What wipes are used for clean catch urine

Castile Soap Wipes, 100 per Box

• Designed for cleansing sensitive skin

• Use when a clean-catch urine specimen is required

• Compact, easy to carry, and convenient

• Gentle, yet effective

You have been given a container to collect a sample of urine from your child to test for a urinary tract infection. It is important that the urine sample is not contaminated by germs from the skin when it is collected as this may lead to a wrong diagnosis.

Follow these steps to collect a clean urine sample:

1. Get some clean plastic tweezers, gauze (or cotton balls) and a container of sterile water ready. If gauze or cotton balls are not available, you can use baby wipes.
2. Wash your hands well (you may wish to wear gloves).
3. Ensure the child’s privacy is protected and remove your child’s nappy or underpants so that the genital area is exposed (you may wish to sit or lay your child on a towel or hospital bluey to avoid a mess).
4. Use the tweezers to pick up the gauze (or cotton balls) and soak in sterile water. Use the tweezers and soaked gauze, follow the instructions below to gently wash the genital area:
   Girls: Wipe the genital area several times from front to back, using a new gauze (or cotton ball or baby wipe) for each wipe.
   Boys: Wipe the head of the penis using a new gauze (or cotton ball or baby wipe) for each wipe.
5. Try not to let your skin or your child’s skin touch the area that has been cleaned.
6. Loosen the yellow lid of the collection container (but do not remove).
7. Watch and wait until your child starts to wee.
8. As soon as the wee starts, take the lid off the container and put it under the stream of urine. Hold the container away from your child (do not let it touch their skin). Do not touch the inside of the container.
9. Once you have at least a teaspoon of urine in the container put the lid back on firmly and give it to the nurse, so it can be sent to the laboratory for testing. If you have collected the sample at home, it needs to be stored in the fridge and taken to the laboratory within 24 hours.
10. Dry your child’s genital area and replace their nappy or underpants.

Resource No: FS091. Developed by Emergency Department. Updated: August 2019. All information contained in this sheet has been supplied by qualified professionals as a guideline for care only. Seek medical advice, as appropriate, for concerns regarding your child’s health. Image reproduced from Kaufman J, Fitzpatrick P, Tosif S, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ. Apr 7 2017;357:j1341.

Castle EP, Wolter CE, Woods ME. Evaluation of the urologic patient: testing and imaging. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 2.

Germann CA, Holmes JA. Selected urologic disorders. In: Walls RM, Hockberger RS, Gausche-Hill M. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 89.

Nicolle LE, Drekonja D. Approach to the patient with urinary tract infection. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 268.

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Introduction: Urine culture is the gold standard test for revealing the microbial agent causing urinary tract infection (UTI). Culture results are affected by sampling techniques; improper sampling leads to contamination of urine and thus contamination of the culture with urogenital flora. We aimed to evaluate the effect of urogenital cleansing, performed with chlorhexidine-containing genital region cleansing wipes (GRCW) on contamination rates.

Methodology: A total of 2,665 patients with UTI-related complaints and with urine culture requests from various outpatient clinics were enrolled in the study. Of the patients, 1,609 in the experimental group used GRCW before sampling, while 1,046 in the control group did not use any wipes.

Results: The contamination rate in the experimental group patients was 7.7%, while it was 15.8% in the control group. Contamination rates were significantly higher in the control group than in the experimental group for both women and men. Contamination rates for children and adults were also significantly lower in the experimental group than in the control group.

Conclusions: Our study, conducted in a large population, showed that the use of chlorhexidine-containing cleansing wipes significantly reduced urine culture contamination rates in both genders, in both child and adult age groups. Using GRCW, collection of urine after urogenital area cleansing will decrease the contamination problem.