Evaluation of Newborns With Urinary Tract Infection

？ntroduction: Childhood urinary tract infection (UTI) is one of the most important causes of renal failure in adult age. Fast and correct recognition and appropriate treatment of urinary tract infections during neonatal period may reduce the risk of renal damage. In our study; we aimed to evaluate newborns with UTI who were hospitalized in our neonatal ward retrospectively, and to use our findings in our clinical and treatment practice Material and methods: we enrolled 137 neonates who were hospitalized with the diagnosis of UTI or diagnosed as UTI after hospitalization in Zeynep Kamil Gynecologic and Pediatric Training and Research Hospital NICU-2 between January 2009 - October 2012. All patients’ demographic characteristics, physical examination findings, laboratory values, and treatment were evaluated retrospectively. Results: Of the 137 neonates included to the study 78,8 % were male and 21,2 % female. Presenting symptoms of patients was prolonged jaundice (38,7 %), fever (28,5 %), poor sucking (15,3 %), vomiting (13,1 %), restlessness (10,2 %), dehydration (10,2 %), lethargy (6,6 %), weight loss (4,4 %), crying during the voiding (2,9 %), convulsion (1,5 %), diarrhea (1,5 %), abdominal distantion (0,7 %) respectively. Most frequent pathogens cultured in urine was E. coli (54%), Klebsiella spp. (10.2%), Enterobacteriacea (9,5%), ESBL (+) E. coli (7,3%) respectively. The most common antibiotic resistance was to ampicilline. The most resistant pathogene to ampisiline was E.coli. Conclusion; Urinary tract infection is an infectious disease that should not be missed in newborns and infants and has serious consequences. Prevention of complications that may occur depends on the management of antibiotic selection, long-term follow-up and imaging methods