{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T23:09:52Z","timestamp":1775084992862,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,12,6]],"date-time":"2012-12-06T00:00:00Z","timestamp":1354752000000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Suprapubic aspiration (<jats:styled-content style=\"fixed-case\">SPA<\/jats:styled-content>) is the gold standard for obtaining uncontaminated urine specimens in young febrile children. The use of real\u2010time ultrasound (<jats:styled-content style=\"fixed-case\">RTUS<\/jats:styled-content>) has been shown to increase the success rate of <jats:styled-content style=\"fixed-case\">SPA<\/jats:styled-content>. The <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ladder<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>can (<jats:styled-content style=\"fixed-case\">BSUS<\/jats:styled-content>) Verathon<jats:sup>\u00ae<\/jats:sup> is an alternative portable ultrasound device designed to provide automated measurement of bladder volume. Although simple and requiring minimal training, there are no data on the success rate of <jats:styled-content style=\"fixed-case\">SPA<\/jats:styled-content> using the device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An audit of current <jats:styled-content style=\"fixed-case\">SPA<\/jats:styled-content> practice using <jats:styled-content style=\"fixed-case\">BSUS<\/jats:styled-content> in the ED of a tertiary referral children's hospital was conducted. We assessed the success rate of <jats:styled-content style=\"fixed-case\">SPA<\/jats:styled-content> to obtain urine and correlate with <jats:styled-content style=\"fixed-case\">BSUS<\/jats:styled-content> readings and techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty <jats:styled-content style=\"fixed-case\">SPAs<\/jats:styled-content> (mean age 5.0 months) were observed over an 8\u2010month period between <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ugust 2009 and <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2010. The audit showed an overall success rate of 53% (32\/60) [95% confidence interval 41\u201366%]. Success rates were 63%, 32%, 82% and 63% for the largest <jats:styled-content style=\"fixed-case\">BSUS<\/jats:styled-content> readings of 0\u20139\u2009mL (<jats:italic>n<\/jats:italic> = 8), 10\u201319\u2009mL (<jats:italic>n<\/jats:italic> = 25), 20\u201329\u2009mL (<jats:italic>n<\/jats:italic> = 11) and 30+ mL (<jats:italic>n<\/jats:italic> = 16), respectively, or 39% at &lt;20\u2009mL and 70% at \u226520\u2009mL (<jats:italic>P<\/jats:italic> = 0.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The success rate of <jats:styled-content style=\"fixed-case\">SPA<\/jats:styled-content> in \u2018real\u2010life\u2019 non\u2010standardised clinical practice was low at 53% overall. The <jats:styled-content style=\"fixed-case\">BSUS<\/jats:styled-content>\u2010assisted <jats:styled-content style=\"fixed-case\">SPA<\/jats:styled-content> success rate was higher in patients with readings \u226520\u2009mL. These rates are lower than success rates reported using <jats:styled-content style=\"fixed-case\">RTUS<\/jats:styled-content>. Parameters for using <jats:styled-content style=\"fixed-case\">BSUS<\/jats:styled-content> to assist <jats:styled-content style=\"fixed-case\">SPA<\/jats:styled-content> should be established.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.12011","type":"journal-article","created":{"date-parts":[[2012,12,6]],"date-time":"2012-12-06T18:42:36Z","timestamp":1354819356000},"page":"647-651","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Success rate of <scp>B<\/scp>ladder<scp>S<\/scp>can\u2010assisted suprapubic aspiration"],"prefix":"10.1111","volume":"24","author":[{"given":"Davina","family":"Buntsma","sequence":"first","affiliation":[{"name":"Emergency Department Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Stock","sequence":"additional","affiliation":[{"name":"Emergency Department Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Bevan","sequence":"additional","affiliation":[{"name":"Emergency Department Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Murdoch Children's Research Institute Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franz E","family":"Babl","sequence":"additional","affiliation":[{"name":"Emergency Department Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Murdoch Children's Research Institute Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,12,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2009.158964"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2012.02449.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(99)70099-5"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.1999.00305.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.1998.00272.x"},{"key":"e_1_2_8_7_1","first-page":"983","article-title":"Comparative bacteriologic study of urine obtained from children by percutaneous suprapubic aspiration of the bladder and by catheter","volume":"24","author":"Pryles CV","year":"1959","journal-title":"Pediatrics"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1976.tb03021.x"},{"key":"e_1_2_8_9_1","first-page":"115","article-title":"Suprapubic bladder aspiration in infants","volume":"23","author":"Hildebrand WL","year":"1981","journal-title":"Am. 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