Keywords
Neonatology
Ultrasonography
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Abstract
Objective: To investigate the occurrence of fungal balls in the urinary system in neonates under intensive care. Methods: An observational, cross-sectional and descriptive study was carried out in a tertiary hospital in Belém, Brazil, from November 2020 to January 2021, with a series of 150 newborns and infants. Neonates with laboratory evidence of fungal infection (candidemia and candiduria) were selected and ultrasound examination of the kidneys and urinary tract was performed in search of urinary complications of the infection. Results: Four cases of fungal balls were identified, in addition to an estimated prevalence of 4% of candidemia among the patients studied. The most common profile of the sample was: male gender, very low weight, moderate prematurity and born by cesarean delivery. Conclusion: Considering the short period studied, the high number of fungal ball cases found was highlighted, the same quantity or even higher in relation to long-term studies in other centers, which expresses the need for screening patients and active search for this diagnosis, in order to reduce complications and associated morbidity and mortality, suggesting the development of protocols for this purpose with the use of ultrasound.
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