Urinary tract infection in the newborn: clinical and radio imaging studies.

Urinary tract infection in the newborn: clinical and radio imaging studies. Research Abstract Details 

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Urinary tract infection in the newborn: clinical and radio imaging studies. Abstract Text:

Sastre,Antonio Ramos Aparicio,Gil D Coto Cotallo, Colomer,Manuel Crespo , ,José B López Sastre,Antonio Ramos Aparicio,Gil D Coto Cotallo,Belén Fernández Colomer,Manuel Crespo Hernández, ,

The objective of this study was to assess clinical characteristics and results of radio imaging studies and compare community-acquired urinary tract infection (UTI) with nosocomial UTI in 301 neonates with UTI consecutively admitted to 28 neonatal units in Spain over 3 years (community-acquired UTI, n = 250; nosocomial UTI, n = 51). UTI was diagnosed in the presence of symptoms of infection together with any colony growth for a single pathogen from urine obtained by suprapubic aspiration, or >or=10(4) CFU/ml for a single pathogen from urine obtained by urethral catheterization. Abnormal renal ultrasound was present in 37.1% of cases (34% in community-acquired UTI and 54.5% in nosocomial UTI, P < 0.01). The voiding cystourethrography (VCUG) showed vesicoureteral reflux (VUR) in 27% of cases (23.8% in community-acquired UTI and 48.6% in nosocomial UTI, P < 0.01). In patients with abnormal renal ultrasound and VUR, renal scan with dimercaptosuccinic acid (DMSA) performed early after UTI revealed cortical defects in 69.5% of cases. However, in patients with abnormal renal ultrasound and normal VCUG, DMSA also revealed cortical defects in 39% of cases. The absence of VUR in neonates with UTI and abnormal renal ultrasound does not exclude the presence of cortical defects suggestive of pyelonephritis.

Urinary tract infection in the newborn: clinical and radio imaging studies. Publishing Authors By Initials

JB Sastre,AR Aparicio,GD Cotallo,BF Colomer,MC , ,JB Sastre,AR Aparicio,GD Cotallo,BF Colomer,MC Hernández, ,

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Urinary tract infection in the newborn: clinical and radio imaging studies. Journal Published:

PUBLICATION TYPE: Multicenter Study

Journal: Pediatric nephrology (Berlin, Germany)

VOLUME: 22

Page Numbers: 1735-41

Journal Abbreviation: Pediatr. Nephrol.

ISSN: 0931-041X

DAY: 31

MONTH: 07

YEAR: 2007

Urinary tract infection in the newborn: clinical and radio imaging studies. Information

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LANGUAGE: eng

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AFFILIATION: Service of Neonatology, Department of Paediatrics, Hospital Universitario Central de Asturias, Celestino Villamil s/n, E-33006 Oviedo, Asturias, Spain. jose_lopez_sastre@hotmail.com

Country: Germany

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MEDLINETA: Pediatr Nephrol

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