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非常早产新生儿的尿路感染:定义困境
Assil Abda1, Luc Panetta2,3, Julie Blackburn2,4,5
1Department of Pediatrics, Division of Neonatology, CHU Sainte-Justine, University of Montreal, Montreal, QC, Canada. assil.abda.med@ssss.gouv.qc.ca.
概括
在非常早产新生儿 (VPTNs) 中,尿路感染 (UTI) 根据诊断标准呈现不同. 在VPTNs中诊断尿路感染的临床实践往往偏离了既定的儿科指南.
科学领域:
- 新生儿医学 新生儿医学
- 儿童传染病 儿童传染病
- 临床微生物学 临床微生物学
背景情况:
- 在非常早产新生儿 (VPTNs) 中尿路感染 (UTI) 的数据有限.
- 了解这种脆弱人群中的尿路感染特征至关重要.
研究的目的:
- 在VPTNs中描述UTI.
- 为了比较新生儿临床医师的诊断实践与儿科指南.
主要方法:
- 对怀疑尿路感染的VPTNs (<29周妊娠年龄) 的回顾性研究.
- 从2014年1月到2019年12月收集的数据.
- VPTNs分为"可能的UTI"和"确定的UTI"组.
主要成果:
- 87%的发作被归类为"可能的尿路感染".
- 尿路感染症状和确定的病原体因定义类别而异.
- 阳性尿分析发生在25%;62%的"可能的尿路感染"发作显示了多微生物生长或<50,000 CFU/mL.
结论:
- 在VPTNs中的UTI特征是定义依赖的.
- 新生儿科医生使用的临床诊断标准与既定的儿科指南有所不同.
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