不定之处基层医师诊断学龄前儿童尿路感染的最佳途径
Uncertainties Page How best to diagnose urinary tract infection in preschool children in primary care?
摘要
基层医师及时、准确地诊断儿童尿路感染(UTI)至关重要,这是因为恰当的治疗可减轻患儿痛苦,有助于预防远期不良结局,包括肾脏瘢痕形成、肾脏生长不良、肾盂肾炎复发、肾小球功能受损、高血压、终末期肾病及先兆子痫。目前尚不清楚普通人群肾脏瘢痕形成的患病率,
出处
《英国医学杂志中文版》
2012年第2期120-122,共3页
The BMJ Chinese Edition
参考文献19
-
1Vernon S J, Coulthard MG, Lambert HI, Keir MJ, Mattbews JN. New renal scarring in children who at age 3 and 4 years had had nomud searls with dimereaptosuccinie acid : follow up study. BMJ 1997 ;315:905-8.
-
2Sacks SH, Ven'ier Jones K, Roberts R, Asseher AW, Ledinghmn JG. Effect of symptorrdess baeteriuria in childhood on subsequent preg~laney. Lancet 1987 ;2:991- 4.
-
3Shaikh N, Ewing AL, Bhatnagar S, Hoberman A. Risk of renal scarfing in children with a first urinary tract infection: a systematic review. Pediatrics 2010; 126:1084-91.
-
4Shaikh N, Morone NE, Bost JE, Farrell MH. Prevalence of urinary tract infection in childhood: a meta-analysis. Pediatr bfect Dis J 2008;27:302-8.
-
5Craig JC, Williams GJ, Jones M, Codarini M, Macaskill P, Hayen A, et al. Tbe accuracy of clinical symptoms and signs for the diagnosis of serious bacterial infection in young febrile children: prospective cohort study of 15 781 fehrile illnesses. BMJ 2010 ;340: c 1594.
-
6O'Brien K, Stanton N, Edwards A, Holm K, Butler CC. Prevalence of urinary tract infection (UTI) in sequential acutely unwell children presenting in primary care : exploratory study. Seaml J Prim Health Care 2011 ;29 : 19-22.
-
7Coalthard MG, Vernon SJ, Lambert H J, Matthews JNS. A nurse led education and direct access service for the management of urinary tract infections in children : prospective controlled trial. BMJ 2003 ;327:656.
-
8National hrtitute for Health and Clinical Excellence (NICE). Urinary tract infection in children: diagnosis, treatment and long-term management. NICE Clinical Guideline 54. August 2007. www. nice. org. uk/nicemedia/txll7.
-
9CG54NICEguideline. pdi: iting P, Westwood M, Bojke L, Palmer S, Richardson G, Cooper J, et al. Clinical effectiveness and cost-efl>ctiveness of tests tbr the diagnosis and investigation of urinary tract infection in children: a systematic vview and economic model. Health Technol A,~sess 2006 ; 10 : 1-154.
-
10Shaikh N, Momne NE, Lopez J, Chianese J, Sangvai S, D'Amico F, et at. Does this child have a urinary tract infection? JAMA 2007;298:2895-904.
-
1近五成抑郁症患者不就医[J].中国家庭医生,2012(17):2-2.
-
2李冷媚.儿童尿路感染病原菌分布及耐药性分析[J].中国现代药物应用,2014,8(20):92-94. 被引量:2
-
3王晶,胡晋红.医师对药师的期望调研[J].药学服务与研究,2003,3(4):264-266. 被引量:8
-
4孔晓明.吃野菜留神过敏[J].养生保健指南(中老年健康),2014(5):21-21.
-
5师晓红.饮食行为与儿童健康[J].山西教育(幼教),2014,0(2):46-47.
-
6肖爽.调摄饮食防痛风[J].开卷有益(求医问药),2008(10):17-17.
-
7欧云鹏.基层病理科技术员之自身评价[J].诊断病理学杂志,2005,12(5):379-379. 被引量:3
-
8刘菲,高雪莲.影响成年期糖尿病发病的围产期危险因素[J].中华围产医学杂志,2009,12(4):313-313.
-
9陈莉.新生宝宝护理由头开始[J].母婴世界,2010(6):60-61.
-
10彭兰,陈孝进.儿童尿路感染的病原菌分布及耐药现状调查分析[J].中华医院感染学杂志,2012,22(7):1397-1398. 被引量:8