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Research

What’s the catch? Urine sample collection from young pre-continent children: a qualitative study in primary care.

Jonathan Kaufman, Lena Sanci and Meredith Temple-Smith
BJGP Open 2020; 4 (4): bjgpopen20X101060. DOI: https://doi.org/10.3399/bjgpopen20X101060
Jonathan Kaufman
1 General Practice, Faculty of Medicine Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia
2 General Paediatrics, Sunshine Hospital, St Albans, Australia
3 Health Services Research Group, Murdoch Childrens Research Institute, Parkville, Victoria, Australia
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  • For correspondence: jkaufman@unimelb.edu.au
Lena Sanci
1 General Practice, Faculty of Medicine Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia
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Meredith Temple-Smith
1 General Practice, Faculty of Medicine Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia
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    Figure 1. Barriers and enablers to urine sample collection from young children: themes and subthemes

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    Table 1. Participant and practice characteristics, n = 25
    Participant characteristics
    Age, mean years (range) 45 (31–67)
    Sex
    Male9 (36%)
    Female16 (64%)
    Country of primary medical or nursing degree
    Australia22 (88%)
    UK1 (4%)
    Ireland1 (4%)
    New Zealand1 (4%)
    Years working in general practice, mean (range)a 14 (1–39)
    Full or part time
    Full time13 (52%)
    Part time12 (48%)
    Training level
    GP fellow16 (64%)
    GP registrar5 (20%)
    PN4 (16%)
    Proportion of usual patient load with children, mean % (range) 24% (2–100%)
    Special interest in paediatricsYesNo11 (44%)
    14 (56%)
    Additional postgraduate qualification in paediatrics or child health
    Diploma5 (20%)
    None20 (80%)
    Practice characteristics
    Location
    Inner urban8 (32%)
    Outer urban3 (12%)
    Regional8 (32%)
    Rural4 (16%)
    Remote2 (8%)
    Number of full-time equivalent GPs at clinic, mean (range) 6 (2–10)
    Number of full-time equivalent PNs at clinic, mean (range) 2 (0–4)
    Type of clinic
    Private14 (56%)
    Mixed community and private6 (24%)
    Community: Aboriginal health3 (12%)
    Community: Refugee health1 (4%)
    Corporate1 (4%)
    • a Does not include hospital training. PN = practice nurse.

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    Table 2. Approaches to urine sample collection in primary care
    Embedded Image Evidence based Use clean catch methodAcknowledge can be time-consumingWant to avoid sample contamination
    Convenience Use urine bag methodConvenience for parent and clinicianAware of sample contamination
    Pragmatic Prefer clean catchUse urine bags sometimesDepends on clinical circumstances
    Rural or remote Prefer clean catchNot close to hospital servicesPerform catheterisation or SPA whenrequired
    • SPA = suprapubic aspiration.

Supplementary Data

SUPPLEMENTARY MATERIALS

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    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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What’s the catch? Urine sample collection from young pre-continent children: a qualitative study in primary care.
Jonathan Kaufman, Lena Sanci, Meredith Temple-Smith
BJGP Open 2020; 4 (4): bjgpopen20X101060. DOI: 10.3399/bjgpopen20X101060

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What’s the catch? Urine sample collection from young pre-continent children: a qualitative study in primary care.
Jonathan Kaufman, Lena Sanci, Meredith Temple-Smith
BJGP Open 2020; 4 (4): bjgpopen20X101060. DOI: 10.3399/bjgpopen20X101060
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Keywords

  • urine specimen collection
  • infant
  • urinary tract infections
  • paediatrics
  • general practice
  • primary health care

More in this TOC Section

  • How does decontextualised risk information affect clinicians understanding of risk and uncertainty in primary care diagnosis? A qualitative study of clinical vignettes
  • Declining number of home visits to older adults by GPs: an observational study using data from electronic health records in The Netherlands, 2017–2023
  • What’s been tried: a curated catalogue of efforts to improve access to general practice
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