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儿童尿道感染
1Renal Unit, Great Ormond Street Hospital for Children, London, UK.
Lancet (London, England)
|May 25, 2020
概括
尿路感染 (UTI) 是儿童常见的细菌感染. 区分上部,下部和无症状的尿路感染为儿童患者提供了适当的治疗和调查策略.
科学领域:
- 儿童医学
- 传染性疾病
- 尿道病学
背景情况:
- 尿路感染是儿童常见的细菌感染.
- 在第一年,男孩和女孩的尿路感染发病率相似,然后在女孩中更高.
- 将尿路感染分为发烧性上部尿路感染 (急性炎症),下部尿路感染 (囊炎) 和无症状细菌尿症有助于理解.
研究的目的:
- 概述儿童不同类型的尿路感染的独特病理生理学.
- 根据尿路感染分类指导适当的诊断和治疗策略.
- 区分发烧性,复发性和无症状性尿道感染的调查方法.
主要方法:
- 对儿科尿道感染的现有文献的审查.
- 根据临床表现和位置对尿道感染进行分类.
- 对每个尿路感染类型的致病因子和促成因素的分析.
主要成果:
- 发烧性尿路感染通常是由毒性大肠杆菌引起的;与形或膀问题相关的复发性/无症状尿路感染.
- 治疗持续时间不同:上部尿路感染10天,下部尿路感染3天,无症状的细菌性尿症没有.
- 发烧性尿路感染的研究重点是尿路异常;囊炎/无症状细菌尿症的研究重点是膀功能.
结论:
- 分类儿童尿路感染对于了解感染机制至关重要.
- 根据尿路感染的类型,建议量身定制治疗时间和抗生素谱.
- 发烧性/复发性尿道感染与囊炎/无症状细菌尿症的诊断重点应该不同.
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