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clean catch

Sharon Teo, John A Cheek, Simon Craig
OBJECTIVES: The clean-catch method of urine collection carries a high contamination rate. This study aims to evaluate the effects on contamination rate of providing a parent handout and pre-made urine collection pack for clean-catch urine collection. METHODS: We conducted a single-centre prospective cohort interventional study in a tertiary paediatric ED. All children younger than 24 months who presented from April 2013 to June 2014 requiring a urine sample to be obtained were included...
October 24, 2016: Emergency Medicine Australasia: EMA
Shu-Cheng Liu, Xiao-Min Han, Ming Shi, Zi-Li Pang
This study aimed to provide evidence of persistent uropathogenic Escherichia coli (UPEC) in female patients with recurrent urinary tract infection (UTI) after antibiotic therapy. We collected biopsies of the bladder, and clean-catch urine samples from 32 women who had episodes of recurrent UTI and were given antibiotic therapy. Urine samples and biopsies were analyzed by conventional bacteriological techniques. Phylogenetic group and 16 virulence factors (VFs) of UPEC were determined using polymerase chain reaction (PCR)...
October 2016: Journal of Huazhong University of Science and Technology. Medical Sciences
Paul Comfort, Robert Williams, Timothy J Suchomel, Jason P Lake
The aim of this study was to compare load-absorption force-time characteristics of the clean from the knee (CK), power clean from the knee (PCK) and clean pull from the knee (CPK). Ten collegiate athletes (age 27.5 ± 4.2 years; height 180.4 ± 6.7 cm; mass 84.4 ± 7.8 kg), performed three repetitions each of the CK, PCK and CPK with 90% of their 1RM power clean on a force platform. The CK load-absorption duration (0.95 ± 0.35 s) was significantly longer compared to the CPK (0.44 ± 0.15 s; p < 0.001, d = 2...
September 27, 2016: Journal of Strength and Conditioning Research
Nandini Chatterjee, Chandan Chatterjee, Sinjan Ghosh, Mainak Mukhopadhyay, Ramkrishna Brahmachari, Kartik Patar
BACKGROUND: Indiscriminate use of antibiotics in urinary tract infections have led to emergence of 'superbugs' worldwide. Periodical review of antibiograms is of utmost importance for optimum patient benefit. OBJECTIVE: To identify the spectrum of organisms responsible for urinary tract infection and evaluate the pattern of antibiotic sensitivity of the organisms. METHODS: Urine samples were collected from all consecutive patients getting admitted in the medicine indoor irrespective of symptomatology...
April 2016: Journal of the Association of Physicians of India
Timothy J Suchomel, Jason P Lake, Paul Comfort
The purpose of this study was to compare the load absorption force-time characteristics of weightlifting catching and pulling derivatives. Twelve resistance-trained men performed repetitions of the hang power clean (HPC), jump shrug (JS), and hang high pull (HHP) on a force platform with 30, 45, 65, and 80% of their one repetition maximum (1RM) HPC. Load absorption phase duration, mean force, and work were calculated from the force-time data. The HHP produced a significantly longer load absorption phase duration compared to the HPC (p < 0...
September 21, 2016: Journal of Strength and Conditioning Research
Rolf Nyah-Tuku Nzalie, Hortense Kamga Gonsu, Sinata Koulla-Shiro
Introduction. Community-acquired urinary tract infections (CAUTIs) are usually treated empirically. Geographical variations in etiologic agents and their antibiotic sensitivity patterns are common. Knowledge of antibiotic resistance trends is important for improving evidence-based recommendations for empirical treatment of UTIs. Our aim was to determine the major bacterial etiologies of CAUTIs and their antibiotic resistance patterns in a cosmopolitan area of Cameroon for comparison with prescription practices of local physicians...
2016: International Journal of Microbiology
Kumara V Nibhanipudi
OBJECTIVE: To determine the incidence of urinary tract infections (UTIs) in infants and children (4 months to 6 years of age) with febrile diarrhea, as outpatients. METHODS: This was a prospective institutional review board-approved study. patients (between 4 months and 6 years of age) were enrolled in the study who presented to the pediatric emergency room with a complaint of fever (rectal temperature 101°F or more) and diarrhea (watery stools >3 in number)...
2016: Global Pediatric Health
Jonathan Kaufman, Shidan Tosif, Patrick Fitzpatrick, Sandy M Hopper, Penelope A Bryant, Susan M Donath, Franz E Babl
BACKGROUND: Clean catch urine (CCU) collection in precontinent children is often time-consuming, with associated collection failure. We hypothesise that stimulating cutaneous reflexes hastens voiding for CCU. METHODS: 40 children aged 1-24 months in the ED. Standard CCU was augmented with gentle suprapubic cutaneous stimulation using saline-soaked gauze (Quick-Wee method). RESULTS: 12/40 (30%) children voided within 5 min for successful CCU...
