探索儿童急性发烧性疾病:临床特征和诊断挑战
Giridhar Darishetty1, Vasudev Kompally1, Vura U V Nagajyothi1
1Department of Pediatrics, Kakatiya Medical College, Hanamkonda, IND.
Cureus
|May 16, 2024
概括
严重的细菌感染 (SBI) 影响了超过9%的患有发烧疾病的住院儿童. 尿路感染 (UTI) 是幼儿最常见的SBI,需要对有毒症状进行彻底评估.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 临床微生物学 临床微生物学
背景情况:
- 儿科发烧性疾病是住院的主要原因,带来了诊断挑战.
- 这些感染与儿童的严重发病率和死亡率有关.
- 有效的诊断策略对于及时管理至关重要.
研究的目的:
- 研究儿童急性发烧性疾病的临床特征.
- 评估用于识别感染的诊断方法的有效性.
- 确定严重细菌感染 (SBI) 的流行率及其来源.
主要方法:
- 在印度瓦兰加尔的Mahatma Gandhi纪念医院进行的前性研究 (2020年1月至2022年10月).
- 纳入标准:1个月至12岁的儿童患有急性发烧性疾病.
- 数据收集的重点是临床表现,诊断测试和识别的病原体.
主要成果:
- 在195名符合条件的儿童中,18名 (9.23%) 患有SBI.
- 尿路感染 (UTI) 是 1-36 个月的儿童中最常见的SBI.
- 细菌病发生在2.5%的病例中,其中更高的患病率是格拉姆阴性细菌.
结论:
- 在小儿发烧性疾病中,SBI,特别是幼儿的尿路感染,具有重要意义.
- 1-36个月龄的有毒症状的儿童需要进行全面的SBI评估.
- 诊断方法应考虑更高的发生率的格拉姆阴性细菌血症.
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