Jodal U, Lindberg U
Department of Paediatrics, Göteborg University, The Queen Silvia Children's Hospital, Sweden.
Acta Paediatr Suppl. 1999 Nov;88(431):87-9.
There are considerable variations in the management of children with urinary tract infection and reflux. These new guidelines were written after critical review of the literature, but are also based on clinical experience, since there are issues that have not been otherwise adequately studied. The aim is to limit renal damage and future complications, with minimal discomfort to the child, and to avoid unnecessary costs. The recommendations include increased attention to bladder dysfunction, shortening of the time of antibacterial prophylaxis and focus on renal development and function rather than on reflux.
儿童尿路感染和反流的治疗方法存在很大差异。这些新指南是在对文献进行严格审查后编写的,但也基于临床经验,因为有些问题尚未得到充分研究。其目的是在尽量减少儿童不适的情况下,限制肾脏损害和未来并发症的发生,并避免不必要的费用。建议包括更多关注膀胱功能障碍、缩短抗菌预防时间,以及关注肾脏发育和功能而非反流情况。