ArticleThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians2019
Do infants in the neonatal intensive care unit diagnosed with urinary tract infection need a routine voiding cystourethrogram?
Article in The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Treatment of positive urine cultures in the neonatal intensive care unit: a guideline to reduce antibiotic utilization.Journal of perinatology : official journal of the California Perinatal Association · 2021Guideline
- Urinary Tract Infection Epidemiology in NICUs in the United States.American journal of perinatology · 2024Observational
- Antibiotic spectrum index: A new tool comparing antibiotic use in three NICUs.Infection control and hospital epidemiology · 2022Article
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6 authors at 4 institutions in 1 country.
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Abstract
objectiveTo determine if infants diagnosed with urinary tract infection (UTI) in the neonatal intensive care unit (NICU) require a routine voiding cystourethrogram (VCUG). STUDY
designRetrospective data analysis from three centers for infants admitted to the NICU born between 2000 and 2013 and diagnosed with UTI.
resultsOne hundred twenty-six infants from three centers were diagnosed with UTI during their hospitalization. Renal ultrasound (RUS) was performed in 115 infants (91.2%), of which 69 (60%) were abnormal. Mild to moderate hydronephrosis or pelviectasis were the most common abnormalities identified (n = 34, 30%). There were 14 infants (12%) with severe abnormalities on RUS. VCUG was performed in 71 infants (56%), of which 3 (4%) were interpreted as abnormal with grade 2 vesicoureteral reflux (VUR) or less (two infants were with normal RUS and one infant was with abnormal RUS).
conclusionsMore than 50% of infants with a UTI had an abnormal RUS but severe abnormalities were found only in 11% of infants. Only 4% of infants with UTI had VUR; none of these infants had severe VUR on VCUG. A routine VCUG after UTI in the NICU has a low yield and may be reserved for infants with severe or persistent abnormalities on RUS.
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