BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 发热超过39℃(102.2℉)
  • 易怒(新生儿和婴儿)
  • 营养缺乏(新生儿和婴儿)

其他诊断因素

  • 腐臭味的尿液(婴儿,大龄儿童和青少年)
  • 排尿困难(学龄前,大龄儿童和青少年)
  • 尿频(大龄儿童和青少年)
  • 腹部/侧腹部疼痛(婴儿,大龄儿童和青少年)

危险因素

  • 年龄<1 岁
  • 女性
  • 白人儿童
  • 未割除包皮的男童在1岁之前

诊断性检查

首要检查

  • 尿试纸(试验)
  • 尿显微镜检查
  • 尿液培养
  • 血液培养
全部具体信息

需要考虑的检查

  • 尿真菌培养
  • 肾脏超声
  • 二巯基丁二酸(DMSA)扫描
  • 排尿性膀胱尿道造影
全部具体信息

新兴检查

  • 进一步的尿液分析
全部具体信息

治疗流程

贡献者

Interim Division Chief

Pediatric Nephrology

The Children's Hospital at Montefiore

Associate Professor of Pediatrics

Albert Einstein College of Medicine

Bronx

NY

利益冲突披露
BG declares that she has no competing interests.

Dr Beatrice Goilav would like to gratefully acknowledge Dr Frederick Kaskel, Dr Mary Anne Jackson, and Dr Rene VanDeVoorde, previous contributors to this topic. FK, MAJ, and RV declare that they have no competing interests.

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Associate Professor of Pediatrics and Family Medicine

Department of Pediatrics

Hasbro Children's Hospital

Providence

RI

利益冲突披露
RR declares that he has no competing interests.

Professor of Family Medicine and Chairman of the Department of Family Medicine

University of Texas Health Sciences Center

Tyler

TX

利益冲突披露
RV declares that he has no competing interests.

Associate Professor

Pediatric Nephrology

Cincinnati Children's Hospital Medical Center

Cincinnati

OH

利益冲突披露
EJ declares that she has no competing interests.

Staff Specialist Paediatrician

Children’s Hospital at Westmead

Westmead

Australia

利益冲突披露
Not disclosed.

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