Journal of Pediatric and Adolescent Gynecology
Volume 19, Issue 1 , Pages 31-34 , February 2006

Effect of Perineal Cleansing on Contamination Rate of Mid-stream Urine Culture

  • Diane R. Blake, MD

      Affiliations

    • Corresponding Author InformationAddress correspondence to: Diane R. Blake, MD, Department of Pediatrics, University of Massachusetts Medical School; 55 Lake Avenue North, Worcester, MA 01655
    • ,
  • L.F. Doherty, BS

References 

  1. Baerheim A, Digranes A, Jureen R, et al. Generalized symptoms in adult women with acute uncomplicated lower urinary tract infection: an observational study. Med Gen Med. 2003;5:1
  2. Claudius I. Dysuria in adolescents. West J Med. 2000;172:201
  3. Stamm WE, Wagner KF, Amsel R, et al. Causes of the acute urethral syndrome in women. N Engl J Med. 1980;303:409
  4. Holmes KK, Stamm WE. Lower genital tract infection syndromes in women. In:  Holmes KK,  Sparling PF,  Mardh P-A, et al. editor. Sexually Transmitted Diseases. 3rd ed.. New York: McGraw-Hill; 1999;p. 761–781
  5. Gibly RL. Infections of the urinary tract and male genitalia. In:  Brillman JC,  Quenzer RW editor. Infectious Disease in Emergency Medicine. second ed.. Philadelphia: Lippincott-Raven; 1998;p. 601–629
  6. Ward TT, Jones SR. Genitourinary tract infections. In:  Reese RE,  Betts RF editor. A Practical Approach to Infectious Diseases. 4th ed.. Boston: Little, Brown & Company; 1996;p. 472–518
  7. Blake DR. Adolescent sexually transmitted diseases: recent developments. Curr Infect Dis Rep. 2004;6:141
  8. Black C. Current methods of laboratory diagnosis of Chlamydia trachomatis infections. Clin Microbiol Rev. 1997;10:160
  9. Lifshitz E, Kramer L. Outpatient urine culture: does collection technique matter?. Arch Intern Med. 2000;160:2537
  10. Leisure MK, Dudley SM, Donowitz LG. Does a clean-catch urine sample reduce bacterial contamination?. N Engl J Med. 1993;328:289
  11. Morris RW, Watts MR, Reeves DS. Perineal cleansing before midstream urine, a necessary ritual?. Lancet. 1979;2:158
  12. Holliday G, Strike PW, Masterton RG. Perineal cleansing and midstream urine specimens in ambulatory women. J Hosp Infect. 1991;18:71
  13. Schlager TA, Smith DE, Donowitz LG. Perineal cleansing does not reduce contamination of urine samples from pregnant adolescents. Pediatr Infect Dis J. 1995;14:909
  14. Baerheim A, Digranes A, Hunskaar S. Evaluation of urine sampling technique: bacterial contamination of samples from women students. Br J Gen Pract. 1992;42:241
  15. Centers for Disease Control and Prevention . Sexually Transmitted Diseases Surveillance, 2002. Atlanta, Georgia: U.S. Department of Health and Human Services; September, 2003;
  16. Serlin M, Shafer MA, Tebb K, et al. What sexually transmitted disease screening method does the adolescent prefer? Adolescents' attitudes toward first-void urine, self-collected vaginal swab, and pelvic examination. Arch Pediatr Adolesc Med. 2002;156:588

 Project Support: The project described was supported by Grant Number 5 K23 AI01750 from the National Institute of Allergy and Infectious Diseases. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Institute of Allergy and Infectious Diseases.

PII: S1083-3188(05)00188-9

doi: 10.1016/j.jpag.2005.11.003

Journal of Pediatric and Adolescent Gynecology
Volume 19, Issue 1 , Pages 31-34 , February 2006

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