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From:
jeanette <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 31 Dec 2013 11:26:01 -0800
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Just saw this study, and thought as we see so many babies of these ages, we should be aware of this...

As e coli is the predominant cause of UTI, reminding parents to wash hands when they use the bathroom and before as well as after changing diapers might be helpful...as well as keeping this in mind if babies have repeated fevers not responding to meds...

http://journals.lww.com/pidj/Abstract/publishahead/The_Changing_Epidemiology_of_Serious_Bacterial.98145.aspx


Abstract
Background: Management of febrile young infants suspected of having serious bacterial infections (SBIs) has been a challenge for decades. The impact of changes in prenatal screening for Group B Streptococcus (GBS) and of infant immunizations, has received little attention in population based studies.

Methods: This study analyzed all cultures of blood, urine, and cerebrospinal fluid obtained from full term infants 1 week to 3 months of age, who presented for care at Kaiser Permanente Northern California during a 7 year period utilizing electronic medical records.

Results: A total of 224,553 full term infants were born during the study period. Of 5396 blood cultures, 129 bacteremic infants were identified (2%). Of 4599 urine cultures, 823 episodes of urinary tract infection (UTI) were documented in 778 infants (17%). Of 1796 CSF cultures, 16 infants had bacterial meningitis (0.9%). The incidence rate of SBI (bacteremia, UTI and meningitis) and febrile SBI was 3.75 and 3.1 / 1000 full term births, respectively. Escherichia coli was the leading cause of bacteremia (78), UTI (719), and bacterial meningitis (7). There were 23 infants with GBS bacteremia including 6 cases of meningitis and no cases of Listeria infection. Nine percent of infants had multiple sites of infection; 10% of UTIs were associated with bacteremia and 52% of bacteremia was associated with UTI.

Conclusion: Compared with earlier studies, UTIs now are found significantly more often than bacteremia and meningitis with 92% of occult infections associated with UTIs. These data emphasize the importance of an urinalysis in febrile infants

(C) 2013 by Lippincott Williams & Wilkins, Inc.

Jeanette Panchula

Sent from Samsung tablet

-------- Original message --------
From: LACTNET automatic digest system <[log in to unmask]> 
Date: 12/30/2013  9:00 PM  (GMT-08:00) 
To: [log in to unmask] 
Subject: LACTNET Digest - 29 Dec 2013 to 30 Dec 2013 (#2013-683) 
 





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