Category: Renal

Is a VCUG required after every neonatal UTI?

A retrospective three-center study of 126 NICU infants diagnosed with urinary tract infection (UTI) found that 60% of infants that underwent renal ultrasonography had abnormal renal ultrasound findings (hydronephrosis or pelvicaliectasis), with 12% having severe abnormalities. Vesico ureteric reflux (VUR)…

Relationship between maternal and neonatal creatinine

A retrospective study of 157 neonates less than 30 weeks gestation from one center compared the first neonatal serum creatinine level with the maternal creatinine in the 48 hours prior to delivery. The mean first neonatal creatinine level (0.9 mg/dl) was significantly higher…

Suprapubic aspiration versus urethral catheterization

A randomized trial in 80 preterm newborn infants compared two methods of obtaining urine specimens – suprapubic aspiration and urethral catheterization. Only uncircumcised boys were studied. Each infant’s face and upper body were videotaped for five minutes before and five minutes…

Antimicrobial prophylaxis with VUR

A multicenter randomized trial (the RIVUR trial) in infants and children (no neonates were included) with vesico-ureteric reflux compared the effects of prophylaxis with cotrimoxazole versus placebo on the rate of recurrent urinary tract infection, renal scarring, treatment failure (a…

Hypertension during follow-up of extremely preterm infants

Blood pressure data from a Swedish national population-based cohort of extremely preterm infants who survived were analyzed. At the age of 2.5 years 44% of the 68 extremely preterm infants had a systolic blood pressure at or above the 90th…