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

Urinary Tract Infection Clinical Trial

— BLST  

Official title:

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

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT02117102
• Other study ID #: BLSTJEJUNUH
• Status: Not yet recruiting
• Phase: N/A
• First received: April 14, 2014
• Last updated: April 15, 2014
• Start date: May 2014
• Est. completion date: December 2014

Study information

• Verified date: April 2014
• Source: Jeju National University Hospital
• Contact: Jeong Ho Kang
• Email: sivakjh1234[@]gmail.com
• Is FDA regulated: No
• Health authority: South Korea: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 170
• Est. completion date: December 2014
• Est. primary completion date: September 2014
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 6 Months to 36 Months

Eligibility

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

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic

Related Conditions & MeSH terms

• Unspecified Fever
• Urinary Tract Infection
• Urinary Tract Infections

Intervention

Other:
• Bladder and lumbar stimulation technic

Locations

Country	Name	City	State
Korea, Republic of	Jeju national university hospital	Jeju City	Jeju special governing province

Sponsors (1)

Lead Sponsor	Collaborator
Jeju National University Hospital

Country where clinical trial is conducted

Korea, Republic of, 

References & Publications (1)

Herreros Fernández ML, González Merino N, Tagarro García A, Pérez Seoane B, de la Serna Martínez M, Contreras Abad MT, García-Pose A. A new technique for fast and safe collection of urine in newborns. Arch Dis Child. 2013 Jan;98(1):27-9. doi: 10.1136/archdischild-2012-301872. Epub 2012 Nov 21. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	No
Secondary	Urine collection time	Urine collection time is defined as time from ordering urine analysis to collection of a urine sample	3 hour	No