First published online: 01 Sep 2015
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - FireFox Plugin)

J Renal Inj Prev. 2015;4(3).
doi: 10.12861/jrip.2015.18
PMID: 26468481
PMCID: PMC4594220
  Abstract View: 980
  PDF Download: 800

Original Article

Early prediction of urinary tract infection in neonates with hyperbilirubinemia

Azar Nickavar 1, Nastaran Khosravi 2 * , Mahdiye Doaei 3

1 Department of Pediatric Nephrology, Iran University Medical Sciences, Tehran, Iran
2 Department of Neonatology, Iran University Medical Sciences, Tehran, Iran
3 Departmet of Community Medicine, Iran University Medical Sciences, Tehran, Iran
*Corresponding author: Nastaran Khosravi, Email: : nastarankhosravi@yahoo.com

Article

Introduction: Hyperbilirubinemia is a common manifestation of infectious disorders during the neonatal period. Urinary tract infection (UTI) is one of the serious bacterial infections with hyperbilirubinemia among newborn infants.

Objectives: The aim of this study was to identify the early predictive risk factors of UTI in neonates with hyperbilirubinemia, to prevent its long-term complications.

Patients and Methods: A total of 95 neonatal hyperbilirubinemia were evaluated in 2 groups with (n = 40) and without UTI (n = 55).

Results: Mean age at diagnosis of UTI was 16.37 ± 8.86 days. Hyperbilirubinemia was detected in 70% of patients during the first week of life. There was a significant difference regarding the age at admission, duration of hyperbilirubinemia, serum bilirubin and creatinine, white blood cells (WBC) , and also Hgb levels between the 2 groups in univariate analysis. However, prolonged jaundice (OR = 10.3, P = 0.001) and serum bilirubin concentration (OR = 5.15, P = 0.001) were statistically associated with a positive urine culture in multivariate analysis.

Conclusion: Screening of UTI is recommended in neonates with prolonged unexplained jaundice, leukocytosis, and increased serum creatinine.

Implication for health policy/practice/research/medical education:

We recommend screening of urinary tract infection (UTI) in jaundiced neonates with prolonged unexplained hyperbilirubinemia, leukocytosis, and increased serum creatinine.

Please cite this paper as: Nickavar A, Khosravi N, Doaei M. Early prediction of urinary tract infection in neonates with hyperbilirubinemia. J Renal Inj Prev. 2015; 4(3): 92-95. DOI: 10.12861/jrip.2015.18

First name
 
Last name
 
Email address
 
Comments
 
Security code


Article Viewed: 980

Your browser does not support the canvas element.


PDF Downloaded: 800

Your browser does not support the canvas element.