Clinical and laboratory features of urinary tract infections in young infants

Lo, Denise Swei; Rodrigues, Liana Álvares; Koch, Vera H.; Gilio, Alfredo Elias

doi:10.1590/1678-4685-jbn-3602

Cited by 13 publications

(5 citation statements)

References 27 publications

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“…In our study, pediatric patients with UTI with or without urinary tract malformations had similar clinical symptoms and laboratory measurements. This is consistent with previous studies which showed that the clinical and laboratory features of UTI in children are non-specific ( 8 , 9 , 22 , 23 ). This often contributes to the delayed diagnosis and management of UTI in pediatric patients.…”

Section: Discussionsupporting

confidence: 93%

Clinical and Microbial Etiology Characteristics in Pediatric Urinary Tract Infection

Liu

Wei

et al. 2022

Front. Pediatr.

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BackgroundUrinary tract infection (UTI) is a common occurrence in children. UTI and urological malformations are intimately linked. However, whether urinary tract malformations affect the clinical features of pediatric UTI remains unclear. The purpose of this study was to characterize the clinical features and microbial etiology of UTI in children.MethodsWe retrospectively reviewed the records of 741 patients with UTI treated at the Chongqing Medical University Affiliated Children's Hospital between 2015 and 2020. Patients with and without urological malformations were compared using propensity score matching (PSM).ResultsEscherichia coli was the most common causative microorganism of UTI, accounting for 40.5% of infections. One hundred twenty-two patients (16.5%) had urological malformations. PSM identified 122 matched pairs of patients with or without urological malformations. The proportion of patients with UTI caused by atypical microorganisms was significantly higher in patients with urological malformations (P = 0.048). Children with urological malformations showed longer duration of intravenous antibiotic treatment (P = 0.010), higher cost of treatment (P < 0.001), and higher prevalence of recurrence (23.8 vs. 10.7%, P < 0.001), compared with the normal group.ConclusionChildren with urological malformations are more likely to develop UTI with atypical microorganisms. Appropriate imaging examination and urine culture are strongly recommended for the diagnosis and management of pediatric UTI.

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Section: Discussionsupporting

confidence: 93%

Clinical and Microbial Etiology Characteristics in Pediatric Urinary Tract Infection

Liu

Wei

et al. 2022

Front. Pediatr.

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“…It should be noted that prolonged incarceration, associated pathology, or large-scale use of antibiotics and invasive procedures increase the incidence of UTIs. 30 Enterococci are often detected in complicated UTIs, 31 but we have no investigational data available in this study, whether the strains come from an uncomplicated or a complicated UTI.…”

Section: Resultsmentioning

confidence: 85%

Enterococcal Urinary Tract Infection in Newborns at a Pediatric Hospital in Saudi Arabia

Ahmad

Alotaibi

Alkhaibari

et al. 2020

Dhaka Univ. J. Pharm. Sci

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The main goal of this study was to examine the spectrum of Enterococci that cause urinary tract infection in newborns. This study was conducted during September 2018 to November 2018 at Prince Sattam Bin Abdul Aziz University. A total of 317 urine samples were taken from newborns admitted to the Children's Hospital in the city of Riyadh, Kingdom of Saudi Arabia. In total, 30 (9.5%) Enterococcal strains were isolated from 317 samples. Of these, 17 (56.6%) were from male and 13 (43.4%) were from female patients. From antibiotic sensitivity assay, it was observed that all of the isolates were resistant to clindamycin. But Imipenem and Augmentin were found highly sensitive. So, these sensitive antibiotics can be used for the treatment of newborns UTIs caused by the enterococcal strains. Dhaka Univ. J. Pharm. Sci. 19(2): 119-124, 2020 (December)

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“…Uma infecção urinária, por exemplo, que muitas vezes cursa com disúria, pode ser difícil de ser diagnosticada em crianças que não verbalizam. Nesses casos, elas apresentam outros sinais clínicos inespecíficos, como febre, letargia, irritabilidade, vômito, desidratação, anorexia e baixo ganho ponderal; de forma que, na maioria das vezes, a criança terá uma FSSL (LO et al, 2018).…”

Section: Interrogatório Sistematológicounclassified

Crises Convulsivas Na Infância

Rabelo¹,

Pinheiro²,

Pessoa³

et al. 2022

Emergências Pediátricas: Revisões De Literatura

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Emergências pediátricas: revisões de literatura está licenciado sob CC BY 4.0.Esta licença exige que as reutilizações deem crédito ao criador. Ele permite que os reutilizadores distribuam, remixem, adaptem e construam o material em qualquer meio ou formato, mesmo para fins comerciais. O conteúdo da obra e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, não representando a posição oficial da Editora Amplla. É permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores. Todos os direitos para esta edição foram cedidos à Editora Amplla.

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Clinical and laboratory features of urinary tract infections in young infants

Cited by 13 publications

References 27 publications

Clinical and Microbial Etiology Characteristics in Pediatric Urinary Tract Infection

Clinical and Microbial Etiology Characteristics in Pediatric Urinary Tract Infection

Enterococcal Urinary Tract Infection in Newborns at a Pediatric Hospital in Saudi Arabia

Crises Convulsivas Na Infância

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