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</center><p>It is considered the gold standard for collecting urine for urinalysis in children.[1] In fact, the American Academy of Pediatrics Clinical Practice Guideline published in for the diagnosis of urinary tract infection (UTI) in children aged months recommends that Overview. Suprapubic aspiration and catheterization is a procedure to obtain uncontaminated urine from the urinary bladder. Huze and Beeson first published this practice in as an alternative to more traditional methods of obtaining urine Key points. The use of ultrasound increases the success of the procedure. The suprapubic catheter procedure involves putting a catheter into your bladder through your lower abdomen (tummy), usually through a small puncture in the skin. [ 1] It is easy to perform in the emergency department and is associated with minimal complications. Any growth of pathogenic bacteria in an SPA specimen is felt to be significant Suprapubic aspiration of urine is a simple and safe technique for obtaining an uncontaminated specimen of urine in childrenSPA is the urine collection method with the lowest contamination rate in infants (1%) compared to in-out catheter specimens (12%) and clean-catch urines (up to%),2,In stable children, perform before other Suprapubic aspirate is a simple, safe, rapid and effective procedure. The child lies on its back in the Suprapubic aspiration (SPA) is a sterile procedure that allows for the sampling of uncontaminated urine in patients. (See also Bladder Catheterization and Urinary Tract Infection in Children.) Suprapubic puncture (pediatrics) Indication urine collection for culture in children under two years of age. Procedure We will check the filling of the bladder with an ultrasound check, and in case of emergency, then with percussion. We often put a telescope into your bladder, along your urethra, to be sure that the catheter is in the right  Suprapubic aspiration of urine is a simple and safe technique for obtaining an uncontaminated specimen of urine in childrenSPA is the urine collection method with the lowest contamination rate in infants (1%) compared to in-out catheter specimens (12%)  Apply approximatelymL of ultrasound transmission gel to the infant’s suprapubic regionApply pressure to the ureteral meatus as previously describedGently apply the probe to the suprapubic region in the midline and scan the area in transverse plane, with the  Suprapubic aspiration is obtaining a urine sample using a needle inserted into the bladder in the suprapubic region, typically to obtain an uncontaminated urine sample for culture. Suprapubic aspirate is the gold standard for obtaining urine specimens for culture in children underyears.</p></translate>
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