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Chinese Journal of Clinical Laboratory Management(Electronic Edition) ›› 2021, Vol. 09 ›› Issue (01): 34-37. doi: 10.3877/cma.j.issn.2095-5820.2021.01.007

Special Issue:

• Clinical Research • Previous Articles     Next Articles

Analysis of the value of common clinical indexes in the diagnosis and treatment of neonatal urinary tract infection

Weiming Lu1, Kailing Liang2, Junfei Guo1, Yasha Luo1, Jiamin Lian1, Xiaoping Mu1,()   

  1. 1. Department of Clinical Laboratory, Guangdong Women and Children Hospital, Guangzhou Guangdong 511442, China
    2. Medical Genetics Center, Guangdong Women and Children Hospital, Guangzhou Guangdong 511442, China
  • Received:2020-10-23 Online:2021-02-28 Published:2021-03-26
  • Contact: Xiaoping Mu

Abstract:

Objective

To evaluate the diagnostic value of commonly used infectious indicators in neonatal urinary infectious diseases, which might provide an effective laboratory research basis for clinical diagnosis and treatment of neonatal urinary tract infection.

Methods

Retrospective analysis was conducted on the laboratory and clinical data of the children with urinary bacteria culture records hospitalized in our hospital in recent 5 years. Clinical data and laboratory data of urinary bacteria culture positive group and culture negative group were compared.

Results

The positive rate of urine culture in our hospital was 5.15%(83/1611) in recent 5 years, and the proportion of male neonates was higher than female neonates in urine culture positive neonates (68.67% vs 31.33%). Fever (24.10%) and jaundice (32.53%) were the most common clinical manifestations, but ther is no statistically different between groups; Urinary WBC count of culture positive group was significantly higher than culture negative group, but there is no statistical difference between groups in terms of blood WBC、CRP、PCT.

Conclusion

The diagnostic value of blood WBC、CRP、PCT are limited in the diagnosis of neonatal urinary tract infection, and combined use of routine urine test and urine culture is still a better diagnostic criterion for neonatal urinary tract infection.

Key words: Neonatal urinary tract infection, Urine routine index, Pathogen, Clinical manifestation

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