| Urologic diagnoses among infants hospitalized for urinary tract infection. | |
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MedLine Citation:
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PMID: 19406456 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To determine the prevalence of urologic disease among infants hospitalized for urinary tract infections (UTIs) at our institution. The prevalence of urologic anomalies among infants (<400 days old) hospitalized for UTIs has not been previously reported. METHODS: We retrospectively examined the records of all infants hospitalized for UTI at our institution, a free-standing children's hospital in the United States, for a 10-year period. Race, sex, and subsequent urologic diagnosis (using codes from the 9(th) edition of the International Classification of Diseases [ICD-9] were tabulated. Individual charts were reviewed to confirm documentation and workup of UTI. RESULTS: We identified 914 infants hospitalized at our institution from January 1996 to December 2007, with an ICD-9-coded diagnosis of UTI. Of these 914 infants, 258 were subsequently given a urologic diagnosis. However, only 130 of these patients had well-documented UTI (14.2% of 914 children). Of this cohort, 55.4% were boys. The most common diagnoses were hydronephrosis (37.7%), vesicoureteral reflux (69.2%), and obstructive uropathy (23.1%). CONCLUSIONS: Our data have indicated that > or =14% of all infants hospitalized for UTI have urologic anomalies. Vesicoureteral reflux, obstructive uropathy, and hydronephrosis are common diagnoses. We therefore conclude that infants admitted with a diagnosis of UTI should undergo screening for anatomic abnormalities. |
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Authors:
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Michael H Hsieh; Ramiro J Madden-Fuentes; David R Roth |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-05-05 |
Journal Detail:
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Title: Urology Volume: 74 ISSN: 1527-9995 ISO Abbreviation: Urology Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-07-01 Completed Date: 2009-08-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: United States |
Other Details:
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Languages: eng Pagination: 100-3 Citation Subset: IM |
Affiliation:
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Scott Department of Urology, Baylor College of Medicine, Houston, Texas, USA. mhhsieh@stanfordalumni.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Hospitalization* Humans Infant Infant, Newborn Male Prevalence Retrospective Studies Urinary Tract Infections / etiology* Urologic Diseases / complications*, diagnosis, epidemiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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