816 Urine contamination rate in under 3-month-olds screened for urinary tract infection (UTI) in children emergency department, university hospital southampton (UHS) between January 2018 and March 2021

816 Urine contamination rate in under 3-month-olds screened for urinary tract infection (UTI) in children emergency department, university hospital southampton (UHS) between January 2018 and March 2021

AimsTo determine the rate of likely contaminated urine samples among urine specimens obtained by clean-catch method among under 3-month-olds screened for UTI in Children’s Emergency Department (CED), UHS between January 2018 and March 2021MethodsThis was a retrospective study which analyzed all urin...

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Bibliographic Details
Published in:Archives of disease in childhood 2022-08, Vol.107 (Suppl 2), p.A18-A19
Main Authors: Oladele, Damilola, Patel, Sanjay, James, David, Green, Helen
Format: Article
Language:eng
Subjects:
Abstracts
Antibiotics
Bacteria
Blood cells
Blood culture
Cell culture
Children
Contamination
Emergency medical care
Esterase
Leukocytes
Microscopy
Nitrites
Pathogens
Pediatrics
Perineum
Sepsis
Urinary tract
Urinary tract infections
Urine
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Summary:AimsTo determine the rate of likely contaminated urine samples among urine specimens obtained by clean-catch method among under 3-month-olds screened for UTI in Children’s Emergency Department (CED), UHS between January 2018 and March 2021MethodsThis was a retrospective study which analyzed all urine samples sent for microscopy, culture and sensitivity in all under 3-month-olds with suspected UTI or undergoing septic screen who had presented to the CED at UHS between January 2018 and March 2021. Clean-catch urine samples obtained were run based on standard microbiological analyses. The urine dipstick, microscopy and culture results of these were recorded as well as their serum CRP results.The number of clinically relevant contaminated urine specimens was determined, as this group comprised those with potential diagnostic dilemma which could impact on treatment based on the trust guidelines.Clinically relevant urinary contamination was defined as:1. the presence of bacterial pure growth (defined as one or two UTI causing pathogens in the urine based on SOP of the trust laboratory) with urine microscopy white blood cells (wbcs)
ISSN:0003-9888
1468-2044