尿路感染的风险因素在婴儿有不明原因的高胆红素血症:一个单一中心病例控制研究研究
Ing Chen1, Li-Sang Hsu1, Cai-Sin Yao2,3
1Division of Pediatric Neonatology, Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Frontiers in pediatrics
|February 9, 2024
概括
尿路感染 (UTI) 在患有黄的婴儿中很常见. 建议对尿路感染进行查,特别是在男性或胆红素水平高的人群中,以指导治疗.
科学领域:
- 新生儿科学 新生儿科学
- 儿童传染病 儿童传染病
- 临床诊断 临床诊断 临床诊断
背景情况:
- 尿路感染 (UTI) 是新生儿黄的一个已知的原因.
- 目前用于查患有超白血症的婴儿的尿路感染的做法缺乏共识.
- 这项研究调查了患有黄的婴儿中尿路感染的患病率和危险因素.
研究的目的:
- 为了确定患有黄的婴儿中尿路感染的患病率.
- 在这个人群中识别与尿路感染相关的风险因素.
- 评估尿路感染对新生儿黄严重程度和持续时间的影响.
主要方法:
- 一项对150名患有黄的婴儿 (<8周) 的回顾性病例对照研究,病因不明.
- 所有婴儿都接受光疗,并通过导管检查进行尿路感染查.
- 根据尿液培养结果 (≥10,000 CFU/mL),婴儿被分为尿路感染和非尿路感染.
主要成果:
- 在患有黄的婴儿中,尿路感染的发病率为29%.
- 男性性别和峰值总 bilirubin > 18 mg/dL 是尿路感染的重要风险因素.
- 尿路感染与更长的住院时间有关;常见的病原体是大肠杆菌和E. faecalis.
结论:
- 尿路感染查对于不明原因的黄婴儿至关重要.
- 考虑在已确定风险因素或对光疗反应不佳的婴儿进行尿路感染查.
- 早期发现和治疗尿路感染可以影响黄的治疗.
相关概念视频
Disorders of the Urinary System
301
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
301
Physiology of Urine Formation
4.0K
Urine formation is an essential function of the human body. It plays a critical role in maintaining homeostasis by regulating the volume and composition of body fluids. The kidneys, the primary organs involved in this process, filter blood to remove waste products and excess substances, ultimately producing urine.
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
4.0K
Inborn Errors of Metabolism
158
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
158
Factors Affecting the Risk of Infection
11.8K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.8K
Development of Immunocompetence
307
The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
307
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.2K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.2K


