Incidence and risk factors of urinary tract infection in neonatal sepsis

Abstract Background Neonates with sepsis may have concurrent urinary tract infection (UTI), which be asymptomatic or nonspecific symptoms. Failure to diagnose UTI, resulting in a delay of appropriate therapy, has been reported cause renal scarring, hypertension, and kidney failure among infants. This study aimed determine the contribution UTI neonatal assess different risk factors that could associated UTI. cross-sectional was conducted at Neonatal Intensive Care Unit (NICU) Fayoum University Hospital, Fayoum, Egypt, between March 2018 January 2019. both genders from birth 28th day life clinical features either early- late-onset (during after first 3 days life, respectively) were enrolled this study. All neonates subjected complete history taking parents, full examination, laboratory investigations including blood count, C-reactive protein, culture, urine culture. Results The current included 100 admitted NICU sepsis. Positive culture (proven sepsis) detected 60%, proportion positive (UTI) entire group 11%. incidence 11.7% proven compared 10% suspected sepsis, it 16.36% (LOS) versus 4.44% early-onset (EOS). There statistically significant association poor feeding intolerance (UTI). Leukopenia expert panel criteria score showed high sensitivity (81.80% 90.90%, but low specificity for diagnosis Conclusions Gram-negative bacteria highly cases Poor Finally, recommended especially late type.