When is a suprapubic needle aspiration for collecting a urine specimen indicated in the diagnosis of acute pyelonephritis (kidney infection)?

Updated: Jul 01, 2021
  • Author: Tibor Fulop, MD, PhD, FACP, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Suprapubic needle aspiration is rarely necessary. Indications are as follows:

  • An alternative is lacking
  • To exclude contamination from other methods of collection
  • To verify the presence of an infecting organism that is otherwise considered a contaminant
  • To verify infection in an infant who has a positive culture result from a specimen obtained from a strap-on device

For details on performing this procedure, see Suprapubic Aspiration.


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