An audit of urinary tract infections in very low birth weight infants--what are we missing?

Hdl Handle:
http://hdl.handle.net/10147/559224
Title:
An audit of urinary tract infections in very low birth weight infants--what are we missing?
Authors:
Perrem, L M; O'Neill, R; O'Grady, M; White, M
Citation:
An audit of urinary tract infections in very low birth weight infants--what are we missing? 2015, 108 (1):29 Ir Med J
Publisher:
Irish Medical Journal
Journal:
Irish medical journal
Issue Date:
Jan-2015
URI:
http://hdl.handle.net/10147/559224
PubMed ID:
25702358
Abstract:
Urinary Tract Infections (UTIs) are a leading cause of bacterial infection in infants and the National Institute of Clinical Excellence recommends that UTIs are actively sought in paediatric patients. 1 Their incidence ranges from between 0.1- 2.0% in full-term newborns, increasing to a reported 25% in preterm and very low birth weight (VLBW) infants. 2-4 The urinary tract is an extremely rare source of infection in the first 72 hours of life and thus routine urine culture in this population is deemed unnecessary. 4 Conversely, UTIs frequently present with late-onset sepsis (LOS) in the VLBW population 1,2 and urine culture is an essential element of a complete sepsis evaluation in this cohort. 1,3 Despite a high incidence of UTI, urine culture is frequently neglected in Neonatal Intensive Care Units (NICUs) 3 as obtaining a clean-catch sample is time consuming and the use of invasive second-line collection methods is limited by fear of complications and medical staff procedural inexperience. Identifying the source of infection will influence subsequent radiological investigations 1 and ensure appropriate treatment.
Item Type:
Article
Language:
en
Keywords:
INFANT; URINARY TRACT INFECTION
Local subject classification:
UTI
MeSH:
Female; Humans; Incidence; Infant, Extremely Low Birth Weight; Infant, Newborn; Intensive Care Units, Neonatal; Ireland; Male; Urinary Tract Infections
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorPerrem, L Men
dc.contributor.authorO'Neill, Ren
dc.contributor.authorO'Grady, Men
dc.contributor.authorWhite, Men
dc.date.accessioned2015-07-08T09:59:36Zen
dc.date.available2015-07-08T09:59:36Zen
dc.date.issued2015-01en
dc.identifier.citationAn audit of urinary tract infections in very low birth weight infants--what are we missing? 2015, 108 (1):29 Ir Med Jen
dc.identifier.issn0332-3102en
dc.identifier.pmid25702358en
dc.identifier.urihttp://hdl.handle.net/10147/559224en
dc.description.abstractUrinary Tract Infections (UTIs) are a leading cause of bacterial infection in infants and the National Institute of Clinical Excellence recommends that UTIs are actively sought in paediatric patients. 1 Their incidence ranges from between 0.1- 2.0% in full-term newborns, increasing to a reported 25% in preterm and very low birth weight (VLBW) infants. 2-4 The urinary tract is an extremely rare source of infection in the first 72 hours of life and thus routine urine culture in this population is deemed unnecessary. 4 Conversely, UTIs frequently present with late-onset sepsis (LOS) in the VLBW population 1,2 and urine culture is an essential element of a complete sepsis evaluation in this cohort. 1,3 Despite a high incidence of UTI, urine culture is frequently neglected in Neonatal Intensive Care Units (NICUs) 3 as obtaining a clean-catch sample is time consuming and the use of invasive second-line collection methods is limited by fear of complications and medical staff procedural inexperience. Identifying the source of infection will influence subsequent radiological investigations 1 and ensure appropriate treatment.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.rightsArchived with thanks to Irish medical journalen
dc.subjectINFANTen
dc.subjectURINARY TRACT INFECTIONen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshIncidenceen
dc.subject.meshInfant, Extremely Low Birth Weighten
dc.subject.meshInfant, Newbornen
dc.subject.meshIntensive Care Units, Neonatalen
dc.subject.meshIrelanden
dc.subject.meshMaleen
dc.subject.meshUrinary Tract Infectionsen
dc.subject.otherUTIen
dc.titleAn audit of urinary tract infections in very low birth weight infants--what are we missing?en
dc.typeArticleen
dc.identifier.journalIrish medical journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen

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