Evaluation of 0-2 Month Old Infants Brought to the Pediatric Outpatient Clinic for Restlessness

Abstract

Aim: Restlessness is one of the most frequent causes to bring a baby to a medical facility by parents. Most of the restless infants are diagnosed with infantile colic. We aimed to evaluate 0-2 month old infants who were brought to the pediatric outpatient clinic due to restlessness. Methods: Only the 0-2 month old infants who were evaluated only for restlessness between January 1 and December 31, 2018 were included in the study. The data were obtained as retrospective evaluation of medical records. Complete urine analysis, urine culture, abdominal ultrasonography, calcium to creatinine ratio in spot urine and blood calcium examination was performed. The 95th percentile of the urinary Ca/Cr ratio was accepted as the upper limit of normal. Blood calcium level above 10.8 mg / dl was considered as hypercalcemia. Results: Of the 240 infants included in the study. The number of infants receiving breast milk alone was 146 (73.3%). Leukocyturia was detected in 24 infants. Urine culture was evaluated as positive for 59 infants. Spot urine calcium/creatinine ratio was evaluated in 201 infants. Of these, 10 patients had a high calcium/creatinine ratio. In infants receiving breast milk alone had a lower calcium/creatinine ratio. Urinary calcium/creatinine ratio was found to be significantly higher in infants with urinary tract stones and hypercalcemia. Conclusion: Not all infants brought to a medical facility due to restlessness should be considered to have infantile colic. Urine analysis should be performed and urinary tract infection and hypercalcuria should be investigated. Positive urine cultures obtained using a bladder bag should be considered hesitantly and should always be repeated

Keywords

• restlessness
• hypercalsiuri
• urinary tract infection
• baby

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