The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns

Rajbanshi Mamta; Karn Basant Kumar; Yadav Upendra; Shah Sunita; Yadav Satish

doi:doi:10.11648/j.ajp.20190502.15

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The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns

Rajbanshi Mamta, Karn Basant Kumar, Yadav Upendra, Shah Sunita, Yadav Satish

Published in American Journal of Pediatrics (Volume 5, Issue 2)

Received: 11 April 2019 Accepted: 10 May 2019 Published: 4 June 2019

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Abstract

Background: Sign and symptoms of urinary tract infections (UTI) are not specific in infants and young children, fever being the commonest sign. Therefore, collecting urine samples for culture is required to diagnose or exclude UTI. Obtaining a clean catch urine sample in neonates and infants is a great challenge as it is unpredictable, time consuming and requires lot of patience. Objectives: The objectives of the study were to determine the effect of bladder and lumbar stimulation technique (BLST) for collection of midstream urine in newborns and to evaluate contamination rates of urine samples collected. Methods: An experimental research was conducted in BPKIHS, Dharan, Nepal including total of 54 term newborns. Urine culture was indicated for different reasons to the admitted newborns. They were randomly assigned either to the experimental group or the control group. Twenty-five minutes after feeding, the genitals and perineal area of the babies were cleaned. The newborns were held under the armpits with legs dangling. Bladder and Lumbar stimulation technique was only applied to the newborns in the experimental group. Success was defined as collection of urine sample within 5 minutes (<300s) of starting the stimulation maneuver in the experimental group and of holding under the armpits in the control group. Results: The success rate of urine collection was significantly higher in the experimental group (88.88%) than in the control group (25.92%) p<0.001. The median time for sample collection was 1.07 minutes (64.2s) [IQR=1.52minutes (91.2s)] in experimental group and 1.52minutes (91.2s) [IQR= 2.78 minutes (166.8s) for control group (p=0.069). Contamination was not found in urine samples collected by BLST in experimental group. Conclusion: The study suggests that bladder and lumbar stimulation technique is safe, quick and effective way of collecting midstream clean catch urine in newborns.

Published in	American Journal of Pediatrics (Volume 5, Issue 2)
DOI	10.11648/j.ajp.20190502.15
Page(s)	64-69
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Bladder and Lumbar Stimulation Technique (BLST), Supra Pubic Aspiration (SPA), Urinary Tract Infections (UTI)

References

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APA Style

Rajbanshi Mamta, Karn Basant Kumar, Yadav Upendra, Shah Sunita, Yadav Satish. (2019). The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns. American Journal of Pediatrics, 5(2), 64-69. https://doi.org/10.11648/j.ajp.20190502.15

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ACS Style

Rajbanshi Mamta; Karn Basant Kumar; Yadav Upendra; Shah Sunita; Yadav Satish. The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns. Am. J. Pediatr. 2019, 5(2), 64-69. doi: 10.11648/j.ajp.20190502.15

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AMA Style

Rajbanshi Mamta, Karn Basant Kumar, Yadav Upendra, Shah Sunita, Yadav Satish. The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns. Am J Pediatr. 2019;5(2):64-69. doi: 10.11648/j.ajp.20190502.15

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@article{10.11648/j.ajp.20190502.15,
  author = {Rajbanshi Mamta and Karn Basant Kumar and Yadav Upendra and Shah Sunita and Yadav Satish},
  title = {The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns},
  journal = {American Journal of Pediatrics},
  volume = {5},
  number = {2},
  pages = {64-69},
  doi = {10.11648/j.ajp.20190502.15},
  url = {https://doi.org/10.11648/j.ajp.20190502.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20190502.15},
  abstract = {Background: Sign and symptoms of urinary tract infections (UTI) are not specific in infants and young children, fever being the commonest sign. Therefore, collecting urine samples for culture is required to diagnose or exclude UTI. Obtaining a clean catch urine sample in neonates and infants is a great challenge as it is unpredictable, time consuming and requires lot of patience. Objectives: The objectives of the study were to determine the effect of bladder and lumbar stimulation technique (BLST) for collection of midstream urine in newborns and to evaluate contamination rates of urine samples collected. Methods: An experimental research was conducted in BPKIHS, Dharan, Nepal including total of 54 term newborns. Urine culture was indicated for different reasons to the admitted newborns. They were randomly assigned either to the experimental group or the control group. Twenty-five minutes after feeding, the genitals and perineal area of the babies were cleaned. The newborns were held under the armpits with legs dangling. Bladder and Lumbar stimulation technique was only applied to the newborns in the experimental group. Success was defined as collection of urine sample within 5 minutes (<300s) of starting the stimulation maneuver in the experimental group and of holding under the armpits in the control group. Results: The success rate of urine collection was significantly higher in the experimental group (88.88%) than in the control group (25.92%) p<0.001. The median time for sample collection was 1.07 minutes (64.2s) [IQR=1.52minutes (91.2s)] in experimental group and 1.52minutes (91.2s) [IQR= 2.78 minutes (166.8s) for control group (p=0.069). Contamination was not found in urine samples collected by BLST in experimental group. Conclusion: The study suggests that bladder and lumbar stimulation technique is safe, quick and effective way of collecting midstream clean catch urine in newborns.},
 year = {2019}
}

