Urinary Tract Infections in a Neonatal Intensive Care Unit

Daniel Wei, Rangasamy Ramanathan, Lorayne Barton, Linda Vachon, Smeeta Sardesai, Mark Weems
  • American Journal of Perinatology, December 2014, Thieme Publishing Group
  • DOI: 10.1055/s-0034-1395474

UTI in the NICU

What is it about?

In this study, we examine urinary tract infections among neonates admitted to a neonatal intensive care unit.

Why is it important?

AAP Guidelines for UTI management do not apply to infants less than 2 months of age. This adds to the growing body of literature illustrating that infants in the NICU are high risk for UTI but are less likely to have urinary reflux than older children with febrile UTI.

Perspectives

Dr Mark F Weems (Author)
University of Tennessee

Infants in the NICU are high risk for UTI, and urine should be collected prior to starting antibiotics for any late-onset sepsis work-up. Mild hydronephrosis is common in this age group and does not correlate with vesicourinary reflux which is less common than in older children. Routine VCUG may not be necessary after the first UTI in the NICU.

The following have contributed to this page: Dr Mark F Weems