临床荟萃 ›› 2021, Vol. 36 ›› Issue (2): 153-156.doi: 10.3969/j.issn.1004-583X.2021.02.012

• 论著 • 上一篇    下一篇

儿童尿路感染的临床分析与治疗

俞小霞(), 王巧红   

  1. 福建省立金山医院 儿科,福建 福州 350008
  • 收稿日期:2020-10-28 出版日期:2021-02-20 发布日期:2021-02-05
  • 通讯作者: 俞小霞 E-mail:ivymymy305@126.com

Clinical analysis and therapy on urinary tract infection in children

Yu Xiaoxia(), Wang Qiaohong   

  1. Department of Pediatrics, Fujian Provincial Hospital of Jinshan, Fuzhou 350008, China
  • Received:2020-10-28 Online:2021-02-20 Published:2021-02-05
  • Contact: Yu Xiaoxia E-mail:ivymymy305@126.com

摘要:

目的 分析我院147例泌尿系感染住院患儿的临床及治疗情况,并结合国内外新的研究进展,为临床诊治提供参考依据。方法 应用描述性方法对我院2016年5月至2020年5月住院的147例泌尿系感染病例进行回顾性分析。结果 147例患儿中,男性88例(59.86%)。婴儿期人数最多,共63例(42.86%)。尿培养中以屎肠球菌及大肠埃希菌多见。治疗上有136例(92.52%)选用头孢菌素类抗生素,其中三代头孢有132例(89.80%);45例行排泄性膀胱输尿管造影的患儿中有22例(48.89%)存在膀胱输尿管返流。结论 泌尿系感染是儿童的常见病,由于它与泌尿系畸形特别是膀胱输尿管返流密切相关,易导致感染反复,因此早期诊治并寻找其潜在的畸形,可预防复发,改善预后。

关键词: 肾盂肾炎, 膀胱炎, 畸形, 抗菌药, 儿童

Abstract:

Objective To analyze clinical characteristics of 147 children with urinary tract infection in the hospital and to provide reference basis for clinical diagnosis and treatment by combining the progress of new researches at home and abroad. Methods The descriptive clinical epidemiological method was applied to conduct retrospective analysis on 147 hospitalized cases with urinary tract infection in the hospital from May 2016 to May 2020. Results The 88 out of 147 cases were male patients, accounting for 59.86%; the number of patients in the infancy stage ranked top, hitting 63 cases(42.86%). Enterococcus faecalis and Escherichia coli were common in urine cultures; Cephalosporin antibiotics was used to treat 136 cases(92.52%), in which 132 cases(89.80%) were treated with third-generation cephalosporin; 22 cases of 45 children(48.89%) undergoing excretory cystoureterography suffered from vesicoureteral reflux. Conclusion Urinary tract infection is a common disease in children, and it is easy to cause recurrent infection due to its close relation with urinary tract malformations especially vesicoureteral reflux. Early diagnosis and treatment and search for its potential malformation can prevent recurrence and improve prognosis of urinary tract infection.

Key words: pyelonephritis, cystitis, abnormalities, antibacterial agents, child

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