Detection of Urinary Tract Infection (UTI) in Newborns for Preventing Renal Impairment
The aim has been early recognition of the urinary tract anomaly (UTA). We try to find certain risk factors that discriminate newborns that require searching for UTI and UTA as early as in perinatal period. Newborns (1200) underwent selection for the existence of the UTI. Data from family history, certain conditions in pregnancy and symptoms in child were presumed selective distinctive criteria for children at risk. All newborns were taken Urinalysis. Those with significant bacteriuria were taken urine specimens, CRP, CBC and bilirubin. Newborns with UTI underwent ultrasound examination, and UTA were under suspicion after direct radionuclide cistography and Tc 99m MAG3 dynamic scanning. Frequency of UTI in the perinatal period was 4.5%. UTA were found in 29.6% of those. Infection was found often among newborns with: UTA in family, UTI, Pre-eclampsia febrile infection in mother, IUGR, RVP, strangulated umbilical cord, jaundice, cyanosis, breathing difficulties, seizures and asphyxia.
urinary tract anomalies, perinatal period, newborns at risk, ultrasound, Croatia
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