Evaluation of the Quick Wee method of inducing faster clean catch urine collection in pre-continent

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Introduction The acquisition of non-contaminated urine samples in pre-continent infants remains a challenge.The Quick Wee method uses bladder stimulation to induce voiding.A previous randomized trial showed a higher rate of voiding within 5 minutes using this method.We evaluated this method in an Irish hospital providing secondary care.Methods A non-blinded,randomized,controlled trial was carried out.Eligible infants were between 1 and 12 months of age,who required urine sampling as part of clinical care.Participants were randomly allocated to receive the intervention(Quick Wee Method—supra-pubic stimulation with cold saline) or the control (usual care—clean catch with no bladder stimulation) for 5 min.Primary outcome was voiding of urine within 5 min.Results A total of 140 infants were included in this study (73 in intervention group;67 in control group).Baseline charac-teristics were similar.25% in the intervention group passed urine in the 5-min trial period compared with 18% in the control group[P =0.4,absolute difference 7% (95% confidence interval:-7% to + 20%)].Conclusion The Quick Wee method is a simple and inexpensive intervention that did not show a statistically significant increase in urine samples obtained in pre-continent infants.
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