تعيين شيوع عفونت ادراري در نوزادان ايكتريك بدون علامت

Urinary Tract Infection in Asymptomatic Neonatal Jaundice

Neonatal jaundice is one of the most common causes of hospitalization and investigation in neonatology. Importance of diagnosis and appropriate treatment for jaundice is related to its severe neurologic sequel in high levels of bilirubin and also to its causes. Urinary tract infection (UTI) is one of the leading causes of exageration and prolongation of neonatal jaundice. Because of the importance of neonatal jaundice as a sign of urinary tract infection, we decided to determine prevalence of UTI among asymptomatic icteric neonates. 348 neonates 8-28 days of age were studied. Initially direct urine exam and urine bag culture were obtained from all neonates. Then if there was any contamined or positive urine culture or WBC>5, suprapubic aspiration for urine culture was carried out. The prevalence of UTI among these neonates was 0.86% (3 in 348). All of 3 neonates were male, and none of them had low birth weights. Regarding prevalence of UTI in asymptomatic neonates(0.1-1%), we can not easily say that UTI is significiantly more in these icteric neonates.