在法国诊断出儿科泌尿器官节症
Lucas Percheron1,2, Claire Leblanc3, Tim Ulinski4
1Service de néphrologie, médecine interne pédiatrique, Hôpital des enfants, CHU de Toulouse, Avenue de grande Bretagne, 31000, Toulouse, France. percheron.l@chu-toulouse.fr.
Pediatric nephrology (Berlin, Germany)
|January 11, 2024
概括
儿童的尿路杆菌病,通常是在国外获得的,经常涉及脏和尿路并发症. 普拉西昆治疗非常有效和耐受,强调需要提高临床医生的意识和系统查.
科学领域:
- 儿科脏病学 儿科脏病学
- 传染性疾病 传染性疾病
- 寄生虫学的寄生虫学
背景情况:
- 全球约有2.3亿人患有istosomiasis,法国的进口病例数量不断增加,造成疫情爆发的风险.
- 非流行地区的临床医生对诊断和管理儿科杆菌病缺乏熟悉.
- 科西嘉岛上以前爆发的疫情强调了需要更好地理解和做好准备.
研究的目的:
- 描述儿科泌尿istosomiasis的临床和准临床特征.
- 分析受影响儿童的疾病演变和治疗结果.
- 旨在为临床实践提供信息,并改善非流行性环境中的患者管理.
主要方法:
- 在2013-2019年期间,对122名被诊断患有尿道杆菌病的儿童进行了回顾性研究.
- 通过法国儿科脏病学学会和儿科传染病学小组从法国10个儿科中心收集的数据.
- 纳入标准:儿科患者有确诊的尿;数据包括人口统计,并发病,临床,生物和放射性发现.
主要成果:
- 患者的中位年龄为14岁,男性与女性的比例为4:1.
- 出血症 (82%) 和尿路异常 (36%) 是常见的发现.
- 11%的患者有复杂的形式,包括10例慢性病; 98%的患者通过praziquantel获得了临床解决.
结论:
- 儿科型多症经常涉及脏,尿道和生殖器系统.
- 建议对从流行地区返回的儿童进行系统查.
- 有效且耐受良好的实验量子治疗强调了医疗知识的提升对于早期诊断和管理的重要性.
相关概念视频
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
01:26Nursing Assessment of the Genitourinary System II: Inspection and Palpation
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
01:12Giardiasis
Giardiasis is a globally prevalent intestinal infection caused by the protozoan parasite Giardia duodenalis (also known as G. lamblia or G. intestinalis). This flagellated protozoan is the most frequently identified intestinal parasite in the United States and worldwide. Transmission primarily occurs via the fecal-oral route, with infection arising from ingestion of water or food contaminated with cysts. Individuals in low-resource settings, international travelers, outdoor enthusiasts, daycare...