在没有扩展性尿道逆流症的儿童中,在空虚囊造影后尿道感染的风险较低
Emelie Widhe1, Mette Hambraeus1,2, Erik Hedström3,4
1Department of Paediatric Surgery, Skåne University Hospital, Lund, Sweden.
Acta paediatrica (Oslo, Norway : 1992)
|December 29, 2025
概括
排尿管感染 (UTI) 后,清空囊尿路图 (VCUG) 是不常见的儿童. 然而,患有扩张性膀外流 (VUR) 的儿童面临更高的风险,这表明需要针对性的干预措施.
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
- 放射学 放射学是一门学科.
背景情况:
- 尿路感染 (UTI) 是儿童排泄囊尿管成像 (VCUG) 后的常见并发症,报告的发病率高度变化.
- 识别VCUG后尿路感染的危险因素对于预防并发症至关重要.
研究的目的:
- 评估儿科患者在VCUG后发生的尿路感染的发病率和风险因素.
主要方法:
- 一项多中心回顾性队列研究包括1001名15岁以下的儿童,他们在2017年至2022年期间接受了VCUG.
- 在VCUG的14天内记录了尿路感染 (下部尿路感染/囊炎和发烧性尿路感染/肌炎),通过临床评估和阳性尿液培养得到证实.
主要成果:
- 在VCUG后的尿路感染的总发病率为3.4% (34名儿童),其中60%发生在7天内,88%为发烧性.
- 患有扩张性膀外流 (VUR) 的儿童显示,VCUG后尿路感染的风险显著增加 (调整后的几率比率为5.4).
- 病理发现,包括VUR (83%),在47%的儿童中存在.
结论:
- 在儿童中,VCUG后尿道感染的发生率很低.
- 扩展VUR是VCUG后尿路感染的重要风险因素,针对该群体的针对性干预可以减少进一步的感染并预防慢性损伤.
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