METHODS: Patients were identified via the diagnosis codes for UTIs and were included if admitted to the NICU and if they received antibiotics prior to hospital discharge. Patients were divided into 2 groups: antibiotic treatment for 7 days or fewer and antibiotic treatment for greater than 7 days.
RESULTS: Eighty-six infants were included in the study. Twenty-six patients received antibiotics for 7 days or fewer, and 60 for more than 7 days. In the study, the median birth weight was 977 g and the median gestational age was 27.6 weeks. There was no significant difference in the rate of recurrent UTIs between the 2 groups (p = 0.66). However, in the subgroup analysis, the incidence was higher for patients receiving antibiotic therapy for fewer than 7 days versus 7 days (p = 0.03).
CONCLUSIONS: There was no difference in recurrence of UTI between treatment groups (≤7 days versus >7 days), and recurrence was seen in a higher percentage of patients with a urinary tract anomaly.
方法:患者通过UTI的诊断代码进行鉴定,如果患者进入NICU并且在出院前接受抗生素治疗,则将其纳入。患者分为两组:抗生素治疗7天或更短,抗生素治疗7天以上。
结果:研究中纳入了86名婴儿。26名患者接受抗生素治疗7天或更短,和60超过7天。在研究中,中位出生体重为977g,中位孕龄为27.6周.两组间尿路感染复发率无显著差异(p=0.66)。然而,在亚组分析中,接受抗生素治疗少于7天的患者的发病率高于7天(p=0.03).
结论:治疗组之间UTI的复发没有差异(≤7天对>7天),在尿路异常的患者中,复发的比例更高。