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Periurethral Cleaning Prior to Urinary Catheterization in Children: Sterile Water versus 10% Povidone-Iodine

The Hospital for Sick Children, University of Toronto, Canada

Maria Oliva, MD

The Hospital for Sick Children, University of Toronto, Canada

Robert Davidson, RN

The Hospital for Sick Children, University of Toronto, Canada

Susan E. Richardson, MD

The Hospital for Sick Children, University of Toronto, Canada

Savithiri Ratnapalan, MBBS, MEd

The Hospital for Sick Children, University of Toronto, Canada, savithiri.ratnapalan{at}sickkids.ca

Objective. To compare urinary infection rate in children cleaned with sterile water versus a 10% povidone-iodine before bladder catheterization. Methods. Prospective randomized controlled study of children requiring bladder catheterization in the emergency department whose parents consented to the study were randomly assigned to either of 2 groups, in which sterile water (the "sterile water" group) or 10% povidone-iodine (the "10% povidone-iodine" group) was to be used for peri-urethral cleansing prior to catheterization. Results. The sterile water group had 92 patients and the povidone-iodine group had 94. Most children (87%) were under 12 months of age. Urine cultures were positive in 16% of children in the povidone-iodine group and in 18% in the water group. There was no significant difference in signs and symptoms between the 2 groups. There was no significant association between solution preparation and cultures on univariate regression analysis. Conclusions. Cleaning the periurethral area of children with sterile water prior to catheterization is not inferior to cleaning with povidone-iodine.

Key Words: bladder catheterization • infants • cleaning solutions • catheter sample • urinary tract infections • urine cultures

This version was published on July 1, 2009

Clinical Pediatrics, Vol. 48, No. 6, 656-660 (2009)
DOI: 10.1177/0009922809332587


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