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Point of Care Pediatric Urinalysis

Rob Orman, MD and Sam Ashoo, MD
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12:07
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Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
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01:26

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EM:RAP 2017 January Written Summary 926 KB - PDF

Admin expert Sam Ashoo put point of care urinalysis under the microscope. Is it good enough for febrile kids?

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Ian L., Dr -

In a study reported in the Canadian Journal of Emergency Medicine on urethral catheterisation of 3-24 month children with a fever of 199 children that were catheterised 21% reported a complication .
Being male and 12-23 months increase adverse events .
The adverse events were painful urination in 19/199 genital pain in16/199 urinary retention in 11/199 gross haematuria in 9/199 and Secondry urine infection in 1/199 .
Authors Quellet-Pulletier J et al concluded urethral catheterisation ought be performed judiciously in children because of the unfavourable events .
This means dilemmas for decision to catheterise and research into skill in catheterising and other factors to reduce unfavourable adverse events .
Quellet-Pelletier et al in the Canadian Journal of Emergency Medicine Feb 11 2016 .

Sam Ashoo, MD -

Interesting. It does cause us to stop and question the practice. I’m no fan of catheterizing kids (or adults for that matter) but the clean catch is so rarely clean. Better patient instruction and staff teaching is needed for both methods of collection.

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