The Quick Wee method of inducing faster clean catch urine sample collection in pre-continent infants

INTERVENTION: Randomisation was done by random permuted blocks of 8 using shuffling of sealed opaque envelopes. The intervention arm of this study was the Quick Wee method ‐ rubbing of cold saline to the supra‐pubic area. The control arm was standard method of collection for clean catch urine samples. All infants were prepared for collection of a clean catch urine sample and all necessary equipment was prepared to carry out the quick wee method. The envelope containing the group assignment was opened at the bedside immediately prior to the opening of the nappy. In the intervention group, infants underwent cleaning of the perineum for ten seconds with room temperature sterile water and then had cold saline rubbed to the supra‐pubic area up to five minutes study time. In the usual care arm, after initial cleaning the clinician waited up to five minutes to see if the infant would spontaneously void. The duration of the treatment in both groups was 5 minutes – either with cold saline stimulation or no stimulation with a clinician waiting to catch a sample if the baby voided. There was no follow‐up of infants after the study period described above, however, the results of any samples obtained which were sent for culture were followed. CONDITION: Urinary tract infection ; Urological and Genital Diseases PRIMARY OUTCOME: Void or no void measured during the 5 minute study period SECONDARY OUTCOME: ; 1. Time to void (seconds) measured using stopwatch during the 5 minute study period; 2. Contamination measured using screening dipstick at the time of data collection, and number of white cells on microscopy and any growth on culture; 3. Parental and clinician satisfaction measured using a 5‐point Likert scale (Very satisfied, Satisfied, Neutral, Unsatisfied, Very unsatisfied) at the end of the 5 minute study period; INCLUSION CRITERIA: Infants between 1 month and 12 months of age