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TY - JOUR
T1 - The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns
AU - Rajbanshi Mamta
AU - Karn Basant Kumar
AU - Yadav Upendra
AU - Shah Sunita
AU - Yadav Satish
Y1 - 2019/06/04
PY - 2019
N1 - https://doi.org/10.11648/j.ajp.20190502.15
DO - 10.11648/j.ajp.20190502.15
T2 - American Journal of Pediatrics
JF - American Journal of Pediatrics
JO - American Journal of Pediatrics
SP - 64
EP - 69
PB - Science Publishing Group
SN - 2472-0909
UR - https://doi.org/10.11648/j.ajp.20190502.15
AB - Background: Sign and symptoms of urinary tract infections (UTI) are not specific in infants and young children, fever being the commonest sign. Therefore, collecting urine samples for culture is required to diagnose or exclude UTI. Obtaining a clean catch urine sample in neonates and infants is a great challenge as it is unpredictable, time consuming and requires lot of patience. Objectives: The objectives of the study were to determine the effect of bladder and lumbar stimulation technique (BLST) for collection of midstream urine in newborns and to evaluate contamination rates of urine samples collected. Methods: An experimental research was conducted in BPKIHS, Dharan, Nepal including total of 54 term newborns. Urine culture was indicated for different reasons to the admitted newborns. They were randomly assigned either to the experimental group or the control group. Twenty-five minutes after feeding, the genitals and perineal area of the babies were cleaned. The newborns were held under the armpits with legs dangling. Bladder and Lumbar stimulation technique was only applied to the newborns in the experimental group. Success was defined as collection of urine sample within 5 minutes (<300s) of starting the stimulation maneuver in the experimental group and of holding under the armpits in the control group. Results: The success rate of urine collection was significantly higher in the experimental group (88.88%) than in the control group (25.92%) p<0.001. The median time for sample collection was 1.07 minutes (64.2s) [IQR=1.52minutes (91.2s)] in experimental group and 1.52minutes (91.2s) [IQR= 2.78 minutes (166.8s) for control group (p=0.069). Contamination was not found in urine samples collected by BLST in experimental group. Conclusion: The study suggests that bladder and lumbar stimulation technique is safe, quick and effective way of collecting midstream clean catch urine in newborns.
VL - 5
IS - 2
ER -

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Author Information

Rajbanshi Mamta

Department of Nursing, Yeti Health Science Academy, Maharajgunj, Kathmandu, Nepal
Karn Basant Kumar

Department of Child Health Nursing, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
Yadav Upendra

Department of Child Health Nursing, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
Shah Sunita

Norvic Institute of Nursing Education, Maharajgunj, Kathmandu, Nepal
Yadav Satish

Department of Pediatric and Adolescent Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

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APA Style

Rajbanshi Mamta, Karn Basant Kumar, Yadav Upendra, Shah Sunita, Yadav Satish. (2019). The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns. American Journal of Pediatrics, 5(2), 64-69. https://doi.org/10.11648/j.ajp.20190502.15

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ACS Style

Rajbanshi Mamta; Karn Basant Kumar; Yadav Upendra; Shah Sunita; Yadav Satish. The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns. Am. J. Pediatr. 2019, 5(2), 64-69. doi: 10.11648/j.ajp.20190502.15

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AMA Style

Rajbanshi Mamta, Karn Basant Kumar, Yadav Upendra, Shah Sunita, Yadav Satish. The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns. Am J Pediatr. 2019;5(2):64-69. doi: 10.11648/j.ajp.20190502.15

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@article{10.11648/j.ajp.20190502.15,
  author = {Rajbanshi Mamta and Karn Basant Kumar and Yadav Upendra and Shah Sunita and Yadav Satish},
  title = {The Effect of Bladder and Lumbar Stimulation Technique for Collection of Urine in Newborns},
  journal = {American Journal of Pediatrics},
  volume = {5},
  number = {2},
  pages = {64-69},
  doi = {10.11648/j.ajp.20190502.15},
  url = {https://doi.org/10.11648/j.ajp.20190502.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20190502.15},
  abstract = {Background: Sign and symptoms of urinary tract infections (UTI) are not specific in infants and young children, fever being the commonest sign. Therefore, collecting urine samples for culture is required to diagnose or exclude UTI. Obtaining a clean catch urine sample in neonates and infants is a great challenge as it is unpredictable, time consuming and requires lot of patience. Objectives: The objectives of the study were to determine the effect of bladder and lumbar stimulation technique (BLST) for collection of midstream urine in newborns and to evaluate contamination rates of urine samples collected. Methods: An experimental research was conducted in BPKIHS, Dharan, Nepal including total of 54 term newborns. Urine culture was indicated for different reasons to the admitted newborns. They were randomly assigned either to the experimental group or the control group. Twenty-five minutes after feeding, the genitals and perineal area of the babies were cleaned. The newborns were held under the armpits with legs dangling. Bladder and Lumbar stimulation technique was only applied to the newborns in the experimental group. Success was defined as collection of urine sample within 5 minutes (<300s) of starting the stimulation maneuver in the experimental group and of holding under the armpits in the control group. Results: The success rate of urine collection was significantly higher in the experimental group (88.88%) than in the control group (25.92%) p<0.001. The median time for sample collection was 1.07 minutes (64.2s) [IQR=1.52minutes (91.2s)] in experimental group and 1.52minutes (91.2s) [IQR= 2.78 minutes (166.8s) for control group (p=0.069). Contamination was not found in urine samples collected by BLST in experimental group. Conclusion: The study suggests that bladder and lumbar stimulation technique is safe, quick and effective way of collecting midstream clean catch urine in newborns.},
 year = {2019}
}

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