In:
Zeynep Kamil Tıp Bülteni, Medical Bulletin of Zeynep Kamil, Vol. 50, No. 1 ( 2019-03-14), p. 21-25
Abstract:
İntroduction: Childhood
urinary tract infection (UTI) is one of the most important causes of renal failure in adult age. Fast and correct recognition and appropriate treatment of urinary
tract infections during neonatal period may reduce the risk of renal
damage.In our study; we aimed to evaluate newborns
with UTI who were hospitalized in our neonatal ward retrospectively, and to use our findings in our clinical and treatment practice Material and methods: we enrolled
137 neonates who were hospitalized with the diagnosis of UTI or diagnosed as UTI after
hospitalization in Zeynep Kamil Gynecologic and Pediatric Training and Research Hospital NICU-2 between January 2009 - October 2012. All patients’ demographic
characteristics, physical examination findings, laboratory values, and treatment were evaluated retrospectively.Results: Of
the 137 neonates included to the study 78,8 % were male and 21,2 % female. Presenting symptoms of patients was prolonged jaundice (38,7 %),
fever (28,5 %), poor sucking (15,3 %), vomiting (13,1 %), restlessness (10,2 %), dehydration (10,2 %), lethargy (6,6 %), weight loss (4,4 %), crying during
the voiding (2,9 %), convulsion (1,5 %), diarrhea (1,5 %), abdominal distantion (0,7 %)
respectively. Most frequent pathogens cultured in urine was E.
coli (54%), Klebsiella spp. (10.2%), Enterobacteriacea (9,5%),
ESBL (+) E. coli (7,3%) respectively. The most common antibiotic resistance was to ampicilline. The most resistant
pathogene to ampisiline was E.coli. Conclusion; Urinary tract infection is an infectious disease that should not be missed in
newborns and infants and has serious consequences. Prevention of complications that may occur depends on the management of antibiotic selection, long-term
follow-up and imaging methods.
Type of Medium:
Online Resource
ISSN:
1300-7971
DOI:
10.16948/zktipb.447389
Language:
Unknown
Publisher:
Medical Bulletin of Zeynep Kamil
Publication Date:
2019
