[无菌性白细胞尿——儿童诊断难题]
[Sterile leukocyturia - difficult diagnostic problem in children].
作者信息
Szmigielska Agnieszka, Krzemień Grażyna
机构信息
Katedra i Klinika Pediatrii i Nefrologii, Warszawski Uniwersytet Medyczny, Polska.
出版信息
Dev Period Med. 2017;21(2):139-143. doi: 10.34763/devperiodmed.20172102.139143.
Abstract
Sterile leukocyturia is an important and difficult clinical problem in children. In this paper, we described the most common nephrologic causes of sterile leukocyturia, including infectious, non-infectious and extrarenal etiology. We stressed an the importance of appropriate urine collection for urinalysis. There is a need for treatment of inflammation and also for diagnosis of potential anomalies of urethral orifice as causes of sterile leukocyturia in children.
摘要
无菌性白细胞尿是儿童重要且棘手的临床问题。在本文中，我们描述了无菌性白细胞尿最常见的肾脏病因，包括感染性、非感染性和肾外病因。我们强调了正确采集尿液进行尿液分析的重要性。对于儿童无菌性白细胞尿，既需要治疗炎症，也需要诊断尿道口潜在异常作为病因。
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本文引用的文献
1
A pilot study on Trichomonas vaginalis in women with recurrent urinary tract infections.关于复发性尿路感染妇女阴道毛滴虫的初步研究。
Biomed J. 2016 Aug;39(4):289-294. doi: 10.1016/j.bj.2015.11.005. Epub 2016 Sep 16.
2
The influence of vitamin C on the urine dipstick tests in the clinical specimens: a multicenter study.维生素C对临床标本尿液试纸检测的影响：一项多中心研究。
J Clin Lab Anal. 2017 Sep;31(5). doi: 10.1002/jcla.22080. Epub 2016 Oct 24.
3
Candida infections in paediatrics: Results from a prospective single-centre study in a tertiary care children's hospital.儿科念珠菌感染：一家三级护理儿童医院的前瞻性单中心研究结果
Mycoses. 2017 Feb;60(2):118-123. doi: 10.1111/myc.12570. Epub 2016 Sep 29.
4
Epidemiologic and microbiologic evaluation of nosocomial infections associated with Candida spp in children: A multicenter study from Istanbul, Turkey.儿童念珠菌属相关医院感染的流行病学和微生物学评估：来自土耳其伊斯坦布尔的一项多中心研究
Am J Infect Control. 2016 Oct 1;44(10):1139-1143. doi: 10.1016/j.ajic.2016.03.056. Epub 2016 Jun 20.
5
Tubulointerstitial nephritis: diagnosis, treatment, and monitoring.肾小管间质性肾炎：诊断、治疗与监测
Pediatr Nephrol. 2017 Apr;32(4):577-587. doi: 10.1007/s00467-016-3394-5. Epub 2016 May 7.
6
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Clin Infect Dis. 2015 Dec 15;61 Suppl 8:S856-64. doi: 10.1093/cid/civ786.
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