Accuracy of clean-catch technique for urine collection in young children

Detalhes bibliográficos
Autor(a) principal: Almeida, Andreia
Data de Publicação: 2020
Outros Autores: Aparício, Graça, Bica, Isabel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.29352/mill0205e.17.00320
Resumo: Introduction: Urine collection in children should respect efficacy and child safety, considering child/family satisfaction and the quality of nursing care. Clean-Catch (CCU) has been described as a non-invasive, safe and quick urine collection method used in children lacking sphincter control, for Urinary Tract infections (UTI) diagnosis in alternative to invasive methods such as urethral catheterization/suprapubic aspiration (UC/SPA).  Objective: To identify scientific evidence of the accuracy of clean-catch for the diagnosis of urinary infection in neonates.  Methods: A systematic review was conducted based on Cochrane Handbook guidelines (Higgins & Green, 2011) of studies comparing urine contamination rates/ accuracy diagnosis between clean-catch and UC/SPA. Selected studies in PUBMED, EBSCO, Web of Science and Scielo databases, published between 2000 and 2017, according to previously established inclusion/exclusion criteria. Two researchers evaluated the studies’ quality.  Results: In a total of 297 studies, two RCTs were included that met inclusion criteria. In the first study (Labrosse, Autmizguine & Gravel, 2016) it was verified that the contamination rates of the CCU group were 16% versus 6% for UC/SPA, whereas in the second study (Herreros et al., 2015) it was 5% versus 8% for CCU and UC respectively.  Conclusions: The accuracy of clean-catch for nursing practice needs to be confirmed, given the small number of studies with methodological quality that use this technique. 
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spelling Accuracy of clean-catch technique for urine collection in young childrenPrecisión de la técnica de clean-catch para la recogida de orina en pequeños infantesPrecisão da técnica clean-catch para colheita de urina em pequenos lactentesLife and Healthcare SciencesIntroduction: Urine collection in children should respect efficacy and child safety, considering child/family satisfaction and the quality of nursing care. Clean-Catch (CCU) has been described as a non-invasive, safe and quick urine collection method used in children lacking sphincter control, for Urinary Tract infections (UTI) diagnosis in alternative to invasive methods such as urethral catheterization/suprapubic aspiration (UC/SPA).  Objective: To identify scientific evidence of the accuracy of clean-catch for the diagnosis of urinary infection in neonates.  Methods: A systematic review was conducted based on Cochrane Handbook guidelines (Higgins & Green, 2011) of studies comparing urine contamination rates/ accuracy diagnosis between clean-catch and UC/SPA. Selected studies in PUBMED, EBSCO, Web of Science and Scielo databases, published between 2000 and 2017, according to previously established inclusion/exclusion criteria. Two researchers evaluated the studies’ quality.  Results: In a total of 297 studies, two RCTs were included that met inclusion criteria. In the first study (Labrosse, Autmizguine & Gravel, 2016) it was verified that the contamination rates of the CCU group were 16% versus 6% for UC/SPA, whereas in the second study (Herreros et al., 2015) it was 5% versus 8% for CCU and UC respectively.  Conclusions: The accuracy of clean-catch for nursing practice needs to be confirmed, given the small number of studies with methodological quality that use this technique. Introducción: La recolección de orina en niños debe respetar la seguridad teniendo en cuenta la satisfacción del niño/familia y la calidad de la atención de enfermería. Clean-Catch (CCU) es un método no invasivo, seguro y rápido de recolección de orina utilizado en niños sin control del esfínter, para el diagnóstico de infecciones urinarias (IU) como una alternativa a métodos invasivos como cateterismo vesical/aspiración suprapúbica (CV/ASP).  Objetivo: Identificar evidencia científica de la precisión de Clean-Catch para el diagnóstico de infección urinaria en neonatos.  Métodos: Revisión sistemática basada en el Manual Cochrane (Higgins & Green, 2011) de estudios que compararon las tasas de contaminación urinaria/precisión diagnóstica entre la CCU y CV/ASP. Seleccionados estudios en PUBMED, EBSCO, Web of Science y Scielo, publicados entre 2000 y 2017 y de acuerdo con criterios de inclusión/exclusión establecidos. Dos investigadores evaluaron la calidad de los estudios.  Resultados: En 297 estudios, se incluyeron dos RCTs que cumplieron con los criterios de inclusión. En el primer estúdio (Labrosse, Autmizguine & Gravel, 2016) se verificó que las tasas de contaminación del grupo CCU fueron de 16% versus 6% para CV/ASP, mientras que en el segundo estúdio (Herreros et al., 2015) fue de 5% versus 8% para CCU y CV respectivamente.  