MP54-13 DOES PERCEPTION OF CATHETERIZATION LIMIT ITS USE IN PEDIATRIC UTI?

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You have accessJournal of UrologyPediatrics: Urinary Tract Infections/Vesicoureteral Reflux1 Apr 2015MP54-13 DOES PERCEPTION OF CATHETERIZATION LIMIT ITS USE IN PEDIATRIC UTI? Rachel Sharon Selekman, Melissa T. Sanford, Lauren N. Ko, and Hillary L. Copp Rachel Sharon SelekmanRachel Sharon Selekman More articles by this author , Melissa T. SanfordMelissa T. Sanford More articles by this author , Lauren N. KoLauren N. Ko More articles by this author , and Hillary L. CoppHillary L. Copp More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.2036AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The purpose of this study was to investigate parental perception of evaluation for pediatric urinary tract infection (UTI) to better understand the factors that impede appropriate urine testing prior to treatment of suspected UTI in children. METHODS We conducted an electronic, cross-sectional survey via social media targeting parents of children with a history of UTI. Participants were queried regarding parental and child demographics, urine specimen collection method, factors influencing urine collection method, and perception of the experience. We used multivariable logistic regression to assess for factors associated with urine testing and distress with catheterization. RESULTS Of 2,726 parental respondents, >80% were female and White. The majority of parents reported having a female child (74%); 23% of male children were uncircumcised. Controlling for income and race, parents who had a college education were less likely to not be offered catheterization (OR 0.1, 95%CI 0.1-0.2, compared with high school education). Other factors associated with decreased odds for not being offered catheterization were circumcision (OR 0.5, 95% CI 0.3-0.8) and having a history of few (≤1) UTIs (OR 0.6, 95%CI 0.4-0.8). Overall, 55% of parents reported extreme distress with catheterization. Among parents whose children had been catheterized, extreme distress was less likely associated with catheterization if there was a family history of UTI (OR 0.3, 95%CI 0.2-0.4), the parent was White (OR 0.6, 95%CI 0.4-0.9), and if the child was circumcised (OR 0.7, 95%CI 0.4-0.98). Among parents whose children had not been exposed to catheterization, parents with a college degree (OR 3.2, 95%CI 2.2-4.5, compared with high school education) and children 1-2 years (OR 1.7, 95%CI 1.2-2.5) and 2-5 years (OR 1.4, 95%CI 1.0-2.0) compared with children <1 month old had greater odds of anticipating extreme distress with catheterization. CONCLUSIONS This survey of parents of children with UTI demonstrates that parental education level, family history of UTI, race, circumcision status, and age all play a role in the subjective associated distress associated with catheterization. To improve adherence to guidelines, targeting only physician practice patterns is insufficient; parental characteristics and concerns may also be targeted for intervention. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e670 Peer Review Report Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rachel Sharon Selekman More articles by this author Melissa T. Sanford More articles by this author Lauren N. Ko More articles by this author Hillary L. Copp More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...