Abstract:

Childhood urinary tract infection (UTI) is one of the most important causes of renal failure in adult age. Fast and correct recognition and appropriate treatment of urinary tract infections during the neonatal period may reduce the risk of kidney damage. In our study; we aimed to evaluate newborns with UTI who were hospitalized in our neonatal ward retrospectively, and to use our findings in our clinical and treatment practice. METHODS: We registered 137 neonates who were hospitalized with the diagnosis of UTI or diagnosed as UTI after hospitalization in Zeynep Kamil Gynecologic and Pediatric Training and Research Hospital NICU-2 between January 2009 - October 2012. All patients' demographic characteristics, physical examination findings, laboratory values, and treatment were evaluated retrospectively. Results: Of the 137 neonates included in the study 78.8% were male and 21.2% female. Presenting symptoms of patients were prolonged yellow (38.7 %), fever (28,5 %), poor sucking (15.3 %), vomiting (13.1 %), restlessness (10.2 %), dehydration (10.2 %), lethargy (6.6 %), weight loss (4.4 %), crying during the voiding (2.9 %), convulsion (1.5 %), diarrhea (1.5 %), abdominal distantion (0.7 %) respectively. Most frequent pathogens cultured in urine was E. coli (54%), Klebsiella spp. (10.2%), Enterobacteriacea (9,5%), ESBL (+) E. coli (7.3%) respectively. The most common antibiotic resistance was to ampicilline. The most resistant pathogen to ampisiline was E.coli. Urinary tract infection is an infectious disease that should not be missed in newborns and infants and has serious consequences. Prevention of complications that may occur depends on the management of antibiotic selection, long-term follow-up and imaging methods.

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