Urinary Tract Infection

Michielsen WJS, Geurs FJC, Verschraegen GLC, et al [ Univ Hosp, De Pintelaan, Belgium

A Simple and Efficient Urine Sampling Method for Bacteriological Examination in Elderly Women

Age Ageing 26: 493-495, 1997

    

Three alternatives are available for collecting urine to diagnose urinary tract infection, a midstream, catheter, and by suprapubic puncture. The last is regarded as the best. Catheterization is painful, resented and requires time.

    


This article compares the results of cleaning the vulva and using a sterile container placed in the bed pan of the patient or in the toilet, with suprapubic puncture collections. The subjects had an average age of 81 years. 58 were studied. Infection was discovered in 13 of the suprapubic group and 17 of the other.

     


Despite the small number, the article points out that an invasive procedure can be avoided
.

   

Kaplan
RE, Springate JE, Feld LG [ State Univ of New York,
Buffalo; Children’s Hosp, Buffalo, NY]

Screening Dipstick Urinalysis : A Time to Change

Pediatrics 100: 919-921,1997

  

To detect urinary tract infection a dipstick test
was advised for infants, children, and adolescents.
Because of the false positive results and high cost
arising out of repeated examinations, the authors
suggest that the test be carried out only once at
school entry age.