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相關文獻
- Urinary Tract Infection in Infants Less Than 2 Months of Age
- Incidence and Relationship of Vesicoureteral Reflux and Acute Pyelonephritis in Children with First Urinary Tract Infection
- 探討小兒泌尿道感染與膀胱輸尿管逆流比率
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- 新生兒泌尿道感染
頁籤選單縮合
| 題 名 | Urinary Tract Infection in Infants Less Than 2 Months of Age=二個月以下嬰兒的泌尿道感染 |
|---|---|
| 作 者 | 王束方; 黃富源; 邱南昌; 蔡淳娟; 何文佑; 高信安; 許瓊心; 洪漢陽; | 書刊名 | 中華民國小兒科醫學會雜誌 |
| 卷 期 | 35:4 民83.07-08 |
| 頁 次 | 頁294-300 |
| 分類號 | 417.57 |
| 關鍵詞 | 泌尿道感染; 膀胱輸尿管逆流; 先天性泌尿道異常; Urinary tract infection; Vesicoureteral reflux; Urinary tract abnormality; |
| 語 文 | 英文(English) |
| 中文摘要 | 自1984年7月至1991年6月,七年當中共有95位年齡小於二個月嬰兒因泌尿道感染至本院新生兒病房住院。其中男嬰有87例(91.6%)。臨床主訴以發燒、腹脹、食慾減低等爲主。尿液細菌培養結果以E coli最常見,其次是Klebsiella pneumoniae及Enterococcus。抗生素以Gentamicin效果最好。有11例的血液培養呈陽性,其致病菌大多與尿液培養所得結果一樣。先天性泌尿道異常中以膀胱輸尿管逆流最常見,占25例,其它如輸尿管複置,輸尿管腎孟陰塞,膀胱憩室,尿道後方瓣膜等各有一例。有67例於出院後一年內仍於門診繼續追蹤,發生第二次泌尿道感染者有7例。這些病嬰均有膀胱輸尿逆流,且平均發病的時間是在第一次感染後的兩個月內,故對於幼小嬰兒泌尿道感染特別是有泌尿道缺陷者,持續的門診追蹤是必要的。 |
| 英文摘要 | Ninty-five infants, less than 2 months of age, diagnosed as urinary tract infections, from July 1984 to June 1991, were reviewed. Their urinary cultures, obtained either by suprapubic puncture or via catheterization, all had bacterial colony counts of over 10^5/ml. In this survey, males predominated (91.6%). Fever and gastrointestinal problems were the two most prevalent signs. E. coli was the most common causative organism, and gentamicin was the most effective antibiotic. Vesicoureteral reflux (VUR), the most common anomaly, was found in one-third (25/76) of patients on voiding cystourethrography, with 20% being high grade (Gr. IV or Gr. V). Eleven cases (11%) had bacteremia, and one case had bacterial meningitis. Sixty- seven cases were followed up in our hospital and seven of them had second infections within a year of their first UTI. The mean period between episodes was less than two months. All these patients had urinary tract anomalies and received oral chemoprophylactic drugs for variable lengths of time. Five of the seven recurrences were caused by resistant bacilli. Continuous oral antibiotic prophylaxis and regular follow-up examinations were the rules of prevention for further infection and future renal impairment. These preventive methods are especially important in young infants with UTI. |
本系統中英文摘要資訊取自各篇刊載內容。