<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0793</journal-id>
<journal-title><![CDATA[Iatreia]]></journal-title>
<abbrev-journal-title><![CDATA[Iatreia]]></abbrev-journal-title>
<issn>0121-0793</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-07932022000100011</article-id>
<article-id pub-id-type="doi">10.17533/udea.iatreia.116</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características epidemiológicas, clínicas y microbiológicas de la infección del tracto urinario neonatal en un hospital en Medellín, 2013-2017]]></article-title>
<article-title xml:lang="en"><![CDATA[Epidemiologic clinical and microbiological features of neonatal urinary tract infection in a hospital in Medellín, 2013-2017]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Penagos-Tascón]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Atehortúa-Baena]]></surname>
<given-names><![CDATA[Pahola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Padilla]]></surname>
<given-names><![CDATA[Libia María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hoyos-Orrego]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica El Rosario  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Universitaria Bolivariana  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Pontificia Bolivariana Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Clínica Universitaria Bolivariana  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>11</fpage>
<lpage>20</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-07932022000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-07932022000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-07932022000100011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  describir las características epidemiológicas, clínicas y microbiológicas de la infección del tracto urinario neonatal.  Métodos:  estudio descriptivo retrospectivo en neonatos con infección urinaria hospitalizados en una institución de Medellín entre enero del 2013 y diciembre del 2017. Se recolectaron datos de las historias clínicas. Las variables cualitativas se expresaron en forma de frecuencias absolutas y relativas, las cuantitativas se presentaron como promedio y desviación estándar o mediana y rangos intercuartílicos.  Resultados:  se incluyeron 65 pacientes. Los uropatógenos más comunes fueron Escherichia coli (52 %) y Enterococcus faecalis (20 %). Las manifestaciones clínicas más frecuentes fueron la fiebre (46 %), la ictericia (38 %) y las apneas (15 %). La proteína Creactiva elevada se presentó en el 28 % de los casos. En el uroanálisis, el hallazgo anormal predominante fueron las esterasas leucocitarias en el 65 %. Hubo 15 casos (23 %) de infecciones nosocomiales. Por ecografía renal se encontró una malformación genitourinaria en el 25 % de los pacientes. De los 35 neonatos con cistouretrografía miccional hospitalaria, el 17 % tenía reflujo vesicoureteral, el 67 % tuvo ecografía renal normal y el 83 % tuvo un aislamiento diferente a Escherichia coli. Dos pacientes presentaron bacteriemia y uno meningitis.  Conclusión:  la infección urinaria neonatal tuvo manifestaciones clínicas variadas, donde la fiebre y la proteína C reactiva no fueron marcadores comunes de la respuesta inflamatoria. En este estudio una ecografía renal normal no descarta la posibilidad del reflujo vesicoureteral, por ello debe tenerse en cuenta otros criterios para seleccionar los pacientes que requieren de estudio de reflujo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY  Objective: To describe de epidemiological, clinical, and microbiological features of neonatal urinary tract infection.  Methods:  A descriptive retrospective study of neonates with urinary tract infection admitted to Clinica Universitaria Bolivariana (Medellín, Colombia) between January 2013 and December 2017. Data about urinary tract infection features were collected from the clinical records of the hospital. For data analysis, qualitative variables were presented as absolute and relative frequencies, and quantitative variables were presented as mean and standard deviation or median and interquartile ranges.  Results:  Sixty-five patients were included. The most common uropathogens were Escherichia coli (52%) and Enterococcus faecalis (20%). The most frequent clinical features were fever (46%), jaundice (38%) and apneas (15%). Of 21 patients, 28% had C reactive protein raised. Urine dipstick test was positive for leukocyte esterase in 65%. There were 15 nosocomial infections (23%). Renal ultrasound was performed in all patients, of which 25% had congenital anomalies of the kidney and urinary tract. Voiding cystourethrogram was performed in 35 patients, of which 17% had vesicoureteral reflux; 67% of them had a normal renal ultrasound and 83% of them had a non-Escherichia coli bacteria isolation. Two patients had bacteremia and one patient had meningitis.  Conclusions:  neonatal urinary tract infection is a disease with multiple clinical manifestations, where fever and C-reactive protein weren&#8217;t common marker of inflammatory response. In this study, having a normal renal ultrasound doesn&#8217;t discard the possibility of having vesicoureteral reflux, and other criteria should be considered to select which patients need studies for vesicoureteral reflux.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fiebre]]></kwd>
<kwd lng="es"><![CDATA[Infecciones Urinarias]]></kwd>
<kwd lng="es"><![CDATA[Recién Nacido]]></kwd>
<kwd lng="es"><![CDATA[Reflujo Vesicoureteral]]></kwd>
<kwd lng="en"><![CDATA[Fever]]></kwd>
<kwd lng="en"><![CDATA[Infant, Newborn]]></kwd>
<kwd lng="en"><![CDATA[Urinary Tract Infections]]></kwd>
<kwd lng="en"><![CDATA[Vesico-Ureteral Reflux]]></kwd>
</kwd-group>
</article-meta>
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