Suprapubic Aspiration of Urine in Very Low Birth Weight Infants

The incidence of urinary tract infection in the neonatal period is higher in preterm than in term infants.1 These are typically late-onset infections occurring after 72 hours of age.2 Because the signs of urinary tract infection in neonates are nonspecific, a safe and effective way of sampling urine for culture such as suprapubic aspiration is essential. Although previous studies have demonstrated the efficacy of this procedure in term and preterm infants, the preterm infants studied previously were undoubtedly larger than those very low birth weight infants cared for in today's neonatal intensive care units, inasmuch as survival rates for these small infants have increased.1,3

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Urinary tract infection in very low birth weight preterm infants

The Pediatric Infectious Disease Journal ◽

10.1097/01.inf.0000065690.64686.c9 ◽

2003 ◽

Vol 22 (5) ◽

pp. 426-429 ◽

Cited By ~ 32

Author(s):

SOFIA BAUER ◽

ALON ELIAKIM ◽

AVISHALOM POMERANZ ◽

RIVKA REGEV ◽

ITA LITMANOVITS ◽

...

Keyword(s):

Urinary Tract Infection ◽

Birth Weight ◽

Urinary Tract ◽

Tract Infection ◽

Low Birth Weight ◽

Preterm Infants ◽

Very Low Birth Weight

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Incidence and risk factors of urinary tract infection in very low birth weight infants

Journal of Neonatal-Perinatal Medicine ◽

10.3233/npm-16915055 ◽

2016 ◽

Vol 9 (1) ◽

pp. 83-90 ◽

Cited By ~ 8

Author(s):

C. Ruangkit ◽

Ankita Satpute ◽

B.A. Vogt ◽

C. Hoyen ◽

S. Viswanathan

Keyword(s):

Risk Factors ◽

Urinary Tract Infection ◽

Birth Weight ◽

Urinary Tract ◽

Tract Infection ◽

Low Birth Weight ◽

Very Low Birth Weight ◽

Low Birth Weight Infants

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Late-Onset Neutropenia in Very Low Birth Weight Infants

PEDIATRICS ◽

10.1542/peds.106.4.e55 ◽

2000 ◽

Vol 106 (4) ◽

pp. e55-e55 ◽

Cited By ~ 26

Author(s):

S. A. Omar ◽

A. Salhadar ◽

D. E. Wooliever ◽

P. K. Alsgaard

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Very Low Birth Weight ◽

Late Onset ◽

Low Birth Weight Infants

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Early hyperglycaemia was linked to a risk of late‐onset sepsis in very low birth weight preterm infants in a neonatal intensive care unit

Acta Paediatrica ◽

10.1111/apa.16007 ◽

2021 ◽

Author(s):

Paolo Manzoni ◽

Alessandro Messina ◽

Simone Ceratto ◽

Eleonora Tognato ◽

Mauro Stronati ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Birth Weight ◽

Low Birth Weight ◽

Neonatal Intensive Care Unit ◽

Preterm Infants ◽

Neonatal Intensive Care ◽

Very Low Birth Weight ◽

Late Onset ◽

Late Onset Sepsis

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Late-Onset Sepsis in Very Low Birth Weight Preterm Infants: 7 years’ Experience at a Tertiary Hospital in China

Pediatrics & Neonatology ◽

10.1016/j.pedneo.2021.05.011 ◽

2021 ◽

Author(s):

Liya Ma ◽

Qiongling Peng ◽

Wei Wang ◽

Yi Yang ◽

You Chen ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Preterm Infants ◽

Very Low Birth Weight ◽

Late Onset ◽

Tertiary Hospital ◽

Late Onset Sepsis

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Urinary Neutrophil Gelatinase-Associated Lipocalin Is a Promising Biomarker for Late Onset Culture-Positive Sepsis in Very Low Birth Weight Infants

Pediatric Research ◽

10.1203/pdr.0b013e3181da75c1 ◽

2010 ◽

Vol 67 (6) ◽

pp. 636-640 ◽

Cited By ~ 29

Author(s):

Elvira Parravicini ◽

Sheri L Nemerofsky ◽

Kenneth A Michelson ◽

Trang K Huynh ◽

Meghan E Sise ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Very Low Birth Weight ◽

Late Onset ◽

Low Birth Weight Infants ◽

Neutrophil Gelatinase Associated Lipocalin ◽

Neutrophil Gelatinase ◽

Culture Positive

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Nationwide Survey of Late‐onset Hemolysis in Very Low Birth Weight Infants

Pediatrics International ◽

10.1111/ped.14493 ◽

2020 ◽

Author(s):

Yayoi Miyazono ◽

Junichi Arai ◽

Yu Kanai ◽

Daisuke Hitaka ◽

Daigo Kajikawa ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Very Low Birth Weight ◽

Late Onset ◽

Nationwide Survey ◽

Low Birth Weight Infants

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Higher Incidence Rates of Hypothyroidism and Late TSH Rise in Preterm Very-Low-Birth-Weight Infants at a Tertiary Care Center

Hormone Research in Paediatrics ◽

10.1159/000487637 ◽

2018 ◽

Vol 89 (4) ◽

pp. 224-232 ◽

Cited By ~ 2

Author(s):

Hala Tfayli ◽

Lama Charafeddine ◽

Hani Tamim ◽

Joanne Saade ◽

Rose T. Daher ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Newborn Screening ◽

Preterm Infants ◽

Very Low Birth Weight ◽

Care Center ◽

Compliance Rate ◽

Tertiary Care ◽

Tertiary Care Center ◽

Low Birth Weight Infants

Background/Aims: Preterm newborns with a very low birth weight (VLBW) of < 1,500 g have an atypical form of hypothyroidism with a delayed rise in TSH, necessitating a second newborn screening specimen collection. The aims of this study were to survey the compliance with second newborn screening to detect delayed TSH rise in VLBW preterm infants at a tertiary care center, and to determine the rate of atypical hypothyroidism. Methods: Retrospective review of the records of 104 preterm VLBW infants. Late TSH rise was defined as an increase in TSH concentration after 14 days of age in the presence of a normal initial screen. Results: The compliance rate was 92% for the second screening. High rates of hypothyroidism (16.3%) and of late TSH rise (4.8%) were detected. Patients with hypothyroidism had a significantly lower birth weight (p = 0.01) and longer hospital stay (p = 0.004). Patients with late versus those with early TSH rise had a significantly lower mean birth weight (851 ± 302 vs. 1,191 ± 121 g, p = 0.004). Conclusion: The rates of early and late TSH rise in this VLBW population were higher than those in the literature and could be due to the use of povidone-iodine disinfectants. The yield of a second TSH screening in this study was high indicating the need for vigilance in screening VLBW preterm infants.

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