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抗生素预防与反流:批判性综述与评估

Antibiotic prophylaxis and reflux: critical review and assessment.

作者信息

Baquerizo Bernarda Viteri, Peters Craig A

机构信息

Maimonides Medical Center 4802 Tenth Avenue, Brooklyn, NY 11219 USA.

Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Medical Center 111 Michigan Avenue, NW, Washington, DC 20010 USA.

出版信息

F1000Prime Rep. 2014 Nov 4;6:104. doi: 10.12703/P6-104. eCollection 2014.

DOI:10.12703/P6-104
PMID:25580258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4229722/
Abstract

The use of continuous antibiotic prophylaxis (CAP) was critical in the evolution of vesicoureteral reflux (VUR) from a condition in which surgery was the standard of treatment to its becoming a medically managed condition. The efficacy of antibiotic prophylaxis in the management of VUR has been challenged in recent years, and significant confusion exists as to its clinical value. This review summarizes the critical factors in the history, use, and investigation of antibiotic prophylaxis in VUR. This review provides suggestions for assessing the potential clinical utility of prophylaxis.

摘要

在膀胱输尿管反流(VUR)从以手术为标准治疗手段的疾病演变为可通过药物治疗的疾病的过程中,持续抗生素预防(CAP)的应用起到了关键作用。近年来,抗生素预防在VUR治疗中的疗效受到了质疑,其临床价值也存在很大争议。本综述总结了VUR抗生素预防的历史、应用及研究中的关键因素。本综述为评估预防的潜在临床效用提供了建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d1/4229722/6b7c61790ada/medrep-06-104-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d1/4229722/08b8b261db86/medrep-06-104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d1/4229722/6b7c61790ada/medrep-06-104-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d1/4229722/08b8b261db86/medrep-06-104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d1/4229722/6b7c61790ada/medrep-06-104-g003.jpg

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引用本文的文献

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[Vesicoureteral reflux : Watchful waiting, surgery or antibiotic prophylaxis?].[膀胱输尿管反流:观察等待、手术还是抗生素预防?]
Urologe A. 2017 Sep;56(9):1158-1163. doi: 10.1007/s00120-017-0453-x.
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Parent compliance: a bad predictor of resolution and a problem in the application of EAU guidelines on vesicoureteral reflux in children.

本文引用的文献

1
NICE Guidelines Cannot Be Recommended for Imaging Studies in Children Younger Than 3 Years with Urinary Tract Infection.不推荐采用英国国家卫生与临床优化研究所(NICE)的指南对3岁以下患有尿路感染的儿童进行影像学检查。
Eur J Pediatr Surg. 2015 Oct;25(5):414-20. doi: 10.1055/s-0034-1384646. Epub 2014 Jul 31.
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Antimicrobial prophylaxis for children with vesicoureteral reflux.小儿膀胱输尿管反流的抗菌预防。
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Comparison of procalcitonin and different guidelines for first febrile urinary tract infection in children by imaging.
家长的依从性:儿童膀胱输尿管反流病情缓解的不良预测指标及欧洲泌尿外科学会指南应用中的一个问题。
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通过影像学比较降钙素原与不同儿童首次发热性尿路感染指南
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Management of urinary tract infection in a tertiary children's hospital before and after publication of the NICE guidelines.在 NICE 指南发布前后对三级儿童医院尿路感染的管理。
Arch Dis Child. 2013 Jul;98(7):521-5. doi: 10.1136/archdischild-2012-303032. Epub 2013 May 16.
5
Observation of patients with vesicoureteral reflux off antibiotic prophylaxis: physician bias on patient selection and risk factors for recurrent febrile urinary tract infection.观察停用抗生素预防性治疗的膀胱输尿管反流患者:医师在患者选择和复发性发热性尿路感染的危险因素方面存在偏倚。
J Urol. 2012 Oct;188(4 Suppl):1480-4. doi: 10.1016/j.juro.2012.02.033. Epub 2012 Aug 17.
6
Section on Urology response to new Guidelines for the diagnosis and management of UTI.泌尿外科分会对泌尿道感染诊断和管理新指南的回应。
Pediatrics. 2012 Apr;129(4):e1051-3. doi: 10.1542/peds.2011-3615. Epub 2012 Mar 12.
7
Response to the AAP Section on Urology concerns about the AAP Urinary Tract Infection Guideline.对美国儿科学会泌尿外科学分会关于美国儿科学会泌尿道感染指南相关问题的回应。
Pediatrics. 2012 Apr;129(4):e1054-6. doi: 10.1542/peds.2011-3860. Epub 2012 Mar 12.
8
Prediction of high-grade vesicoureteral reflux after pediatric urinary tract infection: external validation study of procalcitonin-based decision rule.预测小儿尿路感染后发生高级别膀胱输尿管反流:降钙素原决策规则的外部验证研究。
PLoS One. 2011;6(12):e29556. doi: 10.1371/journal.pone.0029556. Epub 2011 Dec 28.
9
Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months.尿路感染:发热婴儿和儿童(2 至 24 个月)初始尿路感染的诊断和管理临床实践指南。
Pediatrics. 2011 Sep;128(3):595-610. doi: 10.1542/peds.2011-1330. Epub 2011 Aug 28.
10
Experience with the NICE guidelines for imaging studies in children with first pyelonephritis.
Eur J Pediatr Surg. 2011 Oct;21(5):283-6. doi: 10.1055/s-0031-1277212. Epub 2011 Jun 15.