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.
Publisher or Conference
Peters A, Medina-Blasini Y. Suprapubic Aspiration. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2020.