Urinary Tract Infection
Conditions
Keywords
Urethral catheterization, Emergency Department, Ultrasound, Urinary tract infection, Pediatric
Brief summary
This is a randomized controlled trial evaluating the effectiveness of bedside volumetric bladder ultrasound prior to transurethral catheterization of pediatric patients presenting to an emergency department with suspected urinary tract infection. Ultrasound prior to catheterization allows Emergency Physicians to determine if the urine volume of the bladder is sufficient for successful catheterization. Advance knowledge of insufficient urine allows the Emergency Physician to defer the procedure until success is likely.
Interventions
PROCEDUREUltrasound prior to bladder catheterization
Bedside ultrasound to estimated volume of urine in bladder
Sponsors
Hamilton Health Sciences Corporation
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 36 Months
Healthy volunteers
No
Inclusion criteria
* Children 0-36 months of age * Require urethral catheterization for urine analysis
Exclusion criteria
* Recently voided and unlikely to provide sufficient urine when catheterized * Documented or suspected genitourinary abnormalities precluding urethral catheterization * Indwelling catheter or urostomy * Critical illness * No available legal guardian or legal guardian does not understand English well enough to provide informed consent * Technical failure of the utlrasound equipment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of patients in each arm from whom at least 2 ml of urine is obtained on first attempt at catheterization. | First feasible attempt at catheterization during ED visit (minutes-hours). |
Countries
Canada
Outcome results
None listed