Abstract
UTI during early neonatal period (under 2 weeks) has rarely been studied. Previous studies included older infants (even up to 3 months) and often lacked complete investigation and long term follow-up. We evaluated all infants with EUTI who were treated and prospectively studied regarding host factors and long term follow-up (mean 2.6 yrs.). Recurrences were classified as frequent (FR) (≥ 2 episodes in any 3 months) or infrequent (IR) if <2. The control group consisted of all neonates with late onset UTI (LUTI) (between 2 weeks and 2 months). M:F ratio, frequency of positive blood culture and abnormal urinalyses was similar. E. coli (EC) constituted only 33% cases of EUTI but 80% of LUTIs (P<0.01). Incidence of abnormal IVP was about double in EUTI (not statistically significant). Recur, rate was slightly lower in EUTI and number of recurrences less than ¼ compared to LUTI.
In summary EUTIs are due to organisms other than EC, fever is an unusual sign (1/5 of cases), structural abnormalities are frequent (50%) but associated with fewer recurrences.
Article PDF
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Khan, A., Willinger, T., Concepcion, L. et al. 1611 EARLY NEONATAL URINARY TRACT INFECTION (EUTI) CONTROLLED STUDY OF MORPHOLOGY, BACTERIOLOGY AND NATURAL HISTORY. Pediatr Res 19, 379 (1985). https://doi.org/10.1203/00006450-198504000-01635
Issue Date:
DOI: https://doi.org/10.1203/00006450-198504000-01635