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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 94 - 100 (7page)
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초록· 키워드
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Purpose: The American Academy of Pediatrics provides guidelines for managing febrile urinary tract infection (UTI) in infants and children 2-24 months old, but little guidance is offered regarding UTIs in those younger than 8 weeks of age. The definition of UTI is unclear and whether to proceed with micturating cystourethrography (MCUG) or 99mtechnetium-dimercaptosuccinic acid (DMSA) scintigraphy scan in this age group is controversial.
Methods: We retrospectively analyzed 29 neonates and infants younger than 2 months of age who underwent late DMSA scans 9 months following the first episode of febrile or symptomatic UTI between July 2009 and June 2016.
Results: In total, 192 children aged 0-24 months underwent ultrasound and DMSA scans (MCUG in 174/192). Neonates and infants younger than 2 months of age were significantly less likely to develop fever, and had a lower fever peak, shorter duration of fever before admission and after starting antibiotics, longer hospitalization period, lower C-reactive protein, and greater incidence of non- Escherichia coli infection. There was no difference in pyuria response at diagnosis.
The prevalence rates of an ultrasound abnormality (28%), vesicoureteral reflux (28%), UTI recurrence (38%), and renal scarring (10%) in infants younger than 8 weeks of age were similar to those in children 2-24 months old.
Conclusion: Neonates and infants younger than 2 months of age with UTI warrant special consideration because the fever response used for diagnosis in older children may be absent or blunted. Clinical guideline is needed for the diagnosis and management of UTI in this age group.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Camacho-Gonzalez A / 2013 / Neonatal infectious diseases: evaluation of neonatal sepsis / Pediatr Clin North Am 60(2):367~389
Bachur R / 1995 / Bacteremia and meningitis among infants with urinary tract infections / Pediatr Emerg Care 11 (5) : 280 ~ 284
Bachur RG / 2001 / Predictive model for serious bacterial infections among infants younger than 3 months of age / Pediatrics 108 (2) : 311 ~ 316
Bonadio W / 2014 / Urinary tract infection in outpatient febrile infants younger than 30 days of age: a 10-year evaluation / Pediatr Infect Dis J 33 (4) : 342 ~ 344
Crain EF / 1990 / Urinary tract infections in febrile infants younger than 8 weeks of age / Pediatrics 86 (3) : 363 ~ 367
Bachur R / 1995 / Bacteremia and meningitis among infants with urinary tract infections / Pediatr Emerg Care 11 (5) : 280 ~ 284
Bachur RG / 2001 / Predictive model for serious bacterial infections among infants younger than 3 months of age / Pediatrics 108 (2) : 311 ~ 316
Bonadio W / 2014 / Urinary tract infection in outpatient febrile infants younger than 30 days of age: a 10-year evaluation / Pediatr Infect Dis J 33 (4) : 342 ~ 344
Crain EF / 1990 / Urinary tract infections in febrile infants younger than 8 weeks of age / Pediatrics 86 (3) : 363 ~ 367
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