[Urinary candidiasis in neonates (author's transl)].

Area of Science:

• Pediatric Urology
• Neonatal Surgery
• Infectious Diseases

Background:

• Urologic surgery in neonates is infrequently performed.
• Instrumentation and indwelling devices increase infection risk.
• Antimicrobial use can lead to secondary fungal infections.

Purpose of the Study:

• To evaluate the incidence of urinary tract infections (UTIs) and candidiasis in neonates undergoing urologic procedures.
• To assess the complications associated with urinary tract instrumentation in this population.
• To review treatment outcomes for fungal infections.

Main Methods:

• Retrospective review of 16 neonates undergoing urologic operations or endoscopy between 1971 and 1978.
• Analysis of post-operative infection rates, including UTIs and candidiasis.
• Evaluation of treatment strategies for orointestinal and urinary tract candidiasis.

Main Results:

• 15 out of 16 neonates developed post-operative UTIs.
• 80% of neonates with catheters or splints acquired nosocomial infections.
• Four neonates developed urinary tract candidiasis, and four had orointestinal candidiasis.
• Oral antifungals were effective for orointestinal candidiasis; systemic antifungals were used for urinary tract candidiasis.

Conclusions:

• Neonates undergoing urologic procedures are at high risk for post-operative UTIs and nosocomial infections.
• Urinary tract instrumentation significantly elevates the risk of infection.
• Fungal infections, particularly candidiasis, are a notable complication requiring specific antifungal therapy.