在儿童尿路感染后异常超声检查结果
Mikael Hakkola1, Ida Tervo1, Oskari Pieviläinen1
1Research Unit of Clinical Medicine and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Acta paediatrica (Oslo, Norway : 1992)
|May 27, 2025
概括
在儿童尿路感染后,对尿路异常的超声波查不应仅限于两岁以下的儿童. 这种方法可能会错过高达30%的老年儿童的异常.
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) 在儿童中很常见.
- 超声波查通常用于检测尿路感染后的尿路异常 (UTA).
- 目前的指导方针通常建议仅对两岁以下的儿童进行查.
研究的目的:
- 为了确定UTAs的发生,通过超声波检测在UTI后的儿童,不论年龄.
- 评估基于年龄的查建议的有效性.
主要方法:
- 一项对2050名儿童 (0-16岁) 的队列研究,这些儿童在2004年至2015年期间经过尿路超声波检查后患有尿路感染.
- 排除具有先前存在的尿路病理的儿童.
- 与年龄,性别和尿路感染特征相关的超声波发现的分析.
主要成果:
- 总体而言,5.7%的儿童有异常的超声波.
- 在患有肺炎的儿童中,70%的异常超声波是在两岁以下的儿童中.
- 两岁以下的年龄与异常风险增加没有显著关联 (OR 0.99).
- 男孩,非大肠杆菌性尿路感染和复发性尿路感染与UTAs的风险更高有关.
结论:
- 限制在2岁以下的儿童进行炎症后的超声波查,可能会错过大量的UTA (30%).
- 目前基于年龄的查指南可能不足.
- 综合查需要考虑其他风险因素,如性别和尿道感染类型.
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