Urination Stimulation Techniques for Collecting Clean Urine Samples in Infants Under One Year: Systematic Review and Meta-Analysis.

IF 2.4 4区医学 Q1 PEDIATRICS

Acta Paediatrica Pub Date : 2025-04-11 DOI:10.1111/apa.70091

Francisco Javier Gómez-Manzano, Esperanza Barroso-Corroto, José Alberto Laredo-Aguilera, Rosa María Molina-Madueño, Sergio Rodríguez-Cañamero, Juan Manuel Carmona-Torres

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引用次数: 0

Abstract

Aim: To evaluate the efficacy of spontaneous urination stimulation techniques in infants under 1 year to obtain a clean and valid urine sample for analysis.

Methods: Systematic review of randomised clinical trials. The databases consulted were PUBMED, SCOPUS, WEB OF SCIENCE, CINALH and the Virtual Health Library. The risk of bias was assessed via the RoB2 scale. A meta-analysis was performed to analyse the success rate of urine collection for both techniques and the contamination rate of the urine samples.

Results: Seven studies were included in this review. The participants included 1122 infants, of whom a stimulation technique was performed in 667 (the technique of Herreros et al. was performed in 419 infants, and the "Quick-Wee" technique was performed in 248 infants). Success was measured by obtaining a midstream urine sample in less than 5 min. Urination stimulation is effective in obtaining a urine sample, especially at < 6 months of age.

Conclusion: Stimulation of urination in infants is a noninvasive, fast, safe, economic and effective procedure that allows the capture of a valid urine sample in the middle of the stream for analysis.

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1岁以下婴儿收集干净尿液样本的排尿刺激技术：系统回顾和荟萃分析。

目的：评价1岁以下婴儿自然排尿刺激技术获取干净有效尿样进行分析的效果。方法：对随机临床试验进行系统评价。参考的数据库包括PUBMED、SCOPUS、WEB OF SCIENCE、CINALH和虚拟健康图书馆。通过RoB2量表评估偏倚风险。进行荟萃分析以分析两种技术的尿液收集成功率和尿液样本的污染率。结果：本综述纳入了7项研究。参与者包括1122名婴儿，其中667名婴儿采用刺激技术（419名婴儿采用Herreros等人的技术，248名婴儿采用Quick-Wee技术）。通过在不到5分钟的时间内获得中游尿液样本来衡量是否成功。结论：婴儿尿样刺激是一种无创、快速、安全、经济、有效的方法，可以在尿流的中间捕获有效的尿样进行分析。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Paediatrica 医学-小儿科

CiteScore

6.50

自引率

5.30%

发文量

384

审稿时长

2-4 weeks

期刊介绍： Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including: neonatal medicine developmental medicine adolescent medicine child health and environment psychosomatic pediatrics child health in developing countries