Suprapubic Aspiration

Division

East Florida

Hospital

Kendall Regional Medical Center

Document Type

Review Article

Publication Date

5-22-2020

Keywords

SPA, urinary tract infection, pediatrics, urinalysis

Disciplines

Diagnosis | Emergency Medicine | Female Urogenital Diseases and Pregnancy Complications | Male Urogenital Diseases | Pediatrics | Urology

Abstract

Suprapubic aspiration (SPA) is a sterile procedure that allows for the sampling of uncontaminated urine in patients. It is considered the gold standard for collecting urine for urinalysis in children. In fact, the American Academy of Pediatrics Clinical Practice Guideline published in 2011 for the diagnosis of urinary tract infection (UTI) in children aged 2-24 months recommends that children with an unknown source of fever have a urinalysis be obtained through urinary catheterization or suprapubic aspiration. This is evidence quality A; strong recommendation. Although it is recommended, the SPA is rarely performed. In fact, urinary catheterization is preferred by most healthcare providers since SPA is considered to be an invasive and painful procedure. In addition, this procedure can be performed in children and adults when the bladder outlet is obstructed. Proficiency in suprapubic aspiration is a valuable skill for emergency physicians, pediatricians, and urologists.

Publisher or Conference

StatPearls

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