Abstract
Amaç: Çalışmamızda idrar yolu enfeksiyonu tanısı ile yenidoğan yoğun bakım ünitesine yatırılan hastaların klinik bulguları, laboratuvar bulguları, patojen mikroorganizmalar ve enfeksiyona eşlik eden üriner sistem anomalilerinin değerlendirilmesi amaçlanmıştır. Yöntem: Cengiz Gökçek Kadın Doğum ve Çocuk Hastalıkları Hastanesi Yenidoğan Kliniğinde, 01.01.2023-01.01.2024 tarihleri arasında İYE tanısı alan hastaların dosyaları retrospektif olarak değerlendirildi. Bulgular: Yenidoğan yoğun bakım ünitesine bir yıl sure ile 620 hasta yatışı olmuş ve bu 620 hastanın 35’i (%5.64) dahil edilme kriterlerini karşılamaktaydı. Bu 35 yenidoğanın 22’si (%62) erkekti. Ortalama gebelik yaşı 37.09 (31-40) hafta idi. Yüzde 74.2'si (n:26) sezaryen doğumla doğdu. Hastaların kan lökosit değeri ortancası 12600/mm3 (min-max; 7200-15100), C-reaktif protein ortancası 7.6 (min-max; 0.1-75.8) mg/dL. İdrar kültüründe en sık görülen iki mikroorganizma Escherichia coli (n:17, %48.7) ve Klebsiella pneumoniae (n:14, %40) idi. Hastaların hepsine üriner system ultrasonografisi uygulanmıştı. Üriner sistem USG’de 10 (%28.57) hastada evre 1 hidronefroz, 4 (%11.4) hastada evre 2, bir (%2.85) hastada evre 3 hidronefroz saptandı. Sonuç: Yenidoğan bebeklerde sarılık, huzursuzluk, kusma gibi non–spesifik bulgular ile başvurduğunda idrar tetkiki ve idrar kültürü gönderilmeli, yenidoğan döneminde İYE atlanmamalıdır. İYE tanılı hastalarda ucuz ve noninvazif bir görüntüleme tekniği olan üriner USG yapılmalıdır
References
- Ustundag S, Ozdemir OMA, Ergin H, Yuksel S. Evaluation of the newborns with urinary tract infection. Pam Med J 2022;15:674-681.
- Orman A. Urinary Tract Infections in the Newborn: Experiences of a Second Level Medical Center. Firat Med J 2023;28(1): 27-33.
- Sabzehei MK, Basiri B, Shokouhi M, Eghbalian F. Urinary tract infection profile among a hospitalized newborn: a single center study in Iran, 2006-2015. Med J Indones. 2018;27(2):94-100.
- Shahian M, Rashtian P, Kalani M. Unexplained neonatal jaundice as an early diagnostic sign of urinary tract infection. Int J Infect Dis. 2012;16(7):e487-e490.
- Abourazzak S, Bouharrou A, Hida M. L'ictèreaucours de l'infection urinaire chez le nouveau-né :simple coïncidence ou véritable conséquence ? [Jaundiceandurinarytractinfection in neonates: simple coincidence or real consequence?]. Arch Pediatr. 2013;20(9):974-978.
- Biyikli NK, Alpay H, Ozek E, Akman I, Bilgen H. Neonatal urinary tract infections: analysis of the patients and recurrences. Pediatr Int. 2004;46(1):2125.doi:10.1111/j.1442-200X.2004.01837.x
Abstract
References
- Ustundag S, Ozdemir OMA, Ergin H, Yuksel S. Evaluation of the newborns with urinary tract infection. Pam Med J 2022;15:674-681.
- Orman A. Urinary Tract Infections in the Newborn: Experiences of a Second Level Medical Center. Firat Med J 2023;28(1): 27-33.
- Sabzehei MK, Basiri B, Shokouhi M, Eghbalian F. Urinary tract infection profile among a hospitalized newborn: a single center study in Iran, 2006-2015. Med J Indones. 2018;27(2):94-100.
- Shahian M, Rashtian P, Kalani M. Unexplained neonatal jaundice as an early diagnostic sign of urinary tract infection. Int J Infect Dis. 2012;16(7):e487-e490.
- Abourazzak S, Bouharrou A, Hida M. L'ictèreaucours de l'infection urinaire chez le nouveau-né :simple coïncidence ou véritable conséquence ? [Jaundiceandurinarytractinfection in neonates: simple coincidence or real consequence?]. Arch Pediatr. 2013;20(9):974-978.
- Biyikli NK, Alpay H, Ozek E, Akman I, Bilgen H. Neonatal urinary tract infections: analysis of the patients and recurrences. Pediatr Int. 2004;46(1):2125.doi:10.1111/j.1442-200X.2004.01837.x
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Public Health (Other) |
| Journal Section | Sözlü Bildiriler |
| Authors | |
| Early Pub Date | September 29, 2024 |
| Publication Date | September 30, 2024 |
| Submission Date | August 19, 2024 |
| Acceptance Date | August 21, 2024 |
| Published in Issue | Year 2024 Volume: 17 Issue: 1 (özel sayı- MUSBD 2024; 17, özel sayı-1, 22. Mersin Pediatri Günleri Bildiri Kitabı) |
Cite
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
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