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. 2021 Mar 11;8(2):57–67. doi: 10.1016/j.ijpam.2021.03.001

Table 1.

Recommended method for urine sample collection and cut-off number of colony-forming units/ml for significant bacteriuria according to the method of urine sample collection.

Method of urine sample collection Recommendation Cut-off number for significant bacteriuria
Transurethral BC First choice for Infants and nontoilet-trained children >50.000 CFU/mL[1–3]
OR >10.000 CFU/mL if fever and pyuria[1–3]
A clean-voided specimen First choice for toilet-trained children
Second choice for nontoilet-trained children who cannot undergo transurethral BC(e.g., increased bleeding tendency)
>100.000 CFU/ml[1–3]
OR
>10.000 CFU/mL if fever and pyuria present [3]
Suprapubic aspiration (SPA) Reliable method in neonates and an alternative method for males with phimosis or females with severe labial adhesions. Any number of CFU per mL[2,3]

AbbreviationsUTI = urinary tract infection; CFU = colony-forming units, and transurethral bladder catheterization = transurethral BC.