Urinary tract infection is common in VLBW infants
Objective Determine the significance of urinary tract infection (UTI) as a cause of late onset sepsis (LOS) in very low birth weight (VLBW) infants in the Neonatal Intensive Care Unit (NICU). Study design Analysis of blood, cerebrospinal fluid and urine culture results in VLBW infants >72-h old,...
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| Veröffentlicht in: | Journal of perinatology 2019-01, Vol.39 (1), p.80-85 |
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| container_title | Journal of perinatology |
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| creator | Drumm, Caitlin M. Siddiqui, Javedan N. Desale, Sameer Ramasethu, Jayashree |
| description | Objective
Determine the significance of urinary tract infection (UTI) as a cause of late onset sepsis (LOS) in very low birth weight (VLBW) infants in the Neonatal Intensive Care Unit (NICU).
Study design
Analysis of blood, cerebrospinal fluid and urine culture results in VLBW infants >72-h old, admitted to the Georgetown University Hospital NICU between 2005 and 2015.
Result
Of 527 VLBW infants, 297 (56.4%) underwent 911 evaluations for LOS; only one-third included urine cultures. UTI was diagnosed in 8.5% of VLBW infants (range 2–15.9%) and in 13.8% of infants weighing |
| doi_str_mv | 10.1038/s41372-018-0226-4 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2103679322</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A573323936</galeid><sourcerecordid>A573323936</sourcerecordid><originalsourceid>FETCH-LOGICAL-c431t-fd2e59266ee9e0d2eeed63687d73a5c32218378ddf5ee903d93986f3dff60e4c3</originalsourceid><addsrcrecordid>eNp1kctOwzAQRS0EoqXwAWxQJCTEJmB7HDtZloqXVIkNhaUVkkmbKo9iJwv-HlspFJBYeax75mpmLiGnjF4xCvG1FQwUDymLQ8q5DMUeGTOhZBhFAvbJmCoBYQxCjsiRtWtKvagOyQgopwlEbEzYwpRNaj6CzqRZF5RNgVlXtk1Q2iBr69pXTfAyv3n1Wtp09pgcFGll8WT7Tsji7vZ59hDOn-4fZ9N5mAlgXVjkHKOES4mYIHUfxFyCjFWuII0y4JzFoOI8LyJHUMgTSGJZQF4UkqLIYEIuB9-Nad97tJ2uS5thVaUNtr3V3J1AqsQZOfT8D7pue9O46RwVqVhKKtWOWqYVardN63f2pnoaKQAOCUhHXfygVphW3cq2Ve-PYn-DbAAz01prsNAbU9bulJpR7ePRQzzaxaN9PFq4nrPtoP1bjfl3x1ceDuADYJ3ULNHsNvnf9RN05JZF</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2157866067</pqid></control><display><type>article</type><title>Urinary tract infection is common in VLBW infants</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Drumm, Caitlin M. ; Siddiqui, Javedan N. ; Desale, Sameer ; Ramasethu, Jayashree</creator><creatorcontrib>Drumm, Caitlin M. ; Siddiqui, Javedan N. ; Desale, Sameer ; Ramasethu, Jayashree</creatorcontrib><description>Objective
Determine the significance of urinary tract infection (UTI) as a cause of late onset sepsis (LOS) in very low birth weight (VLBW) infants in the Neonatal Intensive Care Unit (NICU).
Study design
Analysis of blood, cerebrospinal fluid and urine culture results in VLBW infants >72-h old, admitted to the Georgetown University Hospital NICU between 2005 and 2015.
Result
Of 527 VLBW infants, 297 (56.4%) underwent 911 evaluations for LOS; only one-third included urine cultures. UTI was diagnosed in 8.5% of VLBW infants (range 2–15.9%) and in 13.8% of infants weighing < 1000 g at birth. Gram-negative infections predominated. Concomitant blood cultures were negative in 96% of infants. UTI was more common than bloodstream infection by 2015.
