The Effect of Sonographic Bladder Compressive Technique for Bag Urine Collection in Pediatrics

April 16, 2018 updated by: Hyuksool Kwon, Seoul National University Bundang Hospital

The Effect of Sonographic Bladder Compressive Stimulation Technique for Bag Urine Collection in Pediatrics: Randomized Controlled Trial

Aim: to shorten the time of urination by bladder pressure stimulation in children less than 36 months of age who need urinalysis to exclude or diagnose urinary tract infections and to speed up the start time of antibiotics treatment or to eliminate the overcrowding of emergency room(ER) by shortening the time of ER stay.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

  • According to preassigned 1:1 randomization of 40 patients assigend to intervention group and other 40 patients assign to control group as follow.
  • Get documented agreement from the caregiver if the patient meets the criteria.
  • While the a nurse attaches a kismo to a patient, the researcher at the bedside measures the patient's bladder size as an maximal anteroposterior (AP) and transverse (T) diameter(cm)
  • If the measured diameters (AP x T) is 2 X 2 or more, the research assistant check the assigned group of the patient.
  • If the patient assigned to the intervention group, a pressure stimulus is applied once using an ultrasonic probe to the anteroposterior wall of the bladder until the anterior & posterior wall meet.
  • If the AP X T was less than 2 X 2, excluded from the study enrollment.
  • During the study, caregivers and the assigned nurse will be blinded

Study Type

Interventional

Enrollment (Anticipated)

80

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Seoul, Korea, Republic of
        • Recruiting
        • Seoum national university
        • Contact:
    • Gyeonggi-do
      • Seongnam, Gyeonggi-do, Korea, Republic of, 13620
        • Recruiting
        • The Seoul National Bundang Hospital
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

3 months to 2 years (Child)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Body temperature of patients ≥ 38℃ reported by guardians
  • No definite focus of fever detected by physical examination
  • Guardian agrees to use urine bag(kismo) collection technique

Exclusion Criteria:

  • Previous history of urinary tract infections
  • Underlying urinary tract diseases (eg congenital anomalies, neuroblastomas, already diagnosed bladder ureters)
  • ICU treatment indicated
  • Newly diagnosed hydronephrosis on the day of visit

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Diagnostic
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Pressure stimulus group by ultrasound probe
A pressure stimulus would be applied once using a device (ultrasound probe) to the anteroposterior wall of the bladder until the anterior & posterior wall meet if the measured diameters (AP x T) is 2 X 2 or more by ultrasound
No Intervention: Non-pressure stimulus group
No pressure stimulus would be given

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The urine collection time
Time Frame: up to 2 hours
The urine collection time
up to 2 hours

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The antibiotic administration time
Time Frame: up to 1 day
The antibiotic administration time
up to 1 day
Emergency department(ED) length of stay time
Time Frame: up to 1 day
Emergency department(ED) length of stay time
up to 1 day
Comparison between the patients who were diagnosed as actual urinary tract infections and those who were not.
Time Frame: up to 1 day
Comparison between the patients who were diagnosed as actual urinary tract
up to 1 day
Complications
Time Frame: up to 1 month
Complications
up to 1 month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Principal Investigator: JAEYOON JUNG, MD PhD, The Seoul National University Bundang Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 1, 2016

Primary Completion (Anticipated)

December 31, 2018

Study Completion (Anticipated)

March 31, 2019

Study Registration Dates

First Submitted

May 10, 2017

First Submitted That Met QC Criteria

May 11, 2017

First Posted (Actual)

May 15, 2017

Study Record Updates

Last Update Posted (Actual)

April 18, 2018

Last Update Submitted That Met QC Criteria

April 16, 2018

Last Verified

April 1, 2018

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • B-1609-362-001

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Urinary Tract Infections

Clinical Trials on Pressure stimulus group

Search Similar Trials