Investigation of the rate of meningitis in association with urinary tract infection in infants 90�days of age or younger

ArticleinEmergency medicine Australasia: EMA 19(5):464-9 · November 2007with8 Reads
Impact Factor: 1.30 · DOI: 10.1111/j.1742-6723.2007.01001.x · Source: PubMed


    To test the hypothesis that urinary tract infections (UTI) in young infants are rarely associated with meningitis.
    We undertook a review of the laboratory results from 322 infants, 90 days of age or younger, with an admission or discharge diagnosis of UTI or meningitis. The study was conducted in a tertiary paediatric hospital. The primary outcome measure was the incidence of coexisting urinary tract and cerebrospinal fluid sepsis.
    In total, 161 of the 322 (50%) infants with an admission or discharge diagnosis of UTI or meningitis were subsequently shown to have a culture-proven UTI. Of the children with a culture-proven UTI, 75 (47%) had cerebrospinal fluid obtained. We detected one case of probable bacterial meningitis in association with UTI.
    UTI is rarely associated with meningitis in infants 90 days of age or younger.