Do infants in the neonatal intensive care unit diagnosed with urinary tract infection need a routine voiding cystourethrogram?
Do infants in the neonatal intensive care unit diagnosed with urinary tract infection need a routine voiding cystourethrogram?
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DOI：
10.1080/14767058.2017.1416352
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发表时间：
2019-01-01
影响因子：
1.8
通讯作者：
Aghai，Zubair H.
中科院分区：
文献类型：
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作者：
Flannery，Dustin D.;Brandsma，Erik;Aghai，Zubair H.
目的确定在新生儿重症监护室（NICU）诊断为尿路感染（UTI）的婴儿是否需要常规排尿性膀胱尿道造影（VCUG）。研究设计回顾性数据分析来自三个中心的2000年至2013年期间出生于NICU并诊断为UTI.Results126名婴儿在住院期间被诊断为UTI。115例（91.2%）婴儿进行了肾脏超声（罗斯）检查，其中69例（60%）异常。轻度至中度肾积水或骨盆扩张是最常见的异常（n= 34，30%）。罗斯有14名婴儿（12%）出现严重异常。VCUG进行了71例婴儿（56%），其中3例（4%）被解释为异常与2级膀胱输尿管反流（VUR）或更少（两个婴儿与正常罗斯和一个婴儿与异常罗斯）。只有4%的UTI婴儿有VUR，这些婴儿在VCUG上没有严重的VUR。NICU中UTI后常规VCUG的检出率较低，可保留给罗斯中重度或持续性异常的婴儿。
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.