患有尿路感染的婴儿并发细菌性脑膜炎
Concomitant Bacterial Meningitis in Infants With Urinary Tract Infection.
作者信息
Thomson Joanna, Cruz Andrea T, Nigrovic Lise E, Freedman Stephen B, Garro Aris C, Ishimine Paul T, Kulik Dina M, Uspal Neil G, Grether-Jones Kendra L, Miller Aaron S, Schnadower David, Shah Samir S, Aronson Paul L, Balamuth Fran
机构信息
From the *Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio; †Sections of Pediatric Emergency Medicine and Pediatric Infectious Diseases, Baylor College of Medicine, Houston, Texas; ‡Division of Emergency Medicine, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts; §Sections of Pediatric Emergency Medicine and Gastroenterology, Alberta Children's Hospital, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; ¶Departments of Pediatrics and Emergency Medicine, Brown University and Rhode Island Hospital, Providence, Rhode Island; ‖Division of Emergency Medicine, Rady Children's Hospital, San Diego, California and Department of Emergency Medicine, University of California, San Diego; **Division of Pediatric Emergency Medicine, Hospital for Sick Children, Toronto, Ontario, Canada; ††Division of Emergency Medicine, Seattle Children's Hospital, Seattle, Washington; ‡‡Department of Emergency Medicine, University of California, Davis Medical Center, Sacramento, California; §§Division of Pediatric Infectious Diseases, Cardinal Glennon Children's Hospital, and ¶¶Division of Emergency Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri; and ‖‖Division of Infectious Disease, Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio.
出版信息
Pediatr Infect Dis J. 2017 Sep;36(9):908-910. doi: 10.1097/INF.0000000000001626.
To determine age-stratified prevalence of concomitant bacterial meningitis in infants ≤60 days with a urinary tract infection, we performed a 23-center, retrospective study of 1737 infants with urinary tract infection. Concomitant bacterial meningitis was rare, but more common in infants 0-28 days of age [0.9%; 95% confidence interval (CI): 0.4%-1.9%) compared with infants 29-60 days of age (0.2%; 95% CI: 0%-0.8%).
为了确定≤60日龄患尿路感染婴儿中合并细菌性脑膜炎的年龄分层患病率，我们开展了一项对1737例患尿路感染婴儿的23中心回顾性研究。合并细菌性脑膜炎很罕见，但在0 - 28日龄婴儿中比29 - 60日龄婴儿更常见[0.9%；95%置信区间（CI）：0.4% - 1.9%]，而29 - 60日龄婴儿中为0.2%；95%CI：0% - 0.8%]。
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