摘要
目的:回顾性分析小儿泌尿系感染的临床资料,以期对防治工作进行指导。方法:对104例泌尿系感染患儿的临床资料进行回顾性分析。结果:小儿泌尿系感染以婴幼儿及女童为主,临床表现多不典型,可能合并泌尿系解剖异常,尿培养是诊断本病的重要依据。尿培养前未用过抗生素的患儿,其尿培养阳性率明显高于已用抗生素者。尿培养出的细菌主要为大肠埃希菌,该菌的敏感药物主要为头孢西丁、亚胺培南、丁胺卡那霉素、阿莫西林加棒酸、环丙氟哌酸、哌拉西林加他唑巴坦、头孢他啶等。结论:小儿泌尿系感染症状往往不具特异性,儿科门诊医生要注意对不明原因的血尿、腹痛、腰痛、哭闹、遗尿、少尿、尿道口红肿、顽固性尿布皮炎等患儿行尿常规等相关检查。一旦发现问题,尽量在使用抗生素前做尿培养,及时选用敏感抗菌药物治疗。必要时可以选用口服喹诺酮类,同时注意筛查泌尿系畸形、包茎等潜在因素,提高诊断与治愈率。
Objective： To analyse the .clinical manifestation, pathogenic bacteria and drug susceptibility, diagnosis and treatment of urinary tract infection to guide future prevention work. Methods：The clinical data of 104 cases with urinary infection were retrospectively analyzed and summarized. Results：The clinical presentation of pediatric urinary tract infection in infants and in female children were not typical, it might be relation with urinary anatomy abnormality. Urine culture was a important diagnosis. When Unused antibiotic, positive urine culture was significantly higher than that of using antibiotics. Bacteria were mainly Escherichia coli. Sensitive drug were cefoxitin, imipenem, amikacin, amoxicillin ＋ clavulanic acid, eiprofloxacin, piperacillin / tazobactam, ceftazidime. Conclusion： Pediatric clinic doctors pay attention to do routine examination of the urine, for hematuria, abdominal pain, low back pain, crying, enuresis, oliguria, urethral irritation, intractable diaper dermatitis. As the previous use of antibiotics after urine culture, timely choose sensitive antimicrobial drugs. Quinolones can be used, if necessary. Screen potential factors, such as urinary malformations, phimosis, In order to improve the diagnosis rate and cure rate.
出处
《现代临床医学》
2012年第1期47-48,共2页
Journal of Modern Clinical Medicine
关键词
泌尿系感染
尿培养
细菌
药物敏感试验
urinary tract infection
urine culture
bacteria
drug sensitivity test
