Neonatal urinary tract infection
ICD-10 P39.3 is a billable code used to indicate a diagnosis of neonatal urinary tract infection.
Neonatal urinary tract infections (UTIs) are significant clinical concerns in the perinatal period, affecting newborns within the first 28 days of life. UTIs in neonates can arise from various factors, including anatomical abnormalities, urinary retention, and the presence of catheters. Symptoms may be subtle, often presenting as nonspecific signs such as irritability, poor feeding, or temperature instability. Diagnosis typically involves urinalysis and urine culture, with treatment necessitating appropriate antibiotics based on sensitivity patterns. Early recognition and management are crucial to prevent complications such as renal damage or sepsis. The incidence of UTIs in neonates is relatively low but can be higher in those with risk factors such as prematurity or congenital anomalies. Clinicians must remain vigilant for signs of infection, as the clinical presentation can differ significantly from older children and adults.
Detailed clinical notes including symptoms, laboratory results, and treatment plans.
Neonates presenting with fever, irritability, or poor feeding in the NICU.
Consideration of anatomical abnormalities and the impact of prematurity on UTI risk.
Thorough history and physical examination notes, including family history of UTIs.
Pediatric follow-up visits for neonates with a history of UTI.
Awareness of developmental milestones and their relation to UTI risk.
Used when a UTI is suspected in a neonate.
Document the reason for the culture and any prior treatments.
Neonatologists should ensure cultures are obtained before starting antibiotics.
Common symptoms include irritability, poor feeding, fever, and lethargy. However, symptoms can be nonspecific, making diagnosis challenging.
