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儿童尿路感染的管理

The management of childhood urinary tract infections.

作者信息

Reddy Pramod P, Redman John F

机构信息

Cincinnati Children's Hospital Medical Center, University of Cincinnati, USA.

出版信息

J Ark Med Soc. 2002 Nov;99(5):156-8.

PMID:12434626
Abstract

Urinary tract infections can result in significant morbidity and represent one of the most common urological conditions that the pediatrician and family practitioner encounter in the pediatric patient population. The prevalence of UTI in girls may be as high as 8.1%. UTIs also represent the most commonly identified serious bacterial infection in infants presenting with a febrile illness. Of febrile infants aged 2-3 months, 3-10% have a documented UTI. While the majority of the UTIs are not associated with any significant underlying conditions, the mere presence of a UTI is worrisome to most parents. An appropriate evaluation will determine which of these patients need referral. A brief summary is therefore presented to assist the primary care physician in the evaluation and management of childhood UTIs.

摘要

尿路感染可导致严重发病,是儿科医生和家庭医生在儿科患者群体中遇到的最常见泌尿系统疾病之一。女童尿路感染的患病率可能高达8.1%。尿路感染也是发热性疾病婴儿中最常见的严重细菌感染。在2至3个月大的发热婴儿中,3%至10%有记录显示患有尿路感染。虽然大多数尿路感染与任何重大潜在疾病无关,但尿路感染的存在本身就令大多数家长担忧。适当的评估将确定哪些患者需要转诊。因此,现提供一份简要总结,以协助初级保健医生评估和管理儿童尿路感染。

相似文献

1
The management of childhood urinary tract infections.儿童尿路感染的管理
J Ark Med Soc. 2002 Nov;99(5):156-8.
2
Treatment of urinary tract infections among febrile young children with daily intravenous antibiotic therapy at a day treatment center.在日间治疗中心对发热幼儿的尿路感染采用每日静脉注射抗生素疗法进行治疗。
Pediatrics. 2004 Oct;114(4):e469-76. doi: 10.1542/peds.2004-0421.
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Prevalence of urinary tract infection in childhood: a meta-analysis.儿童期尿路感染的患病率:一项荟萃分析。
Pediatr Infect Dis J. 2008 Apr;27(4):302-8. doi: 10.1097/INF.0b013e31815e4122.
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Urinary tract infections: children are not little adults.尿路感染:儿童并非小大人。
Pediatr Nurs. 1996 Nov-Dec;22(6):473-80, 544.
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[Urinary tract infections in infants and children -- a consensus on diagnostic, therapy and prophylaxis].[婴幼儿尿路感染——诊断、治疗与预防的共识]
Urologe A. 2007 Feb;46(2):112, 114-8, 120-3. doi: 10.1007/s00120-006-1254-9.
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How general practitioners manage children with urinary tract infection: an audit in the former Northern Region.全科医生如何管理患有尿路感染的儿童:前北部地区的一项审计
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Overview of the evaluation, diagnosis, and management of urinary tract infections in infants and children.婴幼儿尿路感染的评估、诊断及管理概述
Urol Nurs. 2005 Jun;25(3):185-91; quiz 192.
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GPs should evaluate all children following UTI.全科医生应对所有患尿路感染的儿童进行评估。
Practitioner. 2010 Jul-Aug;254(1731):17-9, 21, 2.
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Epidemiology of urinary tract infections: incidence, morbidity, and economic costs.尿路感染的流行病学:发病率、患病率及经济成本。
Dis Mon. 2003 Feb;49(2):53-70. doi: 10.1067/mda.2003.7.

引用本文的文献

1
A Study to Determine the Incidence of Urinary Tract Infections in Infants and Children Ages 4 Months to 6 Years With Febrile Diarrhea.
Glob Pediatr Health. 2016 Sep 12;3:2333794X16667175. doi: 10.1177/2333794X16667175. eCollection 2016.
2
Adequacy of urinary tract infection management among minority underserved children.少数族裔贫困儿童尿路感染管理的充分性
Pediatr Nephrol. 2004 Dec;19(12):1375-8. doi: 10.1007/s00467-004-1595-9.