幼儿细菌性尿路感染的泌尿影像学表现。

Current Pediatric Research Pub Date : 2021-01-01 DOI:10.35841/0971-9032.25.2.328-330

Fatma S. Alzhrani, Fayza Al Siny, Yaser S Bamshmous, Sarah Radwan, Bashair Alotaibi, Haneen S. Almalki, Dhuha A. Alhumaidi

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引用次数: 0

摘要

背景:尿路感染是婴幼儿最常见的获得性细菌感染之一。尿路感染有时伴有菌血症。菌血症的特点是在血液培养物中产生病原体。影像学检查，如肾超声(RUS)和避免膀胱尿道造影(VCUG)用于诊断尿路感染。目的:我们的目的是描述在沙特阿拉伯吉达的一家第三医院中，患有细菌性尿路感染的婴儿的RUS和VCUG的表现，并确定影像学表现与其他变量之间的关系。方法:我们回顾性研究了沙特阿拉伯吉达一家三级医院诊断为细菌性尿路感染的30名男女婴儿的医疗记录。如果婴儿在发病时已知有泌尿系统异常，需要重症监护，并且婴儿患有免疫功能低下的疾病，则排除。数据采用SPSS软件进行分析。结果:30例婴儿中，男孩占70%，0 ~ 3月龄占50%，0 ~ 3月龄占50%，沙特族14例(46.7%)，非沙特族16例(53.3%)，无发热61.1%，肌酐正常值58.62%。所有婴儿100%接受russ检查，96.2%的婴儿有russ异常(男18例，女7例)，而只有3.8%(男1例)有典型的russ结果。37.9%的患儿行VCUG检查，其中18.2%(2英里)的患儿VCUG正常，81.8%的患儿(7男2女)出现异常。17.9%为VUR。RUS结果与性别、年龄组、肌酐值和尿培养无显著关联。另一方面，RUS异常结果与血培养有显著相关性。此外，VCUG结果与性别、年龄组、肌酐、血液和尿液培养没有显著关联。结论:本研究中RUS和VCUG异常的发生率高于其他研究。RUS的发现与血培养结果之间存在显著关联;另一方面，RUS和VCUG结果与其他可能提示尿路感染婴儿菌血症风险的变量之间没有显著关联。

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Urinary imaging findings in young infants with bacteremic urinary tractinfection.

Background: The Urinary Tract Infection (UTIs) is one of the most widely acquired bacterialinfections in infants. UTI sometimes accompanied by bacteremia. Bacteremia is characterising as thedevelopment of a pathogen within the blood culture. Imaging tests, such as a Renal Ultrasound (RUS)and Avoiding Cystourethrogram (VCUG) use to diagnose UTIs. Aim: We aimed to describe RUS and VCUG findings in young infants with bacteremic urinary tractinfection and to determine the association between imaging findings and other variables at a tertiaryhospital in Jeddah, Saudi Arabia. Methods: We retrospectively studied the medical records of 30 infants from both genders who haddiagnosed with bacteremic UTIs at a tertiary hospital in Jeddah, Saudi Arabia. Infants were excludedif they had known urologic abnormalities at the time of presentation, required intensive unite care andinfants with immunocompromised diseases. Data was analyzed by SPSS program. Results: Of the 30 infants, 70% were boys, 50% aged from 0-3 months while the other 50% aged >3months, 14 (46.7%) were Saudis while 16 (53.3%) were non-Saudis, 61.1% were non-febrile, 58.62%had standard creatinine value. All infants 100% underwent RUS, 96.2% of them had RUSabnormalities (18 males and seven females) while only 3.8% (1 male) had typical RUS result. 37.9% ofinfants underwent VCUG, 18.2% (2 miles) of them had normal VCUG, while the majority 81.8% (7males and two females) had abnormal findings. 17.9% presented with VUR. There was no significantassociation between RUS results with sex, age group, creatinine value and urine cultures. On anotherhand, there was a significant association between RUS abnormal result and blood culture. Also, nosignificant association found between VCUG results with sex, age group, creatinine, blood and urinecultures. Conclusion: In conclusion, the prevalence of RUS and VCUG abnormality in our cohort found to behigher than other studies. There was a significant association between RUS finding and blood cultureresults; on another hand, there was no significant association between RUS and VCUG findings withother variables that could suggest bacteremic risk in UTI infants.

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来源期刊

Current Pediatric Research Medicine-Pediatrics, Perinatology and Child Health

自引率

0.00%

发文量

145

期刊介绍： Current Pediatric Research is an interdisciplinary Research Journal for publication of original research work in all major disciplines of Pediatric Research. The objective of the journal is to provide a scientific communication medium to discuss the utmost advancements in the domain of Pediatric Research. This journal aims to assemble and reserve precise, specific, detailed data on this immensely diversified subject. Current Pediatric Research is scientific open access journal that specifies the development activities conducted in the field of pediatric research. This journal encompasses the study related to different diversified aspects in pediatric research such as Pediatric Nursing, pediatric emergency care, pediatric nephrology, pediatric pulmonology, pediatric psychology, pediatric dental care, pediatric diabetes, pediatric stroke, pediatric healthcare, pediatric congenital heart disease, pediatric trauma and many more relevant fields.