Spencer J R, Schaeffer A J
Urol Clin North Am. 1986 Nov;13(4):661-72.
Urinary tract infection is a frequent diagnosis in infants and children who are referred to a urologist. Infections in children are often benign, yet the potential for significant renal damage in this age group makes adequate urinary tract evaluation mandatory. Urinary obstruction, vesicoureteral reflux, periurethral bacterial colonization, and voiding dysfunction are important in the pathogenesis of pediatric infections. Adequate therapy requires detection and control of these conditions in order to prevent pyelonephritic renal scarring and its sequelae.
尿路感染是转诊至泌尿科医生处的婴幼儿和儿童的常见诊断疾病。儿童期感染通常为良性,但该年龄组存在显著肾损害的可能性使得进行充分的尿路评估成为必需。尿路梗阻、膀胱输尿管反流、尿道周围细菌定植和排尿功能障碍在小儿感染的发病机制中具有重要意义。充分的治疗需要检测并控制这些情况,以预防肾盂肾炎性肾瘢痕及其后遗症。