Clinical and laboratory aspects of urinary tract infections in hospitalized children
作者： Shams Vazirian , Liela Karimi , Akram Soliemani , Tahereh Yavari , Sayed Abolhasan sayedzadeh
关键词: Positive culture 、 Urinalysis 、 Urinary system 、 Pyuria 、 Proteus 、 Common disease 、 Urine 、 Klebsiella 、 Medicine 、 Pediatrics
摘要: Background: urinary tract infection (UTI) is the most common disease of system and second in children. Approximately, 5% girls 1% boys have experienced a UTI by 11 years age. The aim this study was to determine clinical laboratory aspects hospitalized children Razi Hospital Kermanshah, Iran during 2001-2005. Methods: This descriptive one considered evaluate profiles 462 patients with UTI. defined as WBC>5 per high power microscopic field positive culture or passive U/A , symptoms urine culture. Finding data were analyzed using SPSS (13) software. Results: Among patients, 306 cases (66%) female 156 (34%) male (f/m=1.94). 69.4% under 2 year 13.8% them were older than 5 years. sonographic findings normal 216/392 (55%) patients. organisms isolated Ecoli 240 (53%), Proteus 34(7%) klebsiella 29 (6%) subjects. manifestation fever (48%). In addition, 81 there an other associated that gastroenteritis infection. Discussion: Based on prevalence UTI, we recommend urinalysis as primary tests evaluation febrile (especially girls). Pyuria sensitivity can confirm Presence infections cannot exclude diagnosis
jkums.com 参考文章(12)
Brenda Gillespie, Hannah D'Arcy, Betsy Foxman, Jack D Sobel, Robin Barlow, Urinary Tract Infection Annals of Epidemiology. ,vol. 10, pp. 509- 515 ,(2000) , 10.1016/S1047-2797(00)00072-7
Penny Whiting, Marie Westwood, Ian Watt, Julie Cooper, Jos Kleijnen, Rapid tests and urine sampling techniques for the diagnosis of urinary tract infection (UTI) in children under five years: a systematic review BMC Pediatrics. ,vol. 5, pp. 4- 4 ,(2005) , 10.1186/1471-2431-5-4
W McKerrow, N Davidson-Lamb, P F Jones, Urinary tract infection in children BMJ. ,vol. 289, pp. 299- 303 ,(1984) , 10.1136/BMJ.289.6440.299
Mohammed Akram, Mohammed Shahid, Asad U Khan, None, Etiology and antibiotic resistance patterns of community-acquired urinary tract infections in J N M C Hospital Aligarh, India Annals of Clinical Microbiology and Antimicrobials. ,vol. 6, pp. 4- 4 ,(2007) , 10.1186/1476-0711-6-4
Gerald C Mingin, Angie Hinds, Hiep T Nguyen, Laurence S Baskin, Children with a febrile urinary tract infection and a negative radiologic workup: factors predictive of recurrence Urology. ,vol. 63, pp. 562- 565 ,(2004) , 10.1016/J.UROLOGY.2003.10.055
FELICE C. ADLER-SHOHET, MICHELE M. CHEUNG, MARYANN HILL, JAY M. LIEBERMAN, Aseptic meningitis in infants younger than six months of age hospitalized with urinary tract infections. Pediatric Infectious Disease Journal. ,vol. 22, pp. 1039- 1042 ,(2003) , 10.1097/01.INF.0000100576.99266.07
Nikoleta Printza, Fotios Papachristou, Kaliopi Piretzi, Chrissa Goga, Georgios Arsos, NEITHER CLINICAL NOR BIOLOGICAL DATA CAN PREDICT RENAL INVOLVEMENT IN INFANTS WITH FEBRILE URINARY TRACT INFECTION Pediatrics. ,vol. 121, pp. 143- 143 ,(2008) , 10.1542/PEDS.2007-2022RRRRR
SVERKER HANSSON, MANJIT DHAMEY, OLOF SIGSTRÖM, RUNE SIXT, EIRA STOKLAND, MARTIN WENNERSTRÖM, ULF JODAL, DIMERCAPTO-SUCCINIC ACID SCINTIGRAPHY INSTEAD OF VOIDING CYSTOURETHROGRAPHY FOR INFANTS WITH URINARY TRACT INFECTION The Journal of Urology. ,vol. 172, pp. 1071- 1074 ,(2004) , 10.1097/01.JU.0000135337.71154.60
G Zamir, W Sakran, Y Horowitz, A Koren, D Miron, Urinary tract infection: is there a need for routine renal ultrasonography? Archives of Disease in Childhood. ,vol. 89, pp. 466- 468 ,(2004) , 10.1136/ADC.2002.019182
Mirjam Harmsen, Michel Wensing, Jozé CC Braspenning, René J Wolters, Johannes C van der Wouden, Richard PTM Grol, Management of children's urinary tract infections in Dutch family practice: a cohort study. BMC Family Practice. ,vol. 8, pp. 9- 9 ,(2007) , 10.1186/1471-2296-8-9