90日龄及以下婴儿中与尿路感染相关的脑膜炎发病率调查。
Investigation of the rate of meningitis in association with urinary tract infection in infants 90 days of age or younger.
作者信息
Vuillermin Peter J, Starr Mike
机构信息
Murdoch Children's Research Institute, Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.
出版信息
Emerg Med Australas. 2007 Oct;19(5):464-9. doi: 10.1111/j.1742-6723.2007.01001.x.
OBJECTIVE
To test the hypothesis that urinary tract infections (UTI) in young infants are rarely associated with meningitis.
METHODS
We undertook a review of the laboratory results from 322 infants, 90 days of age or younger, with an admission or discharge diagnosis of UTI or meningitis. The study was conducted in a tertiary paediatric hospital. The primary outcome measure was the incidence of coexisting urinary tract and cerebrospinal fluid sepsis.
RESULTS
In total, 161 of the 322 (50%) infants with an admission or discharge diagnosis of UTI or meningitis were subsequently shown to have a culture-proven UTI. Of the children with a culture-proven UTI, 75 (47%) had cerebrospinal fluid obtained. We detected one case of probable bacterial meningitis in association with UTI.
CONCLUSION
UTI is rarely associated with meningitis in infants 90 days of age or younger.
目的
检验以下假设，即小婴儿尿路感染（UTI）极少与脑膜炎相关。
方法
我们回顾了322名90日龄及以下婴儿的实验室检查结果，这些婴儿入院或出院诊断为UTI或脑膜炎。该研究在一家三级儿科医院进行。主要结局指标是并存的泌尿道和脑脊液败血症的发生率。
结果
在322名入院或出院诊断为UTI或脑膜炎的婴儿中，共有161名（50%）随后经培养证实患有UTI。在经培养证实患有UTI的儿童中，75名（47%）进行了脑脊液检查。我们检测到1例可能与UTI相关的细菌性脑膜炎病例。
结论
90日龄及以下婴儿的UTI极少与脑膜炎相关。
Zotero 插件