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Infección del tracto urinario causada por Enterobacteriaceae y su relación con reflujo vésico-ureteral en recién nacidos
| Content Provider | Paperity |
|---|---|
| Author | Córdova, Rodolfo Pérez Álvarez, Manuel Díaz Batista, Bárbara Acosta Robledo, Ernesto Hernández |
| Abstract | Background: The first urinary tract infection can be a marker of a urinary tract anomaly, mainly vesicoureteral reflux. The aim of this work was to determine the association between isolated enterobacteria with the presence and grade of vesicoureteral reflux in neonatal patients with their first urinary tract infection.Methods: A retrospective, observational and analytic study of newborns, who were admitted to the Neonatal Department, University Pediatric Hospital ‘‘Juan Manuel Márquez,’’ in Havana, Cuba, from 1992 to 2013 was conducted. The causal microorganism of urinary tract infection was from the Enterobacteriaceae family. They were evaluated by radio imaging. The association between the presence and grade of vesicoureteral reflux with the causal microorganism of the urinary tract infection was analyzed.Results: Newborn infants with urinary tract infection (450) were studied. Bacterial isolations in the urine cultures corresponded to E. coli in 316 cases (70.2%). The prevalence of vesicoureteral reflux was 18.2%. The presence of bacteria corresponding to the Enterobacteriaceae family (other than E. coli) had significant risk association with vesicoureteral reflux (OR: 2.02; p < 0.01) and vesicoureteral reflux classification (for higher grades, p < 0.01).Conclusions:E. coli is the most frequent causal microorganism in neonatal urinary tract infection. However, an association between the isolation of a microorganism of the Enterobacteriaceae family different to E. coli with the presence of vesicoureteral reflux and mainly with higher grades of vesicoureteral reflux exists.Palavras-chave : Vesicoureteral reflux; Urinary tract anomalies; Newborn; Urinary tract infection; Enterobacteriaceae; Escherichia coli. |
| Starting Page | 34 |
| Ending Page | 40 |
| File Format | HTM / HTML |
| ISSN | 16651146 |
| DOI | 10.1016/j.bmhimx.2016.10.011 |
| Issue Number | 1 |
| Journal | Boletín médico del Hospital Infantil de México |
| Volume Number | 74 |
| e-ISSN | 16651146 |
| Language | English Spanish |
| Publisher Date | 2017-01-02 |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health |
