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- W2022163650 abstract "To the Editor .—Garcia and Nager1 did urethral catheterizations and urine cultures on 160 asymptomatic jaundiced infants 10 000 colony-forming units/mL) in 7.5% of the infants: 0 of 4 circumcised boys, 9 of 94 uncircumcised boys, and 3 of 62 girls. Half of the infants with bacteriuria had negative urinalyses. Based on this information, they recommend that “testing for a urinary tract infection (UTI) be included as part of the evaluation in asymptomatic, jaundiced infants presenting to the emergency department.” We disagree.What brought these asymptomatic infants to the emergency department? It is easy to understand why jaundice appearing in a 32-day-old or 42-day-old infant (listed in their Table 2) would be brought to medical attention, but why would a 6-day-old infant with a bilirubin of 9.5 mg/dL (their case 2) come to an emergency department? Clearly those who are jaundiced in the first week and those who first manifest jaundice after 1 to 2 weeks or have conjugated hyperbilirubinemia are different populations and should be analyzed separately. Infants with the onset of jaundice after the first week and formula-fed infants who are jaundiced beyond a week should be evaluated for a pathologic cause, but most infants with jaundice appearing in the first week and almost all breastfed infants with persistent jaundice are normal. If urine cultures are …" @default.
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- W2022163650 date "2003-11-01" @default.
- W2022163650 modified "2023-09-27" @default.
- W2022163650 title "Neonatal Jaundice and Urinary Tract Infections" @default.
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- W2022163650 doi "https://doi.org/10.1542/peds.112.5.1213" @default.
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