在当代儿科人口中,在囊囊造影后与尿路感染相关的因素
Peter Y Cai1, Tanya Logvinenko1, Caitlynn Feng1
1Department of Urology, Boston Children's Hospital, Boston, MA, USA.
Journal of pediatric urology
|June 1, 2025
概括
尿路感染 (UTI) 可能发生在儿童的囊囊造影后. 受割礼的男性的风险较低,而患有结石的男性的风险更高. 预防性抗生素没有降低尿路感染率.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 医疗成像医学成像
- 传染性疾病 传染性疾病
背景情况:
- 囊泡造影是儿科生殖泌尿评估中常见的诊断成像程序.
- 囊囊造影的已知并发症是尿路感染 (UTI).
研究的目的:
- 在当代儿科患者群体中确定囊造影后尿路感染 (PCUTI) 的发生率.
- 确定与PCUTI发展相关的因素.
主要方法:
- 对913名接受囊泡镜检查的儿科患者进行了回顾性审查.
- 通过严格的 (发烧/症状 + 皮尤里亚 + 阳性培养) 或务实的 (临床怀疑) 标准定义的PCUTI在30天内.
- 多变量逻辑回归用于分析风险因素,包括抗生素预防.
主要成果:
- 严格标准:在7天内有1.0%的尿路感染,在30天内有2.2%. 实用性标准:在30天内3.6%的尿路感染.
- 与女性相比,受割礼的男性患PCUTI的几率较低 (OR 0.24).
- 超声波显示结石的存在显著增加了PCUTI的可能性 (OR 12.2).
- 抗生素预防与PCUTI发病率的降低无关.
结论:
- 割礼的男性和患有结石的儿童分别代表PCUTI的低风险和高风险群体.
- 预防性抗生素没有显著减少PCUTI发病率.
- 需要进一步的研究来确定有效的干预措施,以减少高风险儿科患者的PCUTI.
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