Conclusiones: La precisión de Clean-Catch para la práctica de enfermería debe ser confirmada, dado el pequeño número de estudios con calidad metodológica que utilizan esta técnica. Introdução: A colheita de urina em crianças deve respeitar a segurança e a eficácia do procedimento, com foco na satisfação da criança/família e qualidade dos cuidados de enfermagem.  O Clean-Catch (CCU), tem sido descrito como método de colheita de urina não invasivo, seguro e rápido, usado em crianças sem controlo esfíncteres, para o diagnóstico de infeção urinária (IU), em alternativa aos métodos invasivos cateterismo vesical/punção suprapúbica (CV/PV).  Objetivo: Identificar evidências científicas da precisão do Clean-Catch para o diagnóstico de infeção urinária em lactentes.  Métodos: Revisão sistemática baseada nas diretrizes do Cochrane Handbook (Higgins & Green, 2011) de estudos comparando taxas de contaminação urinária/precisão do diagnóstico entre CCU e CV/PV, selecionados nas bases eletrónicas PUBMED, EBSCO, Web of Science e Scielo, publicados entre 2000-2017 e seguindo critérios de inclusão/exclusão estabelecidos. Dois pesquisadores avaliaram a qualidade dos estudos.  Resultados: De 297 estudos iniciais, incluíram-se dois RCTs que preencheram os critérios de inclusão. No primeiro estudo (Labrosse, Levy, Autmizguine & Gravel, 2016) verificaram-se taxas de contaminação do grupo CCU de 16% versus 6% nas CV/PV, enquanto no segundo (Herreros et al., 2015) apuraram-se 5% versus 8% para CCU e CV respetivamente.  Conclusões: Precisa ser confirmada a precisão do clean-catch para a prática de enfermagem, dado o reduzido número de estudos com qualidade metodológica que utilizem esta técnica. Polytechnic Institute of Viseu (IPV)2020-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.29352/mill0205e.17.00320eng1647-662X0873-3015Almeida, AndreiaAparício, GraçaBica, Isabelinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-06-15T15:01:56Zoai:ojs.revistas.rcaap.pt:article/19661Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:29:30.049785Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Accuracy of clean-catch technique for urine collection in young children
Precisión de la técnica de clean-catch para la recogida de orina en pequeños infantes
Precisão da técnica clean-catch para colheita de urina em pequenos lactentes
title Accuracy of clean-catch technique for urine collection in young children
spellingShingle Accuracy of clean-catch technique for urine collection in young children
Almeida, Andreia
Life and Healthcare Sciences
title_short Accuracy of clean-catch technique for urine collection in young children
title_full Accuracy of clean-catch technique for urine collection in young children
title_fullStr Accuracy of clean-catch technique for urine collection in young children
title_full_unstemmed Accuracy of clean-catch technique for urine collection in young children
title_sort Accuracy of clean-catch technique for urine collection in young children
author Almeida, Andreia
author_facet Almeida, Andreia
Aparício, Graça
Bica, Isabel
author_role author
author2 Aparício, Graça
Bica, Isabel
author2_role author
author
dc.contributor.author.fl_str_mv Almeida, Andreia
Aparício, Graça
Bica, Isabel
dc.subject.por.fl_str_mv Life and Healthcare Sciences
topic Life and Healthcare Sciences
description Introduction: Urine collection in children should respect efficacy and child safety, considering child/family satisfaction and the quality of nursing care. Clean-Catch (CCU) has been described as a non-invasive, safe and quick urine collection method used in children lacking sphincter control, for Urinary Tract infections (UTI) diagnosis in alternative to invasive methods such as urethral catheterization/suprapubic aspiration (UC/SPA).  Objective: To identify scientific evidence of the accuracy of clean-catch for the diagnosis of urinary infection in neonates.  Methods: A systematic review was conducted based on Cochrane Handbook guidelines (Higgins & Green, 2011) of studies comparing urine contamination rates/ accuracy diagnosis between clean-catch and UC/SPA. Selected studies in PUBMED, EBSCO, Web of Science and Scielo databases, published between 2000 and 2017, according to previously established inclusion/exclusion criteria. Two researchers evaluated the studies’ quality.  Results: In a total of 297 studies, two RCTs were included that met inclusion criteria. In the first study (Labrosse, Autmizguine & Gravel, 2016) it was verified that the contamination rates of the CCU group were 16% versus 6% for UC/SPA, whereas in the second study (Herreros et al., 2015) it was 5% versus 8% for CCU and UC respectively.  Conclusions: The accuracy of clean-catch for nursing practice needs to be confirmed, given the small number of studies with methodological quality that use this technique. 
publishDate 2020
dc.date.none.fl_str_mv 2020-06-01
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dc.publisher.none.fl_str_mv Polytechnic Institute of Viseu (IPV)
publisher.none.fl_str_mv Polytechnic Institute of Viseu (IPV)
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