Thực trạng nhiễm khuẩn tiết niệu ở trẻ sơ sinh tại bệnh viện Nhi Trung ương từ 6/2021 đến 6/2022=Prevalence of urinary tract infections in newborns at vietnam national children's hospital from 6/2021 to 6/2022

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Mai Anh Đào, Thị Phượng Lương, Thu Hương Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.112-116

Bộ sưu tập: Báo, Tạp chí

ID: 242253

Thêm vào giỏ

A cross-sectional study was conducted to describe the prevalence of urinary tract infections in newborns at Vietnam National Children's Hospital. From June 2021 to June 2022, 104 neonates (62.5% female, 48.1% premature, and 51.9% full-term babies) with the presence of ≥ 10 leucocytes per high-power field in urine analysis were included in the study. The most common clinical manifestations were poor feeding (80.8%), jaundice (47.1%), upper respiratory tract infection (46.2%), followed by fever, lethargy, and slow weight gain, accounting for 32.7%. 16/104 neonates had urinary disorders (oliguria, painful urination, pyuria, hematuria). Only 58/104 children had urinary catheters placed for urinary culture. The positive urine culture rate was 16/58 (28%) with common causes being Escherichia coli (31.25%), Fungi (31.25%), and Klebsiella pneumoniae (25%). Symptoms of urinary tract infections in newborns are very diverse and nonspecific, so it is necessary to urine microscopy and culture to help diagnose the cause early and choose appropriate antibiotics.Nghiên cứu mô tả cắt ngang được thực hiện nhằm mô tả thực trạng nhiễm khuẩn tiết niệu ở trẻ sơ sinh tại bệnh viện Nhi Trung ương. 6/2021 đến 6/2022 có 104 trẻ sơ sinh ( 62,5% nữ, 48,1% trẻ đẻ non và 51,9% trẻ đủ tháng) có xét nghiệm tế bào cặn nước tiểu ≥ 10 bạch cầu/ vi trường tham gia vào nghiên cứu. Biểu hiện lâm sàng hay găp nhất là bú kém (80,8%), vàng da (47,1%), viêm long đường hô hấp trên (46,2%), tiếp đến là sốt, li bì, chậm tăng cân chiếm 32,7%. 16/104 trẻ có biểu hiện rối loạn tiểu tiện (tiểu ít, tiểu buốt, tiểu đục, tiểu máu). Chỉ có 58/104 trẻ được đặt sonde tiểu để nuôi cấy vi khuẩn niệu. Tỷ lệ nuôi cấy nước tiểu dương tính là 16/58 (28%) với căn nguyên hay gặp là Escherichia coli (31,25%), Nấm (31,25%) và Klebsiella pneumoniae (25%). Triệu chứng nhiễm khuẩn tiết niệu ở trẻ sơ sinh rất đa dạng không đặc hiệu vì vậy cần phải xét nghiệm tế bào niệu, nuôi cấy nước tiểu giúp chẩn đoán xác định sớm căn nguyên và lựa chọn kháng sinh phù hợp.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR