Hansson S, Martinell J, Stokland E, Jodal U
Department of Pediatrics, Sahlgrenska University Hospital, East Clinics, Göteborg, Sweden.
Infect Dis Clin North Am. 1997 Sep;11(3):499-512. doi: 10.1016/s0891-5520(05)70370-6.
Urinary tract infections are common during infancy and childhood but are easily overlooked because of the unspecific symptoms. Prevention of renal scarring and its potential long-term consequences is possible but requires an increased awareness of the diagnosis, the imaging revealing anomalies within the urinary tract, and the long-term supervision. This should include any possibility of the child having pyelonephritic recurrences, which should be treated without delay; however, asymptomatic bacteriuria in infants and children is an innocent condition and screening is not recommended.
尿路感染在婴儿期和儿童期很常见,但由于症状不具特异性,很容易被忽视。预防肾瘢痕形成及其潜在的长期后果是可行的,但需要提高对诊断、揭示尿路异常的影像学检查以及长期监测的认识。这应包括儿童肾盂肾炎复发的任何可能性,应立即进行治疗;然而,婴幼儿无症状菌尿是一种良性情况,不建议进行筛查。