UTI in Preterm Infants

Breast-feeding was associated with lower risk for UTI.

Little is known about the risk factors and clinical presentation of urinary tract infections (UTIs) in premature infants. Investigators reviewed medical records for 6198 preterm infants admitted to a neonatal intensive care unit in Israel between 1995 and 2003 and identified 56 infants (0.9%; 75% boys) who had UTIs.

The most common presenting symptoms of UTI were feeding intolerance (62%), apnea and bradycardia (45%), lethargy (30%), and abdominal distention (12%). Incidence of UTI was significantly higher in infants with very low birth weights (<1500 g) than in those with higher birth weights (3.2% vs. 0.4%). Comparison of clinical characteristics between the 56 infants with UTIs and 102 control infants who were hospitalized at the same tim…

Reviewing Author

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

UTI in Preterm Infants

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Reviewing Author