Bell, Y.; Barton-Forbes, Michelle; Thame, Minerva M.; Nicholson, Alison M.; Trotman-Edwards, Helen L
Author Affiliation, Ana.
Department of Obstetrics, gynaecology and Child Health
Urinary Tract Infection in Jamaican Neonates with Serious Bacterial Infections [Abstract]
West Indian Medical Journal
Date of Publication
53 Suppl. 2
Objective: To describe the epidemiology of urinary tract infection (UTI) in Jamaican neonates with serious bacterial infections (SBI). Design and Method: Admission records of all neonates born at the University Hospital of the West Indies (UHWI) and who required admission between January 1995 and December 2000 to the neonatal unit for sepsis evaluation were identified. Infants who had positive bacterial isolates were selected. Demographic, clinical and laboratory data were collected using a pre-coded questionnaire. Descriptive analysis was done using the Statistical Package for the Social Sciences (SPSS). Chi-Square tests were used to determine factors associated with positive uterine culture. Conclusions: Urinary tract infection is an important cause of SBI in Jamaican neonates and may be the first indicator of underlying structural abnormalities. The vague, non-specific mode of presentation makes it necessary to include urine cultures in the sepsis evaluations of all neonates presenting with suggestive symptoms of sepsis.....