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ACR适宜性标准® 尿路感染-儿童:2023年更新
, Tushar Chandra1, Manish Bajaj2
1Nemours Children's Hospital, Orlando, Florida.
Journal of the American College of Radiology : JACR
|June 1, 2024
概括
儿童的尿路感染 (UTI) 可以导致严重的损伤. 这些准则有助于确定何时需要成像来预防高血压和功能衰竭等长期并发症.
科学领域:
- 儿科脏病学 儿科脏病学
- 诊断成像 诊断成像 诊断成像
- 传染性疾病 传染性疾病
背景情况:
- 尿路感染 (UTI) 是一个常见的儿童疾病.
- 皮叶龙炎是一种严重的影响脏的尿路感染,可以导致脏痕,高血压和慢性功能衰竭.
- 图像检查在识别患有复发性尿路感染和脏痕风险的儿童方面发挥着至关重要的作用.
研究的目的:
- 为患有发烧性尿路感染的儿童提供基于证据的成像指南.
- 为了指导高风险儿科患者的治疗决策.
- 概述了关于膀外反流的后续成像方案.
主要方法:
- 对同行评审的医学文献进行系统分析.
- 应用已建立的证据评估原则 (例如,GRADE).
- 使用RAND/UCLA适当性方法进行程序评估.
主要成果:
- 为首次发烧性尿路感染,非典型/复发性发烧性尿路感染和随访成像提供了初始成像指南.
- 建议旨在确定需要干预以预防脏痕的患者.
- 当文献有限时,专家意见作为证据来源.
结论:
- 适当的成像策略对于治疗儿科尿路感染至关重要.
- 这些指南有助于临床医生优化诊断方法.
- 风险儿童的早期鉴定和管理可以减轻长期脏损伤.
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