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頁籤選單縮合
題 名 | Urinary Tract Infection in Children=兒童泌尿道感染 |
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作 者 | 呂坤家; 陳伯彥; 胡文龍; 高清添; 蘇玄白; 余秀紋; | 書刊名 | 澄清醫護管理雜誌 |
卷 期 | 2:2 民95.04 |
頁 次 | 頁10-16 |
分類號 | 417.575 |
關鍵詞 | 泌尿道感染; 菌血症; 急性腎盂腎炎; 兒童; Urinary tract infection; Bacteremia; Acute pyelonephritis; Children; |
語 文 | 英文(English) |
中文摘要 | 從西元1996年11月至2001年12月,在長達5年期間共收集338位年齡小於15歲兒罹息首次泌尿道感染(UTI)的病童,進行病歷的回溯性研究。包括:臨床表現,實驗檢查數據,腎臟超音波和腎臟桔子醫學掃描等等。發燒為最常見之臨床表現(84.9%)。尿液分析中顯示釀尿,亞硝鹽,蛋白尿,血尿之陽性反應分別 為73.49毛,33.6% ' 30.69毛,和24.89毛。從尿液分離出之菌種分析及對藥物之敏感 試驗結果顯示Escherichiacoli (E. Coli.)為兒童UTI最常見之致病菌(72.5%) ,依次 為Proteusmirabilis (8.3%) ,Enterococcus (5.6%) ,和Klebsiellapneumoniae (4.7%)。第一線抗生素中以第一代Cephalosporin'如Cefazolin'對E.Coli之敏感性最高(86.5%) ,依次為Gentamicin(78.0%),Trimethoprim/Sulfamethoxazole (48.6%) Ampicillin (24.1 %)。 UTI的病童合併有菌血症之比例為5.3%。好發之因素包括:年齡小於一歲 (86.7%) ,急性腎孟腎炎(APN' 77.8%) ,和膀脆輸尿管逆流(VUR' 50%) 163位 病童曾接受VCUG之核查,其中37位病童(22.7%)罹皂VUR0 142位病童曾經接受 DMSA renal scan之檢查,其中70位病童(49.3%)罹皂APN 0根據本研究分析發現: UTI ' VUR ' APN '和菌血症有兩個共通點。1).且Coli.為最常見之菌種(分別佔72.5% ; 81.1 % ; 90.0% ;和93.3%); 2).小於一歲之嬰幼兒為最好發之年齡層(分 別佔67.2%; 83.3% ; 82.9% ;和86.7%)。同時也發現:70位APN和72位非APN病童中存在著具有統計學上意義之區別參數(P<0.05),包括:WBC數目20,000/mm3 CRP值全5 mg/dl '最高體溫三39.50 C '經適當抗生素治療後平均退燒天數這4天,蛋白尿,致病菌種為E.Coli 和腎臟超音渡顯示有APN。 |
英文摘要 | A total of 338 children younger than 15 years old (222 boys and 116 girls)with a first episode of symplomatic urinary tract infection (UTI) from November 1996 to December 2001 were reviewed.The clinical presentations.laboratory data,and image studies were reviewed and analyzed.Two hundred-twenty seven(67.2%)of 338 patients were younger than 1 year of age.The mate to female ratio was 3.4:1 within the first 3month of life.and was almost equal between 2 to 5 years old.Fever was the most common symptom of UTI(84.9).patients testing urinalysis positive for pyuria,nitrite proteinuria.and hematuria account for 73.4% 33.6%,30.6% and 24.8%.Escherichia coll (E.coli)was the most common etiology(72.5%) of UTI,followed by proteus mirabilis(8.3%)Enterococcus(5.6%)and Klebsiella pneumoniae(4.7%).E.coli was more sensitive to cefazolin(86.5%)than to gentamicin(78%).trimethoprim/sulfamethoxazole(48.6%)and ampicillin(24.1%). Fifteen patients developed concomitant bacteremia (5.3%). Riskfactors for bacteremia in children with UTl included infants younger than one year old (86.7%), acute pyelonephritis (APN; 7 of 9 cases; 77.8%), and vesicoureteral reflux (VUR; 3 of 5 cases; 50%). Voiding cystourethogram (VCUG) was performed in 163 patients, and VUR was detected in 37 cases (22.7%). 99 mTc dimercaptosuccinic acid (DMSA) renal scan was performed in 142 cases, and APN was found in 70 children (49.3%). The similar characteristics among UTl, VUR, APN, and bacteremia in this study were: 1) E. coli was the most common causative organism (72.5%:81.1%:90%:93.3%.respectively):2 Infants younger than one year old were the most common vicims(67.2%:83.3%:82.9%:86.7%,respectivety).According to our analysis there were statistically significant differences(P<0.05)between APN patients (n=70)and non-APN patients (n=72)in following conditions :WBC count>20000/mm3,C-reactive protein value>=mg/dl.highest body temperature>=39.5.C,averaged day of defervescence after effective antibiotic therapy>=4 days proteinuria,a causative organism with E.coli and positive finding in renal ultrasonography |
本系統中英文摘要資訊取自各篇刊載內容。