Abstract
Objective:The objective of our study is to estimate the extent of urinary infection among neonatal infectious diseases.Materials and Methods:This work concerns a retrospective study of 91 newborns with urinary tract infections, collected in the Mohammed VI neonatal resuscitation unit, Marrakesh.Results:The average age of our newborns at admission was 10.8 days. In 20 cases, there were signs of maternal urinary tract infections. The main reason for hospitalization was jaundice in 72.53% of cases. The symptomatology was dominated by fever in 16.48% of cases, followed by a refusal to suck in 5.5% of cases.Escherichia coliwas the predominant germ in 61.5% of cases. A probabilistic anti-biotherapy based on Ceftriaxone 3rdGeneration and aminoglycoside was instituted in all cases after it was adapted to the antibiogram data. Ultrasound revealed malformations in 21 cases.Conclusion:Neonatal urinary tract infection remains a common pathology. Its potential severity involving renal functional prognosis and the frequency of urinary tract malformations require early diagnosis and adequate management.
Highlights
Urinary tract infection is a common reason for hospitalization in the neonatal period
Treatment will vary depending on the degree of elevation of C-reactive protein (CRP) and its follow-up
The most common causative organism is Escherichia coli 61.5% Klebsiella pneumoniae was found in 35.2%
Summary
Urinary tract infection is a common reason for hospitalization in the neonatal period. This diagnosis is based on the clinic and the cytobacteriological examination of the urine. The bacteriological definition of the urinary tract infection is based on the bacterial concentration found in the urine, which is, with the identification of the bacterium, the major criterion for interpreting the result of the cultures. The objective of our study is to estimate the extent of urinary tract infection among neonatal infectious diseases. The clinical manifestations of urinary tract infection in the newborn infant are variable
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