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Vaillancourt S, McGillivray D, Zhang X, et al. To clean or not to clean: effect on contamination rates in midstream urine collections in toilet-trained children. Pediatrics 2007;119:e1288–93.
Clinical impact ratings GP/FP/Primary care ★★★★★★⋆ Paediatrics ★★★★★⋆⋆
METHODS
Design:
cluster randomised (by week) controlled trial.
Allocation:
not concealed.*
Blinding:
blinded (microbiologists).*
Follow-up period:
48 hours.
Setting:
emergency department of a tertiary care paediatric centre.
Patients:
toilet trained children 2–18 years of age (45% 2–5 y, 37% 6–12 y, and 18% 13–18 y; 60% girls) who had a midstream urine sample requested for any medical reason. Children with developmental delay were excluded.
Intervention:
cleaning of the perineal/genital area twice, using liquid soap and gauze pads (n = 179), or no cleaning (n = 171) before collecting a midstream urine sample in a sterile container. For cleaning, children were …
Footnotes
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Source of funding: no external funding.