USE OF NEW NEPHROSTOMY CATHETER FOR TREATMENT OF RENAL NEONATAL CANDIDIASIS

Systemic candidiasis with renal involvement is a rare but well-recogni zed complication during neonatal intensive care treatment, In addition to intravenous administration of amphotericin B, decompression of the renal pelvis and irrigation of the involved kidney with the same drug through a nephrostomy tube will provide a high concentration of antif ungal agent with a flushing effect. This procedure is not always possi ble due to the small size of the neonatal kidneys. We have conceived a new percutaneous trocar nephrostomy which allows its application dire ctly in an incubator without using X-rays during a single procedure. I n 3 cases a bilateral percutaneous nephrostomy was performed directly in the incubator using a one-step ultrasonically guided maneuver under local anesthesia. The funguria was successfully eradicated in all cas es. The availability of a nephrostomy trocar of small dimensions leads us to an improved renal approach in newborns.