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《Journal of Applied Clinical Pediatrics》 2010-23
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Urinary Tract Infection in 146 Children

ZHAO Li-ping,ZHOU Hong-xia,GE Ting-ting,WU Qiao-wei,ZHANG Lin,MEI Bo-ru(Department of Nephrology and Rheumatology,Wuxi Children′s Hospital,Wuxi 214023,Jiangsu Province,China)  
Objective To enhance the standardization of diagnosis and treatment of children′s urinary tract infection(UTI) and improve the diagnosis and cure rate of UTI.Methods A retrospective analysis of 146 cases with UTI from Jan.2008 to Dec.2009 was conducted.Among all the cases in 2008 year,all the patients were performed urinary tract ultrasound scanning,10 cases(18.5%) were performed isotope scan dimercaptosuccinic acid(DMSA),and 5 cases(9.2%) received micturating cystourethrography(MCU) examination.In 2009 year,all the patients were performed urinary tract ultrasound scanning and DMSA,and 40 cases(43.4%) were done with MCU.Results In 2008 year,54 children were hospitalized because of UTI.Fourteen point eight percent(8 cases) of the patients were present fever as the chief complaint.Younger than 1 year old was 3 cases(5.5%).Vesicoureteral reflux(VUR) was present in 2 cases.Ninety-two children were hospitalized for UTI in 2009.Fever was the chief complaint in 50 cases(54.3%) of the patients.Younger than 1 year old was 23 cases(25.0%).VUR was present in 16 cases.Among those 18 VUR cases,VUR were demonstrated in 0,2,5,12,and 6 in grade Ⅰ,Ⅱ,Ⅲ,and Ⅳ examinations,respectively.Younger than 1 year old was 13 cases(72.2%).Conclusions More attention should be paid to the urinary examination and urine culture in children.Children with UTI should choose proper imaging examinations.For children with abnormal DMSA results,they shall perform MCU,thus improve the diagnosis rate of VUR.
【CateGory Index】: R726.9
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【Citations】
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1 LIU Yan,ZHANG Bi-Li,WANG Wen-Hong,ZHANG Xuan,FAN Shu-Ying,LI Li.Graduate School of Tianjin Medical University,Tianjin 300070,China;Antibiotic resistance of pathogens isolated from 181 children with complicated urinary tract infection[J];Chinese Journal of Contemporary Pediatrics;2011-05
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