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排空囊回图和抗生素预防的临床结果
Bassam AlMatrafi1, Abdulhakim Al Otay2, Ahmed Alhelaly2
1Department of Pediatric Surgery, Maternity and Children Hospital, Makkah, SAU.
Cureus
|November 13, 2023
概括
抗生素预防不能完全预防尿路感染 (UTI) 在儿童接受空白囊尿管图 (VCUG). 需要进一步的研究,以优化与这种常见的儿科泌尿外科手术相关的预防尿路感染的策略.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 传染性疾病 传染性疾病
- 诊断成像 诊断成像 诊断成像
背景情况:
- 尿路感染 (UTI) 在儿童中很常见,可能导致脏痕.
- 排空囊电图 (VCUG) 是儿科泌尿病学中一个关键的诊断成像程序.
- 与VCUG相关的尿道感染仍然是一个问题,需要评估预防措施.
研究的目的:
- 评估抗生素预防在儿童排泄囊尿路图 (VCUG) 后预防尿路感染的临床结果.
- 在VCUG程序后识别与尿路感染相关的因素.
主要方法:
- 在2014年至2021年期间接受VCUG的147名儿科患者的回顾性研究.
- 审查医疗登记,放射学和实验室数据.
- 根据症状和VCUG的四周内积极的尿液培养,定义术后的尿路感染.
主要成果:
- 持续抗生素预防 (CAP) 给予38.8%的患者;23.8%的患者患有尿路感染.
- 在抗生素预防和尿路感染发展之间没有发现显著的关联.
- 观察到性别和膀外流 (VUR) 之间有显著的关联,但VUR和尿路感染之间没有.
结论:
- 38.8%的抗生素预防率没有消除接受VCUG的儿童的尿路感染.
- 需要进行进一步的研究,以确定VCUG后尿路感染的额外风险因素.
- 预防策略的优化是必要的,以提高儿童患者的VCUG程序的安全性.
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