Urinary Retention
Conditions
Keywords
Urine Specimen Collection/methods, Infant, Newborn, Feasibility Studies, Bladder stimulation
Brief summary
The urinary tract infections are common in children. It is estimated that about 3% of girls and 1% of boys suffer from a urinary tract infection before the age of 11 years. A prompt diagnosis and treatment are necessary for the prevention of morbidity and long-term sequelae. Currently, there are different methods of urine collection, such as suprapubic aspiration, the survey, the collection bag and the jet medium collection. They have in common to be time-consuming, invasive in some cases, providers of contaminated levies for others and impossible in children incontinent for the last. A Spanish study developed a new collection technique, for kidney and bladder stimulation, noninvasive, in the new-born to 30-day months. The results are promising with a success rate of over 85% within a period of about 45s. No study has looked at a broader pediatric population, including children from birth to age of acquisition of walking. We hypothesize that it is possible to obtain urine in less than 3 minutes, noninvasively, in infants who have not acquired the works for which a urine sample is required.
Detailed description
The urinary tract infections are common in children. It is estimated that about 3% of girls and 1% of boys suffer from a urinary tract infection before the age of 11 years. A prompt diagnosis and treatment are necessary for the prevention of morbidity and long-term sequelae. Currently, there are different methods of urine collection, such as suprapubic aspiration, the survey, the collection bag and the jet medium collection. They have in common to be time-consuming, invasive in some cases, providers of contaminated levies for others and impossible in children incontinent for the last. A Spanish study developed a new collection technique, for kidney and bladder stimulation, noninvasive, in the new-born to 30-day months. The results are promising with a success rate of over 85% within a period of about 45s. No study has looked at a broader pediatric population, including children from birth to age of acquisition of walking. We hypothesize that it is possible to obtain urine in less than 3 minutes, noninvasively, in infants who have not acquired the works for which a urine sample is required. The main objective is the Evaluation of bladder stimulation as a noninvasive technique of urine collection in infants who have not acquired walking
Interventions
OTHERBladder stimulation
Bladder stimulation as a noninvasive technique of urine collection. The renal and bladder stimulation will be performed in less than 3 minutes, with a maximum of two attempts spaced about 20 minutes
Sponsors
Fondation Lenval
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 24 Months
Healthy volunteers
Yes
Inclusion criteria
* Infants under the age of 2 years and who have not acquired walking * To which the investigating doctor asked the indication of a urine sample in search of a urinary tract infection, ionic and metabolic disorder * Do not exhibiting signs of vital distress (respiratory or circulatory or neurological) * To which the bladder stimulation does not delay the treatment * Obtaining the authorization of the holders of parental authority * Affiliation to social security * Clinical examination
Exclusion criteria
* Parental Refusal * Infants\> 2 years or who has walking * Infant occurring outside the pediatric emergency timetables of care permanently * Infant having vital signs of distress (respiratory and / or circulatory and / or neurological) * Infant for which the bladder stimulation could delay the management
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of bladder stimulation as a noninvasive technique of urine collection in infants who have not acquired walking | During baseline at time 0 | • Obtaining urine or not (YES / NO) by bladder stimulation in less than 3 minutes (max 2 attempts). This is evaluated by an investigator who directs the bladder stimulation technique. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| evaluation period of urine collection | During baseline at time 0 | If successful, the evaluation period, in seconds, of urine collection using a chronometer (between the start of bladder stimulation and obtaining the urine) |
| Evaluation of the tolerance of the infant | During baseline at time 0 | Evaluation of the tolerance of the infant undergoing stimulation technique using wide EVENDOL scale pain, noted on 15 |
| alternative of the urine sample | During baseline after 2 attemps of bladder stimulation | In case of failure, the investigator who included infants in the study will specify the alternative of the urine sample from: collection bag, survey, suprapubic aspiration, and the success or failure of this alternative |
Countries
France
Outcome results
None listed