Conclusion
UTI is a significant cause of infection in VLBW infants. Urine culture should be included in all LOS evaluations in order to facilitate accurate diagnosis and appropriate antibiotic therapy.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-018-0226-4</identifier><identifier>PMID: 30209351</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject><![CDATA[692/420/254 ; 692/699/255/1318 ; Anti-Bacterial Agents - administration & dosage ; Antibiotics ; Birth weight ; Blood ; Cerebrospinal fluid ; Complications and side effects ; Demographic aspects ; Design analysis ; Early Diagnosis ; Early Medical Intervention - methods ; Early Medical Intervention - standards ; Female ; Gram-Negative Bacteria - classification ; Gram-Negative Bacteria - isolation & purification ; Health aspects ; Humans ; Infant, Newborn ; Infant, Very Low Birth Weight - urine ; Infants ; Infections ; Intensive care ; Intensive Care Units, Neonatal - statistics & numerical data ; Intensive Care, Neonatal - methods ; Intensive Care, Neonatal - standards ; Low birth weight ; Male ; Medicine ; Medicine & Public Health ; Neonatal care ; Neonatal Sepsis - epidemiology ; Neonatal Sepsis - etiology ; Neonatal Sepsis - prevention & control ; Neonates ; Newborn infants ; Pediatric research ; Pediatric Surgery ; Pediatrics ; Risk factors ; Sepsis ; Statistics ; United States - epidemiology ; Urinalysis - methods ; Urinalysis - statistics & numerical data ; Urinary tract ; Urinary tract diseases ; Urinary tract infections ; Urinary Tract Infections - diagnosis ; Urinary Tract Infections - epidemiology ; Urinary Tract Infections - microbiology ; Urinary Tract Infections - therapy ; Urine ; Urogenital system ; Weight]]></subject><ispartof>Journal of perinatology, 2019-01, Vol.39 (1), p.80-85</ispartof><rights>Springer Nature America, Inc. 2018</rights><rights>COPYRIGHT 2019 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jan 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c431t-fd2e59266ee9e0d2eeed63687d73a5c32218378ddf5ee903d93986f3dff60e4c3</citedby><cites>FETCH-LOGICAL-c431t-fd2e59266ee9e0d2eeed63687d73a5c32218378ddf5ee903d93986f3dff60e4c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41372-018-0226-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41372-018-0226-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30209351$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Drumm, Caitlin M.</creatorcontrib><creatorcontrib>Siddiqui, Javedan N.</creatorcontrib><creatorcontrib>Desale, Sameer</creatorcontrib><creatorcontrib>Ramasethu, Jayashree</creatorcontrib><title>Urinary tract infection is common in VLBW infants</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective
Determine the significance of urinary tract infection (UTI) as a cause of late onset sepsis (LOS) in very low birth weight (VLBW) infants in the Neonatal Intensive Care Unit (NICU).
Study design
Analysis of blood, cerebrospinal fluid and urine culture results in VLBW infants >72-h old, admitted to the Georgetown University Hospital NICU between 2005 and 2015.
Result
Of 527 VLBW infants, 297 (56.4%) underwent 911 evaluations for LOS; only one-third included urine cultures. UTI was diagnosed in 8.5% of VLBW infants (range 2–15.9%) and in 13.8% of infants weighing < 1000 g at birth. Gram-negative infections predominated. Concomitant blood cultures were negative in 96% of infants. UTI was more common than bloodstream infection by 2015.
Conclusion
UTI is a significant cause of infection in VLBW infants. Urine culture should be included in all LOS evaluations in order to facilitate accurate diagnosis and appropriate antibiotic therapy.</description><subject>692/420/254</subject><subject>692/699/255/1318</subject><subject>Anti-Bacterial Agents - administration & dosage</subject><subject>Antibiotics</subject><subject>Birth weight</subject><subject>Blood</subject><subject>Cerebrospinal fluid</subject><subject>Complications and side effects</subject><subject>Demographic aspects</subject><subject>Design analysis</subject><subject>Early Diagnosis</subject><subject>Early Medical Intervention - methods</subject><subject>Early Medical Intervention - standards</subject><subject>Female</subject><subject>Gram-Negative Bacteria - classification</subject><subject>Gram-Negative Bacteria - isolation & purification</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Very Low Birth Weight - urine</subject><subject>Infants</subject><subject>Infections</subject><subject>Intensive care</subject><subject>Intensive Care Units, Neonatal - statistics & numerical data</subject><subject>Intensive Care, Neonatal - methods</subject><subject>Intensive Care, Neonatal - standards</subject><subject>Low birth weight</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neonatal care</subject><subject>Neonatal Sepsis - epidemiology</subject><subject>Neonatal Sepsis - etiology</subject><subject>Neonatal Sepsis - prevention & control</subject><subject>Neonates</subject><subject>Newborn infants</subject><subject>Pediatric research</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Risk factors</subject><subject>Sepsis</subject><subject>Statistics</subject><subject>United States - epidemiology</subject><subject>Urinalysis - methods</subject><subject>Urinalysis - statistics & numerical data</subject><subject>Urinary tract</subject><subject>Urinary tract diseases</subject><subject>Urinary tract infections</subject><subject>Urinary Tract Infections - diagnosis</subject><subject>Urinary Tract Infections - epidemiology</subject><subject>Urinary Tract Infections - microbiology</subject><subject>Urinary Tract Infections - therapy</subject><subject>Urine</subject><subject>Urogenital system</subject><subject>Weight</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kctOwzAQRS0EoqXwAWxQJCTEJmB7HDtZloqXVIkNhaUVkkmbKo9iJwv-HlspFJBYeax75mpmLiGnjF4xCvG1FQwUDymLQ8q5DMUeGTOhZBhFAvbJmCoBYQxCjsiRtWtKvagOyQgopwlEbEzYwpRNaj6CzqRZF5RNgVlXtk1Q2iBr69pXTfAyv3n1Wtp09pgcFGll8WT7Tsji7vZ59hDOn-4fZ9N5mAlgXVjkHKOES4mYIHUfxFyCjFWuII0y4JzFoOI8LyJHUMgTSGJZQF4UkqLIYEIuB9-Nad97tJ2uS5thVaUNtr3V3J1AqsQZOfT8D7pue9O46RwVqVhKKtWOWqYVardN63f2pnoaKQAOCUhHXfygVphW3cq2Ve-PYn-DbAAz01prsNAbU9bulJpR7ePRQzzaxaN9PFq4nrPtoP1bjfl3x1ceDuADYJ3ULNHsNvnf9RN05JZF</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Drumm, Caitlin M.