Wilson D, Killion D
Westside Neighborhood Clinic, Long Beach, Calif.
Nurse Pract. 1989 Jul;14(7):38, 41-2.
Urinary tract infections (UTIs) can be difficult to diagnose positively in the pediatric patient. The patient with such an infection, however, is at risk for subsequent morbidity such as recurrence, renal damage and hypertension. Accurate diagnosis in the very young child may require multiple urine specimens involving repeating bag specimens, catheterization, or suprapubic aspiration. Septic children and those with pyelonephritis must be hospitalized. Children younger than 6 years old need follow-up with radiographic studies to rule out reflux and congenital anomalies. The clinician plays a significant role in detecting possible UTIs, and providing patient education and support.
尿路感染（UTIs）在儿科患者中可能难以得到确切诊断。然而，患有此类感染的患者有发生后续发病情况的风险，如复发、肾损伤和高血压。对于幼儿，准确诊断可能需要采集多个尿液标本，包括重复使用尿袋标本、导尿或耻骨上膀胱穿刺抽吸。患有败血症的儿童和肾盂肾炎患儿必须住院治疗。6岁以下的儿童需要通过影像学检查进行随访，以排除反流和先天性异常。临床医生在检测可能的尿路感染、提供患者教育和支持方面发挥着重要作用。
