Musa-Aisien A S, Ibadin O M, Ukoh G, Akpede G O
Department of Paediatrics, Gwagwalada Specialist Hospital, Gwagwalada, Nigeria.
Ann Trop Paediatr. 2003 Mar;23(1):39-45. doi: 10.1179/000349803125002850.
The prevalence of urinary tract infection (UTI) in 300 consecutively admitted, febrile, preschool children with and without a focus of infection was evaluated to determine the contribution of UTI to febrile illnesses. Uncentrifuged urine was evaluated by culture and microscopy. The prevalence of UTI was 9% and was significantly higher in girls than in boys. It was also significantly higher when urine infection had been clinically suspected than in those with other diagnoses. Temperature >41 degrees C and abdominal pain were significantly associated with UTI. Other features significantly associated with UTI were fever of at least 7 days duration, a peak evaluation temperature >or=38.3 degrees C and a white blood cell count >10/mm(3). Escherichia coli, Klebsiella pneumonia and Staphylococcus aureus were the only organisms isolated and they all showed high in vitro sensitivity to clavulanic acid-potentiated amoxycillin, gentamicin and ceftriaxone but were poorly sensitive to co-trimoxazole.
对300名连续入院的发热学龄前儿童进行评估，这些儿童有或无感染灶，以确定尿路感染（UTI）对发热性疾病的影响。通过培养和显微镜检查对未离心尿液进行评估。UTI的患病率为9%，女孩显著高于男孩。临床怀疑有尿液感染时的患病率也显著高于其他诊断的情况。体温>41摄氏度和腹痛与UTI显著相关。与UTI显著相关的其他特征包括至少持续7天的发热、最高评估体温>或=38.3摄氏度以及白细胞计数>10/mm(3)。分离出的仅有的微生物为大肠杆菌、肺炎克雷伯菌和金黄色葡萄球菌，它们对克拉维酸增效阿莫西林、庆大霉素和头孢曲松均表现出高体外敏感性，但对复方新诺明敏感性较差。
