在一大群儿科患者中预测症状性尿路感染的预测因素,这些儿童患者接受了排泄性囊尿回路图
Catherine Nguyen1, Nora H Broadwell1, Alisha Paz2
1Texas Children's Hospital, Division of Pediatric Urology, Houston, TX; Baylor College of Medicine, Department of Urology, Houston, TX.
Urology
|November 9, 2025
概括
在排泄囊尿表图 (VCUG) 期间的常规尿液培养显示出25%的阳性率,但症状感染仅发生在4.6%的人中. 这表明,基于风险因素的选择性尿培养可以防止对无症状细菌尿症的不必要的抗生素使用.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 传染性疾病 传染性疾病
- 诊断成像 诊断成像 诊断成像
背景情况:
- 排空囊电图 (VCUG) 对于诊断尿路异常至关重要.
- 在VCUG期间的常规尿液培养是常见的,但可能导致无症状细菌尿症的过度治疗.
研究的目的:
- 为了确定VCUG导管时的阳性尿液培养的发生率.
- 识别VCUG后出现症状性尿路感染 (UTI) 的风险因素.
主要方法:
- 从2017年到2022年,对1705项用尿液培养进行的门诊VCUG研究进行了回顾性审查.
- 收集的数据包括人口统计,并发症,尿液分析,尿液培养结果和14天并发症 (LUTS,住院,发烧).
主要成果:
- 25%的患者有阳性尿培养;4.6%患有症状性尿路感染.
- 与症状性尿路感染相关的因素包括年龄,复发性尿路感染和之前的尿道手术.
- 41.7%的阳性培养患者接受了抗生素.
结论:
- 症状性VCUG后感染的比率很低,尽管尿液培养的阳性率很高.
- 在患有已确定的风险因素的患者中,选择性尿液培养可以优化管理并减少抗生素暴露.
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