Decreased incidence of urinary tract infections in febrile infants aged ≤60 days during COVID-19 pandemic.
Acta Paediatr
; 113(8): 1934-1939, 2024 Aug.
Article
de En
| MEDLINE
| ID: mdl-38676461
ABSTRACT
AIM:
To investigate the incidence rate of urinary tract infections (UTIs) among febrile infants aged ≤60 days before, during, and after the COVID-19 pandemic.METHODS:
We conducted a retrospective study in 2 Swedish paediatric emergency departments between 2014 and 2022. We included full-term infants aged ≤60 days with fever without source. We calculated the annual incidence rate of UTI per 1000 births.RESULTS:
We included 1589 full-term infants with fever without source. In 2020, 89 infants were evaluated in the emergency department versus 203-259 in 2017-2019. In 2020, the incidence rate of UTI was 1.43 per 1000 births/year versus 2.18-2.37 in 2017-2019. The median age, sex, fever duration, and urine testing were similar between the years 2017 and 2020.CONCLUSION:
The number of febrile infants who presented to the paediatric emergency department and the incidence rate of UTIs decreased in 2020. This decrease might imply a systematic misdiagnosis of UTIs in infants with febrile viral infections. A more selective urine testing approach for febrile, previously healthy, infants should be considered to mitigate UTI misdiagnosis and its potential harmful effects.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Infections urinaires
/
COVID-19
Limites:
Female
/
Humans
/
Infant
/
Male
/
Newborn
Pays/Région comme sujet:
Europa
Langue:
En
Journal:
Acta Paediatr
Année:
2024
Type de document:
Article
Pays d'affiliation:
Suède
Pays de publication:
Norvège