马拉喀什穆罕默德六世大学医院新生儿重症监护病房尿路感染流行病学研究

M. Lagrine, F. Bennaoui, N. Slitine, F. Maoulainine
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引用次数: 1

摘要

我们研究的目的是估计新生儿感染性疾病中尿路感染的程度。这项工作涉及回顾性研究的91新生儿尿路感染,收集在穆罕默德六世新生儿复苏单位,马拉喀什。新生儿入院时的平均年龄为10.8天。在20例中,有产妇尿路感染的迹象。住院主要原因为黄疸,占72.53%。临床表现以发热为主,占16.48%;其次为拒绝吸吮,占5.5%。61.5%的病例以大肠杆菌为主。在适应抗生素谱数据后,所有病例均采用基于第三代头孢曲松和氨基糖苷的概率性抗生物治疗。超声显示畸形21例。新生儿尿路感染仍然是一种常见的病理。其潜在的严重程度涉及肾功能预后和尿路畸形的频率,需要早期诊断和适当的管理。
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Epidemiology of Urinary Tract Infection in Neonatal Intensive Care Unit of Mohammed VI University Hospital in Marrakech
The objective of our study is to estimate the extent of urinary infection among neonatal infectious diseases. This work concerns a retrospective study of 91 newborns with urinary tract infections, collected in the Mohammed VI neonatal resuscitation unit, Marrakesh. The average age of our newborns at admission was 10.8 days. In 20 cases, there were signs of maternal urinary tract infections. The main reason for hospitalization was jaundice in 72.53% of cases. The symptomatology was dominated by fever in 16.48% of cases, followed by a refusal to suck in 5.5% of cases. Escherichia coli was the predominant germ in 61.5% of cases. A probabilistic anti-biotherapy based on Ceftriaxone 3rd Generation and aminoglycoside was instituted in all cases after it was adapted to the antibiogram data. Ultrasound revealed malformations in 21 cases. Neonatal urinary tract infection remains a common pathology. Its potential severity involving renal functional prognosis and the frequency of urinary tract malformations require early diagnosis and adequate management.
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