Are the Clinical outcomes of Neonates and Infants Under 2 Months Old with Urinary Tract Infections Similar to those in Infants 2 to 12 Months Old?
Childhood Kidney Diseases
;
: 136-142, 2015.
Article
in English
| WPRIM
| ID: wpr-27108
ABSTRACT
PURPOSE:
Although the American Academy of Pediatrics provides clinical guidelines for urinary tract infection (UTI) infants, guidelines are not appropriate for neonates and infants less than 2 months of age due to insufficient data. The aim of this study was to evaluate the characteristics of neonates and young infants less than 2 months old (group 1) with UTI compared to older infants from 2 to 12 months old (group 2).METHODS:
We reviewed UTI patients aged 0 to 12 months admitted to the pediatric department in the last 5 years. Clinical characteristics such as age, sex, fever duration, recurrence, progression to acute pyelonephritis (APN), malformations like hydronephrosis and vesicoureteral reflux (VUR), and laboratory results were compared between group 1 and group 2.RESULTS:
615 patients were included in this study. Group 1 had 94 cases and group 2 had 521 cases. Escherichia coli was the most commonly isolated pathogen in urine cultures. Fever duration was shorter in group 1 (vs.) 2 (1.91+/-1.43 days vs. 3.42+/-2.40 days, P<0.05). As compared to group 2, group 1 had a higher proportion of patients with antenatal hydronephrosis and hydronephrosis found after admission (10.6% vs. 3.6% and 75.5% vs. 55.9%, P<0.05). There were differences between two groups in white blood cell (WBC) count (Group 1 13,694+/-5,315/microL, Group 2 15,271+/-6,130/microL, P<0.05) and C-reactive protein (Group 1 32.02+/-35.17 mg/L, Group 2 46.51+/-46.63 mg/L, P<0.05).CONCLUSION:
Compared to older infants, UTI in neonates and young infants shows milder clinical manifestations except higher rates of hydronephrosis but outcome is alike.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pediatrics
/
Pyelonephritis
/
Recurrence
/
Urinary Tract
/
Urinary Tract Infections
/
Vesico-Ureteral Reflux
/
C-Reactive Protein
/
Escherichia coli
/
Fever
/
Hydronephrosis
Type of study:
Practice guideline
Limits:
Humans
/
Infant
/
Infant, Newborn
Language:
English
Journal:
Childhood Kidney Diseases
Year:
2015
Type:
Article
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