الفهرس | Only 14 pages are availabe for public view |
Abstract UTI is a common problem in infants and young children; its frequency, symptoms and causative organisms vary in accordance with sex, age, and gender. UTI in neonates can be asymptomatic, so the diagnosis must be made by the examination and culture of a properly obtained specimen of urine which may indicate a serious underlying abnormality of the urinary tract, such as obstructive uropathy. In addition they may have long-term consequences. Aim of the work: The aim of the study is to evaluate the incidence of UTI in neonates in NICU at Abshawai District Hospital, Fayoum Governorate. Methodology: This study was conducted on 150 newborns; admitted to NICU at Abshawai District Hospital, Fayoum Governorate. All patients were subjected to thorough history taking, detailed history of symptoms suggestive of UTI including onset course and duration of the following; anuria, abdominal mass, clinical assessment as regards to full general assessment with stress on (tenderness, fullness in renal angles, hepatomegaly and splenomegaly), urine analysis and urine culture. Results: Urine examination showed that 24 (16%) had pyuria, urine culture was positive among 10 (6.7%) of the patients; 3 (30%) had E coli (ESBL), 3 (30%) had E coli, 1 (10%) Enterococcus fecalis, 1 (10%) klebsiella spp, 1 (10%) Pseudomonas aeuroginosa and 1 (10%) S. aureues. Conclusion: This study has highlighted the need for routine urinalysis and urine culture especially in high-risk newborns to monitor the prevalence of UTI early in life. |