発熱性尿路感染症の90日未満の乳児における電解質不均衡
M Serrano Oarbeaskoa1, M Camarero Pagonabarraga1, I Iriarte Uribeecheverria1
1Pediatric Emergency Department, Hospital Universitario Cruces, Universidad del País Vasco, Bilbao, Spain.
Acta paediatrica (Oslo, Norway : 1992)
|August 29, 2025
まとめ
発熱性尿路感染症 (UTI) が発症した90日未満の乳児では,電解質の不均衡や腎臓の障害は,発熱状態が良好で発熱期間が短い場合,まれである.
科学分野:
- 小児科
- 腎臓科
- 感染症
背景:
- 発熱性尿路感染症 (UTI) は乳児ではよく見られる.
- 小児の熱性疾患では,電解質と腎機能の評価が不可欠です.
研究 の 目的:
- 発熱性尿路感染症の90日未満の乳児における電解質および腎機能異常の有病率を決定する.
主な方法:
- 発熱した乳児 (≤90日) の予期登録の二次分析
- UTI,侵入性細菌感染症 (IBI) と対照群の間の検査パラメータ (電解質,腎機能) の比較
主要な成果:
- 尿路感染症の乳児では,クレアチニン (0. 2%),尿素 (1. 1%),およびGFR (3. 2%) の異常はまれで,対照群に類似した.
- 尿路炎やIBIの乳児は,電解質や腎機能の異常率が著しく高かった.
- 急性腎臓損傷の症例は観察されなかった.
結論:
- 発熱性尿路感染症と短期間発熱した90日未満の健康な乳児では,電解質の不均衡と腎機能障害はまれである.
- 侵襲性細菌感染症の存在は,これらの異常のリスクを大幅に増加させます.
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