</creator><creator>Siddiqui, Javedan N.</creator><creator>Desale, Sameer</creator><creator>Ramasethu, Jayashree</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20190101</creationdate><title>Urinary tract infection is common in VLBW infants</title><author>Drumm, Caitlin M. ; Siddiqui, Javedan N. ; Desale, Sameer ; Ramasethu, Jayashree</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-fd2e59266ee9e0d2eeed63687d73a5c32218378ddf5ee903d93986f3dff60e4c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>692/420/254</topic><topic>692/699/255/1318</topic><topic>Anti-Bacterial Agents - administration & dosage</topic><topic>Antibiotics</topic><topic>Birth weight</topic><topic>Blood</topic><topic>Cerebrospinal fluid</topic><topic>Complications and side effects</topic><topic>Demographic aspects</topic><topic>Design analysis</topic><topic>Early Diagnosis</topic><topic>Early Medical Intervention - methods</topic><topic>Early Medical Intervention - standards</topic><topic>Female</topic><topic>Gram-Negative Bacteria - classification</topic><topic>Gram-Negative Bacteria - isolation & purification</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Very Low Birth Weight - urine</topic><topic>Infants</topic><topic>Infections</topic><topic>Intensive care</topic><topic>Intensive Care Units, Neonatal - statistics & numerical data</topic><topic>Intensive Care, Neonatal - methods</topic><topic>Intensive Care, Neonatal - standards</topic><topic>Low birth weight</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neonatal care</topic><topic>Neonatal Sepsis - 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Academic</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Drumm, Caitlin M.</au><au>Siddiqui, Javedan N.</au><au>Desale, Sameer</au><au>Ramasethu, Jayashree</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Urinary tract infection is common in VLBW infants</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>39</volume><issue>1</issue><spage>80</spage><epage>85</epage><pages>80-85</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>Objective
Determine the significance of urinary tract infection (UTI) as a cause of late onset sepsis (LOS) in very low birth weight (VLBW) infants in the Neonatal Intensive Care Unit (NICU).
Study design
Analysis of blood, cerebrospinal fluid and urine culture results in VLBW infants >72-h old, admitted to the Georgetown University Hospital NICU between 2005 and 2015.
Result
Of 527 VLBW infants, 297 (56.4%) underwent 911 evaluations for LOS; only one-third included urine cultures. UTI was diagnosed in 8.5% of VLBW infants (range 2–15.9%) and in 13.8% of infants weighing < 1000 g at birth. Gram-negative infections predominated. Concomitant blood cultures were negative in 96% of infants. UTI was more common than bloodstream infection by 2015.
Conclusion
UTI is a significant cause of infection in VLBW infants. Urine culture should be included in all LOS evaluations in order to facilitate accurate diagnosis and appropriate antibiotic therapy.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>30209351</pmid><doi>10.1038/s41372-018-0226-4</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of perinatology, 2019-01, Vol.39 (1), p.80-85 |
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| source | MEDLINE; SpringerLink Journals |
| subjects | 692/420/254 692/699/255/1318 Anti-Bacterial Agents - administration & dosage Antibiotics Birth weight Blood Cerebrospinal fluid Complications and side effects Demographic aspects Design analysis Early Diagnosis Early Medical Intervention - methods Early Medical Intervention - standards Female Gram-Negative Bacteria - classification Gram-Negative Bacteria - isolation & purification Health aspects Humans Infant, Newborn Infant, Very Low Birth Weight - urine Infants Infections Intensive care Intensive Care Units, Neonatal - statistics & numerical data Intensive Care, Neonatal - methods Intensive Care, Neonatal - standards Low birth weight Male Medicine Medicine & Public Health Neonatal care Neonatal Sepsis - epidemiology Neonatal Sepsis - etiology Neonatal Sepsis - prevention & control Neonates Newborn infants Pediatric research Pediatric Surgery Pediatrics Risk factors Sepsis Statistics United States - epidemiology Urinalysis - methods Urinalysis - statistics & numerical data Urinary tract Urinary tract diseases Urinary tract infections Urinary Tract Infections - diagnosis Urinary Tract Infections - epidemiology Urinary Tract Infections - microbiology Urinary Tract Infections - therapy Urine Urogenital system Weight |
| title | Urinary tract infection is common in VLBW infants |
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