Practice variation in urine collection methods among pre-toilet trained children with suspected urinary tract infection: a systematic review

Lucy M Wilson; Clara Tam; Veronica Ka Wai Lai; Motunrayo Ajayi; Mê-Linh Lê; Banke Oketola; Terry P Klassen; Alex Aregbesola

doi:10.1186/s12887-024-04751-w

Practice variation in urine collection methods among pre-toilet trained children with suspected urinary tract infection: a systematic review

BMC Pediatr. 2024 May 3;24(1):294. doi: 10.1186/s12887-024-04751-w.

Authors

Lucy M Wilson^{1

2

3}, Clara Tam¹, Veronica Ka Wai Lai^{1

4}, Motunrayo Ajayi¹, Mê-Linh Lê⁵, Banke Oketola¹, Terry P Klassen^{1

4

6}, Alex Aregbesola^{7

8

9}

Affiliations

¹ Children's Hospital Research Institute of Manitoba, University of Manitoba, 715 McDermot Ave., Winnipeg, MB, R3E 3P4, Canada.
² Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
³ Cumming School of Medicine, University of Calgary, Calgary, Canada.
⁴ Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Canada.
⁵ Neil John Maclean Health Sciences Library, University of Manitoba, Winnipeg, Canada.
⁶ Centre for Healthcare Innovation, University of Manitoba, Winnipeg, Canada.
⁷ Children's Hospital Research Institute of Manitoba, University of Manitoba, 715 McDermot Ave., Winnipeg, MB, R3E 3P4, Canada. Alex.Aregbesola@umanitoba.ca.
⁸ Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada. Alex.Aregbesola@umanitoba.ca.
⁹ Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Canada. Alex.Aregbesola@umanitoba.ca.

Abstract

Background: Urinary tract infections (UTIs) are a common cause of acute illness among infants and young children. There are numerous methods for collecting urine in children who are not toilet trained. This review examined practice variation in the urine collection methods for diagnosing UTI in non-toilet-trained children.

Methods: A systematic review was completed by searching MEDLINE (Ovid), Embase (Ovid), CENTRAL (Ovid), PsycInfo (Ovid), CINAHL (EBSCO), and JBI (Ovid) from January 1, 2000 until October 9, 2021 and updated on May 24, 2023. Studies were included if they were conducted in an acute care facility, examined pre-toilet trained children, and compared one urine collection method with another for relevant health care outcomes (such as length of stay in an ED, or re-visits or readmissions to the ED) or provider satisfaction. Two independent reviewers screened the identified articles independently, and those included in the final analysis were assessed for quality and bias using the Newcastle-Ottawa Scale.

Results: Overall, 2535 articles were reviewed and 8 studies with a total of 728 children were included in the final analysis. Seven studies investigated the primary outcome of interest, practice variation in urine collection methods to diagnose a UTI. The seven studies that investigated novel methods of urine collection concluded that there were improved health care outcomes compared to conventional methods. Novel methods include emerging methods that are not captured yet captured in clinical practice guidelines including the use of ultrasound guidance to aid existing techniques. Three studies which investigated healthcare provider satisfaction found preference to novel methods of urine collection.

Conclusions: There is significant practice variation in the urine collection methods within and between countries. Further research is needed to better examine practice variation among clinicians and adherence to national organizations and societies guidelines. PROSPERO registration number CRD42021267754.

Keywords: Emergency department; Pediatrics; Systematic review; Urinary tract infection; Urine collection.

Publication types

Systematic Review
Research Support, Non-U.S. Gov't

MeSH terms

Child
Child, Preschool
Humans
Infant
Practice Patterns, Physicians'
Toilet Training
Urinary Tract Infections* / diagnosis
Urinary Tract Infections* / urine
Urine Specimen Collection* / methods