Altuntas Nilgun, Tayfur Asli Celebi, Kocak Mesut, Razi Hasan Cem, Akkurt Serpil
Department of Pediatrics, Division of Neonatology, Kecioren Training and Research Hospital, Pınarbaşı Mah. Sanatoryum Cad. Ardahan Sok. No: 25, 06380, Kecioren, Ankara, Turkey,
Eur J Pediatr. 2015 May;174(5):577-82. doi: 10.1007/s00431-014-2434-z. Epub 2014 Oct 17.
We aimed to evaluate a recently defined technique based on bladder stimulation and paravertebral lumbar massage maneuvers in collecting a midstream clean-catch urine sample in newborns. A total of 127 term newborns were randomly assigned either to the experimental group or the control group. Twenty-five minutes after feeding, the genital and perineal areas of the babies were cleaned. The babies were held under the armpits with legs dangling. Bladder stimulation and lumbar paravertebral massage maneuvers were only applied to the babies in the experimental group. Success was defined as collection of a urine sample within 5 min of starting the stimulation maneuvers in the experimental group and of holding under the armpits in the control group. The success rate of urine collection was significantly higher in the experimental group (78%) than in the control group (33%; p < 0.001). The median time (interquartile range) for sample collection was 60 s (64.5 s) in the experimental group and 300 s (95 s) in the control group (p < 0.0001). Contamination rates were similar in both groups (p = 0.770).
We suggest that bladder stimulation and lumbar paravertebral massage is a safe, quick, and effective way of collecting midstream clean-catch urine in newborns.
我们旨在评估一种最近定义的技术，该技术基于膀胱刺激和腰椎旁按摩手法，用于收集新生儿的中段清洁尿样。总共127名足月儿被随机分配到实验组或对照组。喂奶25分钟后，清洁婴儿的生殖器和会阴区域。婴儿被夹在腋下，双腿悬空。仅对实验组的婴儿进行膀胱刺激和腰椎旁按摩手法。成功的定义为实验组在开始刺激手法后5分钟内收集到尿样，对照组在夹在腋下后5分钟内收集到尿样。实验组的尿液收集成功率（78%）显著高于对照组（33%；p<0.001）。实验组样本收集的中位时间（四分位间距）为60秒（64.5秒），对照组为300秒（95秒）（p<0.0001）。两组的污染率相似（p=0.770）。
我们建议膀胱刺激和腰椎旁按摩是一种安全、快速且有效的收集新生儿中段清洁尿样的方法。
