[Suprapubic bladder aspiration. Utility and complication].
OBJECTIVE
This study aims at evaluating the usefulness of suprapubic bladder aspiration (SBA) in order to diagnose urinary tract infection (UTI), enumerating the complications and describes those found in the existing literature.


METHODS
We have reviewed the 668 SBAs carried out on 642 children over a period of 3 years. The ages of the children varied from neonate to 5 years. Urine cultures were regarded as positive when any one single germ showed bacterial growth signs.


RESULTS
Ninety-four UTIs, 14.6% of the total samples studied, were detected, five of which were in newborns. Infection by Escherichia coli comprised 87.2% of the total. Two complications were observed: needle breakage and vaginal bleeding.


CONCLUSIONS
SBA is a reliable method, with hardly any complications, and is essential for the accurate diagnosis of UTI. However, it must be used with a more restrictive criterion in the neonatal period.
García Muñoz
M T
MT
Servicio de Pediatría, Hospital Valle del Nalón, Langreo, Asturias.
Cerezo Pancorbo
J M
JM
Martínez Bastida
G
G
Sánchez Badía
J L
JL
D002675:Child, Preschool; D004926:Escherichia coli / Q000302:isolation & purification; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007709:Klebsiella / Q000302:isolation & purification; D008297:Male; D011513:Proteus mirabilis / Q000302:isolation & purification; D012189:Retrospective Studies; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013291:Streptococcus / Q000302:isolation & purification; D001743:Urinary Bladder / Q000382:microbiology* / Q000503:physiopathology; D014552:Urinary Tract Infections / Q000382:microbiology* / Q000503:physiopathology