RT Book, Section
A1 Gomella, Tricia Lacy
A1 Eyal, Fabien G.
A1 Bany-Mohammed, Fayez
SR Print(0)
ID 1168356295
T1 Bladder Catheterization
T2 Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781259644818
LK accesspediatrics.mhmedical.com/content.aspx?aid=1168356295
RD 2024/04/16
AB To  collect  a  urine  specimen  for  culture  when  a  suprapubic  aspiration  is  contraindicated  or  cannot  be  performed  and  a  clean-catch  specimen  is  unsatisfactory.  Bladder  catheterization  is  an  alternative  to  suprapubic  aspiration.  It  has  a  higher  false-positive  rate  than  suprapubic  aspiration  (relative  rate  of  urine  culture  contamination  of  6%–12%)  and  can  also  introduce  bacteria  and  cause  a  urinary  tract  infection.  The  American  Academy  of  Pediatrics  (AAP)  has  made  recommendations  to  obtain  a  catheterization  or  suprapubic  aspiration  for  any  urine  specimen  (urinalysis  and  urine  culture)  obtained  in  a  febrile  ill  infant  who  is  >2  months  of  age,  who  has  no  apparent  source  for  the  fever,  and  who  is  planning  on  getting  antibiotics.To  monitor  urinary  output,  relieve  urinary  retention,  or  to  instill  contrast  to  perform  cystourethrography.To  determine  a  bladder  residual  urine  volume.To  place  contrast  for  diagnostic  cystography.