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Complications of Subrapubic Bladder Aspiration

Complications of Subrapubic Bladder Aspiration Abstract Suprapubic bladder puncture is frequently used to obtain urine for culture in infants because of the difficulty in obtaining uncontaminated specimens. Although the risk of suprapubic bladder puncture appears to be quite small, we want to emphasize that there are severe and potentially fatal complications of this technique. Report of a Case..—The patient was a 2,400-gm female infant with an Apgar score of 8 at one minute. On the second hospital day, the infant had an axillary temperature of 37.8 C. The findings from physical examination were unremarkable. The abdomen was not distended and was soft. A blood culture subsequently showed no growth. Three unsuccessful attempts at suprapubic aspiration were made. The bladder had not been palpated previously and the time of previous urination was unknown. At 4 days of age, results of physical examination were normal and the infant was discharged home. The infant was taken home and the References 1. Pryles CV: Percutaneous bladder aspiration and other methods of urine collection for bacteriologic study . Pediatrics 36:128-131, 1965. 2. Rockoff AS: Hemorrhage after suprapubic bladder aspiration . J Pediatr 89:327, 1976.Crossref 3. Nelson JD, Peters PC: Suprapubic aspiration of urine in premature and term infants . Pediatrics 36:132-134, 1965. 4. Polnay L, Fraser AM, Lewis JM: Complication of suprapubic bladder aspiration . Arch Dis Child 50:80-81, 1975.Crossref 5. Weathers WT, Wenzl JE: Suprapubic aspiration of the bladder . Am J Dis Child 117:590-592, 1969.Crossref 6. Shannon FT, Sepp E, Rose GR: The diagnosis of bacteriuria by bladder puncture in infancy and childhood . Aust Paediatr J 5:97-100, 1969. 7. Saccharow L, Pryles CV: Further experience with the use of percutaneous suprapubic aspiration of the urinary bladder . Pediatrics 43:1018-1024, 1969. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Complications of Subrapubic Bladder Aspiration

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References (10)

Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1978.02120260100026
Publisher site
See Article on Publisher Site

Abstract

Abstract Suprapubic bladder puncture is frequently used to obtain urine for culture in infants because of the difficulty in obtaining uncontaminated specimens. Although the risk of suprapubic bladder puncture appears to be quite small, we want to emphasize that there are severe and potentially fatal complications of this technique. Report of a Case..—The patient was a 2,400-gm female infant with an Apgar score of 8 at one minute. On the second hospital day, the infant had an axillary temperature of 37.8 C. The findings from physical examination were unremarkable. The abdomen was not distended and was soft. A blood culture subsequently showed no growth. Three unsuccessful attempts at suprapubic aspiration were made. The bladder had not been palpated previously and the time of previous urination was unknown. At 4 days of age, results of physical examination were normal and the infant was discharged home. The infant was taken home and the References 1. Pryles CV: Percutaneous bladder aspiration and other methods of urine collection for bacteriologic study . Pediatrics 36:128-131, 1965. 2. Rockoff AS: Hemorrhage after suprapubic bladder aspiration . J Pediatr 89:327, 1976.Crossref 3. Nelson JD, Peters PC: Suprapubic aspiration of urine in premature and term infants . Pediatrics 36:132-134, 1965. 4. Polnay L, Fraser AM, Lewis JM: Complication of suprapubic bladder aspiration . Arch Dis Child 50:80-81, 1975.Crossref 5. Weathers WT, Wenzl JE: Suprapubic aspiration of the bladder . Am J Dis Child 117:590-592, 1969.Crossref 6. Shannon FT, Sepp E, Rose GR: The diagnosis of bacteriuria by bladder puncture in infancy and childhood . Aust Paediatr J 5:97-100, 1969. 7. Saccharow L, Pryles CV: Further experience with the use of percutaneous suprapubic aspiration of the urinary bladder . Pediatrics 43:1018-1024, 1969.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Jan 1, 1978

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