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

Study Overview
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Brief Summary
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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.

Detailed Description
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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

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

Conditions
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Urinary Tract Infection, Unspecified Fever

Intervention / Treatment
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* Other: Bladder and lumbar stimulation technic


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 6 Months
Maximum Age: 36 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: bladder and lumbar stimulation<br>Apply bladder and lumbar stimulation | Other: Bladder and lumbar stimulation technic<br> <br> * Other names: BLST;|
| No Intervention: Control group<br>Ordinary pediatric urine collection bag | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Success rate of bladder and lumbar stimulation techninc | Success is defined as the collection of a sample within 10 min of starting the stimulation manoeuvres | 10 min | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urine collection time | Urine collection time is defined as time from ordering urine analysis to collection of a urine sample | 3 hour |