Document Detail

Characteristics of neonates with isolated rectal bleeding.
MedLine Citation:
PMID:  14711861     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the characteristics of full term and preterm neonates with isolated rectal bleeding (IRB), and to follow the outcome of these low risk patients. DESIGN: A retrospective case-control study consisting of 147 cases (83 full term and near term infants and 64 preterm infants) and 147 controls in a single institution. RESULTS: A feeding regimen that did not include breast milk was the only variable found to predict IRB. In full term and near term babies (gestational age >/= 35 weeks), 52.6% of the study group were breast fed compared with 83.1% of the controls (p < 0.0001). In preterm babies (gestational age </= 34 weeks), 45.9% of the study group were breast fed compared with 74.2% of the controls (p = 0.0014). No obvious systemic infection cause was detected. None of the patients showed clinical or radiological deterioration in the days after diagnosis of IRB. CONCLUSIONS: The outcome of a group of low risk neonates with IRB was excellent. It is questionable whether antibiotic treatment is required and feeding needs to be stopped. Breast feeding, even if only partial, should be encouraged.
A Maayan-Metzger; N Ghanem; R Mazkereth; J Kuint
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  89     ISSN:  1359-2998     ISO Abbreviation:  Arch. Dis. Child. Fetal Neonatal Ed.     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-01-08     Completed Date:  2004-02-12     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  England    
Other Details:
Languages:  eng     Pagination:  F68-70     Citation Subset:  AIM; IM    
Department of Neonatology, Sheba Medical Center, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
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MeSH Terms
Birth Weight
Blood Cell Count
Breast Feeding
Gastrointestinal Hemorrhage / blood,  etiology*
Gestational Age
Infant, Newborn
Infant, Premature, Diseases / etiology
Rectal Diseases / blood,  etiology*
Retrospective Studies
Risk Factors

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