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子どもにおける尿路感染症
1Renal Unit, Great Ormond Street Hospital for Children, London, UK.
Lancet (London, England)
|May 25, 2020
まとめ
尿路感染症 (UTI) は,小児における一般的な細菌感染症です. 上部,下部,無症状の尿路感染症の区別は,小児患者の適切な治療と調査戦略を導く.
科学分野:
- 小児科
- 感染症
- 泌尿器科
背景:
- 尿路感染症 (UTI) は,小児期に頻繁に発生する細菌感染症です.
- 尿路感染症の発生率は 男の子と女児の第1年に似ており,その後は女児のほうが高い.
- 尿路感染を熱性上部尿路感染 (急性ピエロネフリス),下部尿路感染 (膀炎) と無症状の細菌尿に分類すると,理解が容易になります.
研究 の 目的:
- 子供の異なるUTIカテゴリーの独特の病理生理学を概説する.
- 尿路感染症の分類に基づいて適切な診断と治療戦略を導き出すこと.
- 発熱性,再発性,無症状の尿道感染症の調査方法の区別
主な方法:
- 小児性尿路感染症に関する既存の文献のレビュー
- 臨床的表象と位置に基づく尿道感染症の分類
- 各タイプの尿路感染症の病原体と要因の分析
主要な成果:
- 発熱性尿路感染症は,しばしば毒性の高い大腸菌によって引き起こされ,再発性/無症状の尿路感染症は,不発症または膀の問題に関連しています.
- 上部尿路炎は10日,下部尿路炎は3日,無症状のバクテリアウリアはなし.
- 発熱性尿路感染症の調査は尿路の異常に焦点を当て,膀炎/無症状バクテリアウリアの調査は膀機能に焦点を当てている.
結論:
- 小児性尿路感染症の分類は,感染メカニズムを理解するために重要です.
- 治療期間と抗生物質のスペクトルは,尿路感染症の種類に応じて調整することが推奨されます.
- 発熱性/再発性尿路感染症と 膀炎/無症状のバクテリウリアの診断は異なる.
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