Urinary Tract Infections and Vesicoureteral Reflux

Autor: Peter Zhan Tao Wang, Orchid Djahangirian, Elias Wehbi
Rok vydání: 2024
Předmět:
Zdroj: Avery's Diseases of the Newborn ISBN: 9780323828239
Avery's Diseases of the Newborn ISBN: 9780323401395
DOI: 10.1016/b978-0-323-82823-9.00080-5
Popis: • The presentation of urinary tract infections (UTIs) in neonates differs from that seen in older children. • The type and route of infection also differ in neonates, when compared with older children. • An appropriate urine sample for diagnosis is needed, but treatment should not be delayed. • A neonate in whom a UTI is suspected should be evaluated for sepsis, including invasive cultures. • After a documented neonatal UTI, a radiologic work-up is warranted to detect anatomic anomalies. • Vesicoureteral reflux (VUR) is diagnosed in 30%–50% of neonates with proven UTI. • Voiding cystourethrogram is the gold standard for the diagnosis of VUR and should be performed on high-risk neonates. • Treatment of VUR should be tailored to each patient's individual risk of UTI recurrence, with the goals of preventing future UTIs and renal scar formation.
Databáze: OpenAIRE