Table 1.

Advantages and limitations of common methods

MethodAdvantagesLimitations
Nappy padConvenient
Can be used to exclude UTI
Very high contamination: >60%3
Unreliable to confirm UTI
Urine bagConvenient
Can be used to exclude UTI
High contamination: ≈50%4
Unreliable to confirm UTI
Clean catchCan increase success with voiding stimulation
More reliable than pad/bag to confirm UTI
Moderate contamination: ≈25%5
Can be time consuming or unsuccessful
CatheterisationLow contamination: ≈10%5
Effective even if little urine in bladder
Very reliable to confirm UTI
Equipment and expertise required
Invasive and painful for the child
Suprapubic aspirationUltra-low contamination: 1%5
Can increase success with ultrasound
Very reliable to confirm UTI
Equipment and expertise required
Invasive and painful for the child