August 26, 2016: Emergency Medicine Journal: EMJ
Mélanie Labrosse, Arielle Levy, Julie Autmizguine, Jocelyn Gravel
BACKGROUND AND OBJECTIVES: A new noninvasive bladder stimulation technique has been described to obtain clean-catch urine (CCU) in infants aged <30 days. Objectives were (1) to determine proportion and predictive factors for successful CCU collections using a stimulation maneuver technique among infants <6 months and (2) to determine the proportion of bacterial contamination with this method. METHODS: A prospective cohort study was conducted in a tertiary pediatric emergency department among infants <6 months needing a urine sample...
September 2016: Pediatrics
Jonathan Kaufman, Patrick Fitzpatrick, Shidan Tosif, Sandy M Hopper, Penelope A Bryant, Susan M Donath, Franz E Babl
INTRODUCTION: Urinary tract infections (UTIs) are common in young children. Urine sample collection is required to diagnose or exclude UTI; however, current collection methods for pre-continent children all have limitations and guidelines vary. Clean catch urine (CCU) collection is a common and favoured non-invasive collection method, despite its high contamination rates and time-consuming nature. This study aims to establish whether gentle suprapubic cutaneous stimulation with cold fluid-soaked gauze can improve the rate of voiding for CCU within 5 min in young pre-continent children...
2016: BMJ Open
Alastair D Hay, Kate Birnie, John Busby, Brendan Delaney, Harriet Downing, Jan Dudley, Stevo Durbaba, Margaret Fletcher, Kim Harman, William Hollingworth, Kerenza Hood, Robin Howe, Michael Lawton, Catherine Lisles, Paul Little, Alasdair MacGowan, Kathryn O'Brien, Timothy Pickles, Kate Rumsby, Jonathan Ac Sterne, Emma Thomas-Jones, Judith van der Voort, Cherry-Ann Waldron, Penny Whiting, Mandy Wootton, Christopher C Butler
BACKGROUND: It is not clear which young children presenting acutely unwell to primary care should be investigated for urinary tract infection (UTI) and whether or not dipstick testing should be used to inform antibiotic treatment. OBJECTIVES: To develop algorithms to accurately identify pre-school children in whom urine should be obtained; assess whether or not dipstick urinalysis provides additional diagnostic information; and model algorithm cost-effectiveness...
July 2016: Health Technology Assessment: HTA
Alastair D Hay, Jonathan A C Sterne, Kerenza Hood, Paul Little, Brendan Delaney, William Hollingworth, Mandy Wootton, Robin Howe, Alasdair MacGowan, Michael Lawton, John Busby, Timothy Pickles, Kate Birnie, Kathryn O'Brien, Cherry-Ann Waldron, Jan Dudley, Judith Van Der Voort, Harriet Downing, Emma Thomas-Jones, Kim Harman, Catherine Lisles, Kate Rumsby, Stevo Durbaba, Penny Whiting, Christopher C Butler
PURPOSE: Up to 50% of urinary tract infections (UTIs) in young children are missed in primary care. Urine culture is essential for diagnosis, but urine collection is often difficult. Our aim was to derive and internally validate a 2-step clinical rule using (1) symptoms and signs to select children for urine collection; and (2) symptoms, signs, and dipstick testing to guide antibiotic treatment. METHODS: We recruited acutely unwell children aged under 5 years from 233 primary care sites across England and Wales...
July 2016: Annals of Family Medicine
Christopher C Butler, Jonathan Ac Sterne, Michael Lawton, Kathryn O'Brien, Mandy Wootton, Kerenza Hood, William Hollingworth, Paul Little, Brendan C Delaney, Judith van der Voort, Jan Dudley, Kate Birnie, Timothy Pickles, Cherry-Ann Waldron, Harriet Downing, Emma Thomas-Jones, Catherine Lisles, Kate Rumsby, Stevo Durbaba, Penny Whiting, Kim Harman, Robin Howe, Alasdair MacGowan, Margaret Fletcher, Alastair D Hay
BACKGROUND: The added diagnostic utility of nappy pad urine samples and the proportion that are contaminated is unknown. AIM: To develop a clinical prediction rule for the diagnosis of urinary tract infection (UTI) based on sampling using the nappy pad method. DESIGN AND SETTING: Acutely unwell children <5 years presenting to 233 UK primary care sites. METHOD: Logistic regression to identify independent associations of symptoms, signs, and urine dipstick test results with UTI; diagnostic utility quantified as area under the receiver operator curves (AUROC)...
