Pee on demand: making babies pee for msu testing

Procedure:

It takes a minimum of two people to perform this procedure. However, it is better with three, one dedicated to making the catch.

  1. Encourage oral fluid intake.
  2. 25 minutes following this feed, the baby/infants genitals are cleaned thoroughly with warm soapy water and dried with sterile gauze.
  3. A sterile container is prepared to collect the specimen.
  4. Baby is held under the armpits (just above the bed) with legs dangling (the parents can easily assist with this).
  5. The nurse then starts bladder stimulation which consists of gentle tapping in the suprapubic area at a rate of 100 taps per minute for 30 seconds.
  6. Next, the lumbar paravertebral zone (think the small of the lower back) is massaged in a light circular motion for 30 seconds.
  7. Step 5 and six are repeated until urine is released.
    Stand clear & catch the mid-stream.

EMKF

The Emergency Medicine Kenya (EMK) Foundation is a not-for-profit organization registered in Kenya in 2015 that aims to ensure timely, accessible and quality lifesaving emergency care in Kenya.