Urinary tract infection in young infants discharged from the emergency room with normal urinalysis

• DOI: 10.1111/apa.14532
• Publication Date: 2018-08-07T05:36:43Z
• Authors: Einat Rivanowitch; Raouf Nassar; Eyal Kristal; Rotem Shalev; Yariv Fruchtman; Guy Hazan; Galina Ling; Rimma Melamed; Eugene Leibovitz
• Keywords: Microbiological culture

We describe the clinical, microbiologic, therapeutic, and outcome characteristics of infants under three months age with a positive urine culture reported after discharge from emergency department normal urinalysis.We enrolled all obtained during an room visit 2004-2012, discharged without antibiotic therapy subsequently culture.Three hundred ninety-three cultures were reported; 46/393 (11.7%, 42 in patients two age) had following urinalysis at first visit. Fifteen (33%) second visit; 11/15 (73%) one month age, eight asymptomatic seven mild symptoms Pathogens isolated 15 identical between All 27 re-examined hospitalised, completed sepsis work/up received treatment. None developed serious bacterial infections.We propose new management approach for young suggest restricting option including hospitalisation, treatment only to age.