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Advisor(s)
Abstract(s)
Em pediatria, a colheita de urina deve respeitar os cuidados atraumáticos e a segurança da
criança com vista à qualidade dos cuidados. O clean-catch (CC) tem sido recentemente
descrito como método de colheita de urina para crianças que não controlam esfíncteres, não
invasivo, para diagnóstico de ITU em detrimento do cateterismo vesical/punção supra-púbica
(CV/PSP).
Métodos: Foi realizada uma revisão sistemática da literatura, com base nas orientações do
Manual Cochrane 5.1.0 de Higgins & Green (2011) sobre estudos que comparam a taxa de
contaminação da amostra de urina, entre o CC e CV/PSP. Foram selecionados estudos nas
bases de dados: PUBMED, EBSCO, Web of Science e Scielo, com data de publicação entre
janeiro de 2000 e junho de 2017 segundo os critérios de inclusão/exclusão previamente
estabelecidos. Dois investigadores avaliaram a qualidade metodológica dos estudos.
Resultados: Do total de 297 estudos foram incluídos dois Randomised Controlled Trial (RCT)
que preenchiam os critérios de inclusão definidos. Num total de 117 amostras por CC e 122
obtidas por CV/PSP, verificou-se no primeiro estudo (Labrosse et al., 2016) que a taxa de
contaminação do grupo CC era de 16% vs 6% para as colheitas por CV/PSP, enquanto no
segundo estudo (Herreros, et al., 2015) foi de de 5% vs 8% para CC e CV respetivamente.
Conclusão: Os resultados dos estudos são animadores. Contudo mais investigações
precisam ser realizados para que este método revele evidência científica para a prática de
enfermagem, dadas as limitações relacionadas com o número reduzido de estudos
encontrados com qualidade metodológica para diagnosticar ITU por clean-catch, nas crianças
que não controlam os esfíncteres
Palavras-chave: Colheita de urina, recém-nascido, lactente, infeção do trato urinário.
ABSTRACT In pediatrics, urine specimen collection should respect the atraumatic care and safety of the child with a quality of care view to the. Clean-catch (CC) has recently been described as noninvasive sphincter urine collection method for diagnosis of UTI over vesicular catheterization / suprapubic puncture (CV/PSP). Methods: A systematic review of the literature was conducted based on the Cochrane Handbook 5.1.0 guidelines of Higgins & Green (2011) on studies comparing urine sample contamination rate between CC and CV / PSP. Studies were selected from databases PUBMED, EBSCO, Web of Science and Scielo, with publication date between January 2000 and June 2017, according to the previously established inclusion/exclusion criteria. Two investigators evaluated the methodological quality of the studies. Results: Of the total of 297 studies, two Randomized Controlled Trials (RCT) were included that met the defined inclusion criteria. In the first study (Labrosse et al., 2016), the CC contamination rate was 16% vs 6% for the CV / PSP harvest, PSP, while in the second study (Herreros, et al., 2015) was 5% vs 8% for CC and CV respectively. Conclusion: The results of the studies are encouraging. However, more research needs to be done in order for this method to reveal scientific evidence for nursing practice, given the limitations associated with the reduced number of studies found with methodological quality for diagnosing clean-catch UTI in children who do not control sphincters. Keywords: Urine specimen collection, infant newborn, infant, urinary tract infection.
ABSTRACT In pediatrics, urine specimen collection should respect the atraumatic care and safety of the child with a quality of care view to the. Clean-catch (CC) has recently been described as noninvasive sphincter urine collection method for diagnosis of UTI over vesicular catheterization / suprapubic puncture (CV/PSP). Methods: A systematic review of the literature was conducted based on the Cochrane Handbook 5.1.0 guidelines of Higgins & Green (2011) on studies comparing urine sample contamination rate between CC and CV / PSP. Studies were selected from databases PUBMED, EBSCO, Web of Science and Scielo, with publication date between January 2000 and June 2017, according to the previously established inclusion/exclusion criteria. Two investigators evaluated the methodological quality of the studies. Results: Of the total of 297 studies, two Randomized Controlled Trials (RCT) were included that met the defined inclusion criteria. In the first study (Labrosse et al., 2016), the CC contamination rate was 16% vs 6% for the CV / PSP harvest, PSP, while in the second study (Herreros, et al., 2015) was 5% vs 8% for CC and CV respectively. Conclusion: The results of the studies are encouraging. However, more research needs to be done in order for this method to reveal scientific evidence for nursing practice, given the limitations associated with the reduced number of studies found with methodological quality for diagnosing clean-catch UTI in children who do not control sphincters. Keywords: Urine specimen collection, infant newborn, infant, urinary tract infection.
Description
Keywords
Colheita de urina Enfermagem pediátrica Infecções urinárias Lactente Recém nascido Revisão Infant Infant, newborn Pediatric nursing Review Urinary tract infections Urine specimen collection