Izvorni znanstveni članak
Urinary Tract Infection (UTI) in Newborns: Risk Factors, Identification and Prevention of Consequences
Vesna Milas
; J.J. Strosssmayer University, University Hospital Osijek, Department of Paediatrics, Osijek, Croatia
Silvija Pušeljić
; J.J. Strosssmayer University, University Hospital Osijek, Department of Paediatrics, Osijek, Croatia
Maja Štimac
; J.J. Strosssmayer University, University Hospital Osijek, Department of Paediatrics, Osijek, Croatia
Hana Dobrić
; J.J. Strosssmayer University, University Hospital Osijek, Department of Paediatrics, Osijek, Croatia
Gordana Lukić
; J.J. Strosssmayer University, University Hospital Osijek, Department of Paediatrics, Osijek, Croatia
Sažetak
The aim of the study is identification of urinary tract infections (UTI) and urinary tract anomalies (UTA) already in the perinatal period. The authors attempted to prevent serious consequences of the above conditions in the examined chil- dren. Family history data, certain conditions in pregnancy and appertaining symptoms in children were elaborated to specify selective distinctive criteria for children at risk. Newborns (1200) were selected for potential existence of a UTI. All the examined newborns underwent a urinalysis. Those with significant bacteriuria were taken urine specimens, C- reactive protein (RVP), Complete Blood Count (CBC) and bilirubin. The newborns with a UTI and a suspected UTA were sent to ultrasound examination, direct radio nuclide cystography and Tc 99m MAG3 dynamic scanning. The frequency of a UTI in the perinatal period amounted to 4.5%. A UTA was found in 29.6% of the examinees. The infection was more likely to appear among newborns with a UTA in their families, a UTI, pre-eclampsia and a febrile infection in mother, intrauterine growth retardation, premature rupture of membranes (RVP), umbilical cord strangulation, jaundice, cyanosis, breathing difficulties, seizures and asphyxia.
Ključne riječi
urinary tract anomalies; perinatal period; newborns at risk; ultrasound
Hrčak ID:
118284
URI
Datum izdavanja:
30.9.2013.
Posjeta: 1.619 *