Comparison of two human infant urine collection methods for measuring estrone‐3‐glucuronide

Abstract

Current human infant urine collection methods for the field are problematic for the researcher and potentially uncomfortable for the infant. In this study, we compared two minimally invasive methods for collecting infant urine: organic cotton balls and filter paper. We first collected urine from infants using the clean catch method. We then used those samples to compare the performance of filter paper and cotton ball collection protocols. We analyzed the clean catch and cotton samples using commercial estrone-3-glucuronide (E1G) kits and tried two different extraction methods for the filter paper. Using a paired t-test (n=10), we compared clean catch and cotton samples. We also compared effect sizes within and between methods. We were unable to extract enough urine from the filter paper to successfully assay the samples for E1G. The paired t-test revealed a statistically significant difference between the clean catch and cotton methods (t=2.63, p-value=0.03). However, the effect size was small (5.91 μg/ml, n=10, 95% CI=3.80, 8.02) and similar to or larger than the difference seen between duplicate wells for clean catch and cotton values. While this study is limited by sample size, our results indicate that filter paper is not a field-friendly method for collecting infant urine. However, we found that organic cotton balls showed similar values to the clean catch method, and we propose this method as an alternative, minimally invasive method for study of E1G in human infant urine.