Peculiarities of urinary infection in 145 infants younger than 3 months of age
Navarro, M.; Espinosa, L.; de las Heras, J.A.; García Meseguer, M.C.; Peña, M.A.; Larrauri, M.
Anales Espanoles de Pediatria 21(7): 648-656
1984
ISSN/ISBN: 0302-4342 PMID: 6524777 Document Number: 231004
Authors have analized retrospectively 145 children with urinary tract infection (UTI) within the first 120 days of life. 67% were males, 45% of patients presented an acute onset with fever and septic appearance and 55 with a chronic illness with digestive symptoms and malnutrition (95%). Breast feeding could be a protective factor against UTI. In 66% of those less than one month old, existed perinatal infectious risk factors. This fact and the presence of septic signs and positive blood cultures (71%), give rise to the possibility that the hematogenous route be the principal infectious via in this age group. The high incidence of parenchymatous participation (75%) have no relation with the presence of obstruction. At onset 29 showed no anomalies on cysto-urography, 48% vesicoureteral reflux of various degrees and 23% obstructive anomalies. The mortality rate was 1,3% due to septic shock.