Does UTI cause prolonged jaundice in otherwise well infants?

The symptoms of urinary tract infections in infants are very non-specific and have historically included prolonged hyperbilirubinaemia. We studied the results of routine urine samples in 319 infants with prolonged jaundice. Convincing findings of UTI was not found in any of these children even if on...

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Bibliographic Details
Published in:European journal of pediatrics 2015-07, Vol.174 (7), p.971-973
Main Authors: Chowdhury, Tanzila, Kisat, Hamudi, Tullus, Kjell
Format: Article
Language:English
Subjects:
Antibiotics
Babies
Bacteria
Bacterial infections
Children & youth
E coli
Female
Humans
Infant
Infant, Newborn
Investigations
Jaundice, Neonatal - complications
Leukocytes - metabolism
Male
Medicine
Medicine & Public Health
Organisms
Pediatrics
Retrospective Studies
Short Communication
Urinary tract diseases
Urinary tract infections
Urinary Tract Infections - diagnosis
Urine
Urine - cytology
Urine - microbiology
Urogenital system
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Summary:The symptoms of urinary tract infections in infants are very non-specific and have historically included prolonged hyperbilirubinaemia. We studied the results of routine urine samples in 319 infants with prolonged jaundice. Convincing findings of UTI was not found in any of these children even if one of them was treated with antibiotics after four consecutive urine cultures with different bacteria. Conclusion : A urine culture might thus not be an appropriate investigation in a child with prolonged jaundice without any other symptoms of UTI. What is Known: • The symptoms of UTI in infancy are very non-specific. • Old studies suggest that prolonged hyperbilirubinaemia is one such symptom; more modern studies give more conflicting results. What is New: • Our study could not confirm that children with prolonged jaundice have an increased risk of UTI. • Routine urine testing is thus not needed in otherwise healthy infants with prolonged jaundice.
ISSN:0340-6199
1432-1076
DOI:10.1007/s00431-015-2499-3