TRIPASS XR تري باس

 

114 Section IV ■ Miscellaneous Sampling

9. Withdraw the needle after urine is obtained. Apply gentle pressure over the puncture site with sterile gauze to

stop any bleeding.

10. Remove the needle and place a sterile cap on the

syringe or transfer urine to a sterile container to send

for culture.

F. Complications

Minor transient hematuria is the most commonly reported

complication, occurring in <1% to 10% of cases (7). Serious

complications are very rare, occurring in ≤0.2% of cases (12).

1. Bleeding

a. Transient macroscopic hematuria (blood-tinged

urine) (7)

b. Gross hematuria (7,23–25)

c. Abdominal wall hematoma (26)

d. Bladder wall hematoma (7,27)

e. Pelvic hematoma (28)

2. Infection

a. Abdominal wall abscess (29,30)

b. Sepsis (31,32)

c. Osteomyelitis of pubic bone (33,34)

3. Perforation

a. Bowel (30,32,35,36)

b. Pelvic organ (35)

References

1. Sigman LJ. Procedures. In: Tschudy MM, Arcara KM, eds. The

Harriet Lane Handbook. 19th ed. Philadelphia: Elsevier; 2012:57.

2. Long SS, Klein JO. Bacterial infections of the urinary tract. In:

Remington JS, Klein JO, Wilson CB, et al., eds. Infectious

Diseases of the Fetus and Newborn. 7th ed. Philadelphia: Elsevier;

2011:310.

3. Karacan C, Erkek N, Senet S, et al. Evaluation of urine collection

methods for the diagnosis of urinary tract infection in children.

Med Princ Pract. 2010;19:188.

4. Phillips B. Towards evidence based medicine for paediatricians.

Urethral catheter or suprapubic aspiration to reduce contamination

of urine samples in young children? Arch Dis Child. 2009;94:736.

5. Jodal U. Suprapubic aspiration of urine in the diagnosis of urinary

tract infection in infants. Acta Paediatr. 2002;91:497.

6. Ozkan B, Kava O, Akdag R, et al. Suprapubic bladder aspiration

with or without ultrasound guidance. Clin Pediatr. 2000;39:625.

7. Buescher ES. Immunology and infectious diseases procedures

and tests. In: Taeusch HW, Christiansen RO, Buescher ES, eds.

Pediatric and Neonatal Tests and Procedures. Philadelphia:

Saunders; 1996:625.

8. Pollack CV, Pollack ES, Andrew ME. Suprapubic bladder aspiration versus urethral catheterization in ill infants: success, efficiency and complication rates. Ann Emerg Med. 1994;23:225.

9. Austin BJ, Bollard C, Gunn TR. Is urethral catheterization a successful alternative to suprapubic aspiration in neonates? J Paediatr

Child Health. 1999;35:34.

10. Tobiansky R, Evans N. A randomized controlled trial of two methods for collection of sterile urine in neonates. J Paediatr Child

Health. 1998;43:460.

11. Gochman RF, Karasic RB, Heller MB. Use of the portable ultrasound to assist urine collection by suprapubic aspiration. Ann

Emerg Med. 1991;20:6.

12. Barkemeyer BM. Suprapubic aspiration of urine in very low birth

weight infants. Pediatrics. 1993;92:457.

13. Chu RW, Wong YC, Luk SH, et al. Comparing suprapubic urine

aspiration under real time ultrasound guidance with conventional

blind aspiration. Acta Paediatr. 2002;91:512.

14. Munir V, Barnett P, South M. Does the use of volumetric bladder

ultrasound improve the success rate of suprapubic aspiration of

urine? Pediatr Emerg Care. 2002;18:346.

15. Ozkan B, Kaya O, Akdag R, et al. Suprapubic bladder aspiration

with or without ultrasound guidance. Clin Pediatr (Phila.). 2000;

39:625.

16. Garcia-Neito VG, Navarro JF, Sanchez-Almeida ES, et al.