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ORIGINAL ARTICLE
Year : 2011  |  Volume : 3  |  Issue : 12  |  Page : 544-547

Urinary tract infection and indirect hyperbilirubinemia in newborns


Department of Pediatrics, Makassed General Hospital, Beirut, Lebanon

Correspondence Address:
Chamdine Omar
Department Of Pediatric Hematology Oncology, Makassed General Hospital, Beirut, New Road
Lebanon
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Source of Support: None, Conflict of Interest: None


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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.


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