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Jacob Amir, MD; Mira Ginzburg, MD; Rachel Straussberg, MD; Itzhak Varsano, MD

Am J Dis Child. 1993;147(9):969-970.

Abstract
• The reliability of midstream urine culture from circumcised male infants was studied in 60 infants aged 1 to 21 weeks. A midstream urine specimen was collected after cleansing the penis. When the bladder was full again, a suprapubic bladder aspiration (SPA) was also performed. The results of the urine cultures were almost identical in specimens obtained midstream and by SPA. In 37 infants the cultures were sterile and in 13 positive, with the same microorganism being cultured in both instances. In one case, few colonies of Staphylococcus epidermidis grew only from the midstream culture. In nine infants, only midstream specimens were obtained because three attempts at SPA were unsuccessful. These results suggest that in circumcised male infants, the midstream method of obtaining urine for a culture is as reliable as SPA.

(AJDC. 1993;147:969-970)

Author Affiliations
From the Department of Pediatrics, Hasharon Hospital, Sackler School of Medicine, Tel Aviv University, Petach Tikva, Israel.

Footnotes
Accepted for publication March 8, 1993.

Presented in part at the 32nd Annual Meeting of the Ambulatory Pediatric Association, Baltimore, Md, May 5, 1992.

Reprint requests to Department of Pediatrics, Hasharon Hospital, 7 Keren-Kayamet St, PO Box 121, Petach Tikva, Israel (Dr Amir).

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