Objective:
Urinary tract infection (UTI) is one of the most common encountered infection disease in childhood. UTI of childhood can cause renal damage, and so these children should be examined and observed. In our study, 65 case with UTI in neonatal period was investigated regarding clinical and laboratory findings.
Material and Methods:
All cases performed by urinary ultrasonography (US) for confirming renal damage and DMSA scintigraphy was required after 6 months.
Results:
Elevation in CRP (32%) and leukocytosis (26%) was detected. US of 53 patients were normal. Caliectasy, hydroureteronephrosis, increased bladder trabeculation, multicystic dysplastic kidney and ureterocele had been shown in 5,3,2,1 and 1 patient, respectively. Renal damage was detected in 19 cases (29%) with DMSA scintigraphy after 6 months from infection. Seven patients had vesicoureteric reflux in voiding cystourethrography. Renal damage ratio was significant in patients who had elevation of CRP and leukocytosis.
Conclusion:
It is important that following UTI cases whose gestational age were under 37 week and had elevation of CRP and leukocytosis.
Keywords: Urinary tract infection, newborn, renal anomaly, renal scarring