6 个月至 5 岁儿童尿路感染伴发热的比例

IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL
S. Mundada, Ayush Kumar
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引用次数: 0

摘要

发烧是五岁以下儿童到儿科急诊/门诊就诊的最常见原因。很多时候,儿童在没有接受适当的尿路感染(UTI)检查的情况下就被随意使用抗生素。这项研究的目的是评估 6 个月至 5 岁发热儿童中尿路感染的发病率。研究 6 个月至 5 岁发热儿童中尿路感染的比例。研究各种风险因素与尿毒症的关联。 这项横断面描述性观察研究于 2020 年 8 月至 2022 年 12 月在三级医院儿科进行,采用不同变量对 6 个月至 5 岁发热儿童进行研究。两个定性变量之间的关联采用卡方/费舍尔精确检验。P < 0.05 被认为具有统计学意义,而 P < 0.001 则被认为具有高度意义。 研究发现,在所有研究人群中,有 5.58%的发热但无病灶的患者患有尿毒症,而大多数患者(94.42%)没有尿毒症,但有发热但无特定病灶。在 UTI 病例中,尿培养生长模式显示存在不同的分离菌,包括大肠埃希菌(30.43%)、克雷伯菌(56.52%)、铜绿假单胞菌(8.7%)和念珠菌(4.34%)。 在本研究中,5 岁以下儿童发热但无病灶的UTI 总发生率为 5.58%。脓尿明显且尿培养(UTI)阳性的患者占 43.75%,脓尿明显但无菌培养阳性的患者占 56.25%。因此,结论是明显的脓尿可能是无菌性脓尿,在没有尿培养报告确认的情况下,不能将其标注为 UTI。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Proportion of Urinary Tract Infection in Children between 6 Months to 5 Years of Age Presenting with Fever
Fever serves as the most frequent cause of visits to emergency/outpatient pediatric departments among children under the age of five. Very frequently, the youngster is given antibiotics on an arbitrary basis without receiving the proper examination for a urinary tract infection (UTI). This study’s goals were to assess the prevalence of UTIs in febrile children between 6 months and 5 years of age. To study the proportion of UTIs in children between 6 months and 5 years presenting with fever. To study the association of various risk factors with UTI. This Cross-sectional Descriptive observational research was done in the Pediatric department of tertiary care hospital from August 2020 to December 2022, in febrile kids between 6 months and 5 years age group using different variables. Association between two qualitative variables was seen by using Chi-square/Fischer’s exact test. A P < 0.05 was considered statistically significant whereas a P < 0.001 was considered highly significant. Among the total study population, it was found that 5.58% of the patients with fever without focus had a UTI, while the majority of patients, 94.42% did not have a UTI but had fever without a specific focus. In UTI cases, urine culture growth patterns showed the presence of different isolates, including Escherichia coli (30.43%), Klebsiella (56.52%), Pseudomonas aeruginosa (8.7%), and Candida (4.34%). In the present research, the overall occurrence of UTI in children <5 years with fever without focus was 5.58%. Patients with significant pyuria and positive urine culture (UTI) were 43.75% and with significant pyuria but the sterile culture was 56.25%. So, it is concluded that significant pyuria can be sterile pyuria and cannot be labeled as UTI without confirmation on the urine culture report.
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来源期刊
Journal of the Scientific Society
Journal of the Scientific Society MEDICINE, GENERAL & INTERNAL-
自引率
33.30%
发文量
19
审稿时长
36 weeks
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