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. 2011 Dec;3(12):544-7.
doi: 10.4297/najms.2011.3544.

Urinary tract infection and indirect hyperbilirubinemia in newborns

Chamdine Omar  1 , Shadi Hamza, Abou Merhi Bassem, Rajab Mariam
Affiliations

Urinary tract infection and indirect hyperbilirubinemia in newborns

Chamdine Omar et al. N Am J Med Sci. 2011 Dec.

Abstract

Background: Jaundice is a common problem during the neonatal period. About 60% of the full term and 80% of premature infants develop jaundice. It can be associated with serious illnesses such as Urinary tract infections.

Aims: The aim of this study is to evaluate the incidence and prevalence of urinary tract infection in newborns with indirect hyperbilirubinemia and to find a relationship with prolonged jaundice.

Patients and methods: We retrospectively evaluated asymptomatic, jaundiced neonates for evidence of a urinary tract infection. Data reviewed including demographic and historical data were included with data of blood studies, radiological evaluation and treatment.

Results: 32 neonates of 152 cases had urinary tract infection. Most commonly isolated organisms were Klebsiella and Escherishia coli. Maximum duration of phototherapy was 4 days in the urinary tract infection group versus 7 in the non-urinary tract infection group. Intensive phototherapy was used in 18.7% in the urinary tract infection group versus 29.16% in the non-urinary tract infection group. None of the newborns in the urinary tract infection group underwent exchange transfusion therapy.

Conclusion: Urinary tract infection can occur in asymptomatic, jaundiced newborns. Thus, it may be the first in these babies before other signs become evident.

Keywords: Jaundice; neonatal period; phototherapy.

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Figures

Fig. 1
Fig. 1
Duration of phototherapy in UTI and non-UTI groups
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