspected of having urinary tract infections (UTIs) and has tried to reduce the use of urine bag (UB). Objective - To analyze the medical practices concerning urine collection methods used for non-toilet-trained children in pediatric emergency departments in France. Methods - We conducted a descriptive medical practice study in October 2017. All members of the French Society of Pediatric Nephrology received two questionnaires about urine collection methods used for non-toilet-trained children, distinguishing between male and female patients, and about the corresponding analgesic protocols used in their pediatric emergency departments. Results - In total, 26 centers completed questionnaires concerning female patients. UC was performed in cases of fever associated with urinary tract malformations in 14 of 26 centers (54%). UB was used in cases of fever of unknown origin lasting for more than 48h in 17 of 26 centers (65%), in cases of fever associated with UTI symptoms in 14 of 26 centers (54%), and in cases of fever in infants under 3 months of age in 16 of 26 centers (61%). The questionnaires concerning male patients were completed by 30 centers. UB was the initially used urine collection method in all situations with, respectively, 22 of 30 (73%), 27 of 30 (90%), 23 of 30 (77%), and 22 of 30 (73%) centers. The analgesic protocol for urine collection is not well established in France. Conclusion - UC for urine collection in pediatric emergency departments in France is underused despite the national recommendations and the greater diagnostic power of this method compared with UB.
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https://hal-univ-rennes1.archives-ouvertes.fr/hal-01976756
Contributor : Laurent Jonchère <>
Submitted on : Thursday, January 10, 2019 - 11:43:30 AM
Last modification on : Friday, October 16, 2020 - 3:31:31 AM

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E Cousin, A Ryckewaert, C de Jorna Lecouvey, a P Arnaud. Urine collection methods used for non-toilet-trained children in pediatric emergency departments in France A medical practice analysis. Archives de Pédiatrie, Elsevier, 2019, 26 (1), pp.16-20. ⟨10.1016/j.arcped.2018.11.005⟩. ⟨hal-01976756⟩

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