Does UTI cause prolonged jaundice in otherwise well infants?

Abstract:

UNLABELLED:The symptoms of urinary tract infections in infants are very non-specific and have historically included prolonged hyperbilirubinaemia. We studied the results of routine urine samples in 319 infants with prolonged jaundice. Convincing findings of UTI was not found in any of these children even if one of them was treated with antibiotics after four consecutive urine cultures with different bacteria. CONCLUSION:A urine culture might thus not be an appropriate investigation in a child with prolonged jaundice without any other symptoms of UTI. WHAT IS KNOWN:• The symptoms of UTI in infancy are very non-specific. • Old studies suggest that prolonged hyperbilirubinaemia is one such symptom; more modern studies give more conflicting results. What is New: • Our study could not confirm that children with prolonged jaundice have an increased risk of UTI. • Routine urine testing is thus not needed in otherwise healthy infants with prolonged jaundice.

journal_name

Eur J Pediatr

authors

Chowdhury T,Kisat H,Tullus K

doi

10.1007/s00431-015-2499-3

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

971-3

issue

7

eissn

0340-6199

issn

1432-1076

journal_volume

174

pub_type

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