Urinary tract infection in full-term newborn infants: risk factor analysis.

نویسندگان

  • M C Falcão
  • C R Leone
  • R A D'Andrea
  • R Berardi
  • N A Ono
  • F A Vaz
چکیده

OBJECTIVE To analyze the correlation of risk factors to the occurrence of urinary tract infection in full-term newborn infants. PATIENTS AND METHODS Retrospective study (1997) including full-term infants having a positive urine culture by bag specimen. Urine collection was based on: fever, weight loss > 10% of birth weight, nonspecific symptoms (feeding intolerance, failure to thrive, hypoactivity, debilitate suction, irritability), or renal and urinary tract malformations. In these cases, another urine culture by suprapubic bladder aspiration was collected to confirm the diagnosis. To compare and validate the risk factors in each group, the selected cases were divided into two groups: Group I - positive urine culture by bag specimen collection and negative urine culture by suprapubic aspiration, and Group II - positive urine culture by bag specimen collection and positive urine culture by suprapubic aspiration. RESULTS Sixty one infants were studied, Group I, n = 42 (68.9%) and Group II, n = 19 (31.1%). The selected risk factors (associated infectious diseases, use of broad-spectrum antibiotics, renal and urinary tract malformations, mechanical ventilation, parenteral nutrition and intravascular catheter) were more frequent in Group II (p<0.05). Through relative risk analysis, risk factors were, in decreasing importance: parenteral nutrition, intravascular catheter, associated infectious diseases, use of broad-spectrum antibiotics, mechanical ventilation, and renal and urinary tract malformations. CONCLUSION The results showed that parenteral nutrition, intravascular catheter, and associated infectious diseases contributed to increase the frequency of neonatal urinary tract infection, and in the presence of more than one risk factor, the occurrence of urinary tract infection rose up to 11 times.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Correlation of prenatal vitamin D deficiency and neonatal urinary tract infection

Background: Urinary tract infection (UTI) is a common infection during pregnancy and different age groups of children, including the neonatal period. It comprises 1/3 of bacterial infections in newborn infants, with a prevalence of 0.1-1% in term and 4-25% in preterm neonates. UTI occurs more commonly in male neonates (M/F: 2-6/1) for the higher incidence of structural abnormalities (1,2). Urin...

متن کامل

میزان بهبودی نوزادان مبتلا به کریپتورکیدیسم تا 15 ماهگی

Background and objectives: Cryptorchidism or undescended testicle, with a prevalence of 33 percent in preterm and 3-5 percent in term infants, is the most common congenital abnormality in newborn boys. The present study aimed to assess the recovery rate and urinary tract infection among infants with cryptorchidism during the first 15 months of their life.         Methods: This cross-sectional d...

متن کامل

Urinary tract infection in full-term newborn infants: value of urine culture by bag specimen collection.

OBJECTIVE To evaluate the efficacy of urine culture by bag specimen for the detection of neonatal urinary tract infection in full-term newborn infants. Retrospective study (1997) including full-term newborn infants having a positive urine culture (> 100,000 CFU/ml) by bag specimen collection. The urinary tract infection diagnosis was confirmed by positive urine culture (suprapubic bladder aspir...

متن کامل

Effect of maternal risk factors in the incidence of neonatal jaundice

  Introduction :Jaundice is the most common cause of hospitalization of infants in the first month of life. Delivery and maternal and neonatal risk factors may affect the progression of complications of jaundice. This study aimed to investigate the problems of pregnancy and delivery in neonates with jaundice. Methods: This descriptive study was performed on 2796 full term 3 to 29 day infants w...

متن کامل

Evaluation of Urinary Tract Infection in Newborns with Jaundice in South of Iran

Background: Neonatal jaundice is clinically presented in 60% of full-term newborns. About 8% of newborns with jaundice have urinary tract infection (UTI) without any other clinical signs in favor of UTI. In present study we evaluated clinical and paraclinical data that help to rapid and early diagnosis of UTI in apparently healthy newborns with jaundice. Methods: From February to August 2006, 5...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Revista do Hospital das Clinicas

دوره 55 1  شماره 

صفحات  -

تاریخ انتشار 2000