July 2016: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Anne Holm, Rune Aabenhus
BACKGROUND: Choice of urine sampling technique in urinary tract infection may impact diagnostic accuracy and thus lead to possible over- or undertreatment. Currently no evidencebased consensus exists regarding correct sampling technique of urine from women with symptoms of urinary tract infection in primary care. The aim of this study was to determine the accuracy of urine culture from different sampling-techniques in symptomatic non-pregnant women in primary care. METHODS: A systematic review was conducted by searching Medline and Embase for clinical studies conducted in primary care using a randomized or paired design to compare the result of urine culture obtained with two or more collection techniques in adult, female, non-pregnant patients with symptoms of urinary tract infection...
2016: BMC Family Practice
Perpetua A Ekwealor, Malachy C Ugwu, Ifeanyi Ezeobi, George Amalukwe, Belinda C Ugwu, Ugochukwu Okezie, Catherine Stanley, Charles Esimone
Urinary tract infections (UTIs) account for one of the major reasons for most hospital visits and the determination of the antimicrobial susceptibility patterns of uropathogens will help to guide physicians on the best choice of antibiotics to recommend to affected patients. This study is designed to isolate, characterize, and determine the antimicrobial susceptibility patterns of the pathogens associated with UTI in Anambra State Teaching Hospital, Amaku, Anambra State, Nigeria. Clean catch urine samples of inpatient and outpatient cases of UTI were collected and bacteriologically analyzed using standard microbiological procedures...
2016: International Journal of Microbiology
Nissi Priya Mekapogu, Swarnalatha Gundela, Renuka Devi Avula
INTRODUCTION: Diabetes is a known risk factor for asymptomatic bacteriuria (ASB). However, the influence of diabetes on antenatal ASB was previously not addressed. AIM: The prevalence of ASB, effect of risk factors and type of isolates and susceptibility patterns were studied in diabetic pregnancy. MATERIALS AND METHODS: A total of 311 pregnant women were recruited for this study of which 103 were diabetic and 208 non-diabetic. A clean catch midstream urine samples were collected and cultured...
April 2016: Journal of Clinical and Diagnostic Research: JCDR
Antoine Tran, Clara Fortier, Lisa Giovannini-Chami, Diane Demonchy, Hervé Caci, Jonathan Desmontils, Isabelle Montaudie-Dumas, Ronny Bensaïd, Hervé Haas, Etienne Berard
OBJECTIVE: Midstream clean-catch urine is an accepted method to diagnose urinary tract infection but is impracticable in infants before potty training. We tested the bladder stimulation technique to obtain a clean-catch urine sample in infants. MATERIALS AND METHODS: We included 142 infants under walking age who required a urine sample in a cross-sectional study carried out during a 3-months period, from September to November 2014, in the emergency department of the University Children's Hospital of Nice (France)...
2016: PloS One
Jeffy A Varkey, A Abdul Vahab
OBJECTIVE: In the present study, we have chosen a fish Stolephorus commersonnii which is abundant in whitebait catches along Kerala coast. This fish is reported to contain higher content of essential amino acids, monounsaturated fatty acids, polyunsaturated fatty acids and minerals. The medicinal values of this species have not been reported and remain unexplored. Hence, there is a necessity to explore their uses and to conduct the pharmacological studies to ascertain their therapeutic properties...
January 2016: Indian Journal of Pharmacology
Megan E Romano, Daniel A Enquobahrie, Christopher Simpson, Harvey Checkoway, Michelle A Williams
Increasing evidence suggests an inverse association between cadmium (Cd) and size at birth, potentially greatest among female neonates. We evaluated whether greater maternal body burden of Cd is associated with reduced neonatal anthropometry (birthweight, birth length, head circumference, and ponderal index) and assessed whether these associations differ by infant sex. The analytic sample for the present study (n=396) was derived from a subcohort of 750 women randomly drawn from among all participants (N=4344) in the Omega Study, a prospective pregnancy cohort...
May 2016: Environmental Research
Adebola Onanuga, Tamaradobra Laurretta Selekere
BACKGROUND: Asymptomatic bacteriuria frequently occurs among all ages with the possibility of developing into urinary tract infections, and the antimicrobial resistance patterns of the etiologic organisms are essential for appropriate therapy. Thus, we investigated the virulence and antimicrobial resistance patterns of common urinary bacteria in asymptomatic students of Niger Delta University, Amassoma, Bayelsa State, Nigeria in a cross-sectional study. MATERIALS AND METHODS: Clean catch mid-stream early morning urine samples collected from 200 asymptomatic University students of aged ranges 15-30 years were cultured, screened and common bacteria were identified using standard microbiological procedures...
January 2016: Journal of Pharmacy & Bioallied Sciences
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