Suprapubic Aspiration


East Florida


Kendall Regional Medical Center

Document Type

Review Article

Publication Date



SPA, urinary tract infection, pediatrics, urinalysis


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


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.

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