Catheter-Obtained Urine Culture Contamination Among Young Infants: A Prospective Cohort Study

Hilla Bahat, Revital Apelman Cipele, Tali Maymon, Ilan Youngster, Michael Goldman

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: A correct diagnosis of urinary tract infection in young infants requires an uncontaminated urine culture, commonly obtained by urethral catheterization. In the current study, we examined the rates and factors associated with contaminations of catheter-obtained urine cultures in very young infants. Methods: This prospective cohort study included 143 catheter-obtained urine cultures of infants ≤2 months of age admitted to the pediatric ward of a tertiary hospital in Israel from April 2019 to September 2020. Patient's and operator's study variables were documented at the time of catheter insertion. Positive urine cultures were reviewed by a pediatric nephrologist and a pediatric infectious disease specialist and designated as infection or contamination. The study variables were compared between those with or without contamination. Results: The contamination rate in our cohort was 29%. Females were more than twice as likely to have a contaminated urine culture (37 vs. 18%, respectively, P = 0.014). Circumcision status, official training about sterile catheterization, a sense of difficult catheterization, and the shift in which the culture was obtained did not influence the contamination rate. Conclusions: Catheter-obtained urine cultures have a high contamination rate among very young infants, especially among girls.

Original languageEnglish
Article number762577
JournalFrontiers in Pediatrics
Volume9
DOIs
StatePublished - 1 Nov 2021

Keywords

  • catheter
  • contamination
  • infant
  • urinary tract infection
  • urine culture

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