摘要
Abstract
Objective To investigate the clinical features of atypical urinary tract infection (UTI) in school-age children,in order to provide a reference for timely diagnosis and improvement of the prognosis of the disease.Methods Eighty-one school-age children who were diagnosed as UTI and received inpatient treatment in The 81st Hospital of PLA from 2011 to 2016 were enrolled and divided into typical group and atypical group based on whether they had typical UTI symptoms or not.Through reviewing the medical records,we collected the clinical data of the two groups,including sex,age,clinical symptoms,auxiliary examination results,comorbidity,diagnosis,treatment and prognosis.Results In the participants,the prevalence of typical UTI symptoms was higher than that of atypical UTI symptoms [55.6％ (45/81) vs 44.4％ (36/81)].Patients with typical UTI symptoms and those without had no significant differences in male to female ratio and age distribution (P ＞0.05).The incidence of atypical UTI symptoms (abdominal pain,vomiting,vulvar itching,abnormal discharge on the underpants) differed significantly between the typical group and atypical group (P ＜ 0.05),but the incidence of fever,prevalence of leukocyturia,hematuria and albuminuria,levels of white blood cell count,C-reactive protein,urea nitrogen and serum creatinine detected on admission,main pathogenic bacteria (Escherichia coli) and overall distribution of the pathogenic species,sensitivity to ceftazidime,ceftriaxone,tazobactam sodium and aztreonam showed by urine culture results did not (P ＞ 0.05).Furthermore,patients with atypical UTI symptoms were more likely to be misdiagnosed compared with those with atypical UTI symptoms [27.8％ (10/36) vs 0] (P ＜ 0.05).Conclusion Atypical urinary tract infections in school-age children is not uncommon.These patients have increased rates of abdominal pain,vomiting,vulvar itching,abnormal discharge on the underpants and misdiagnosis.Therefore,clinicians should improve their understanding of the clinical features of atypical UTI in order to reduce the rate of misdiagnosis.关键词
泌尿道感染/学龄期/儿童/临床特征Key words
Urinary tract infections/School age/Child/Clinical features分类
医药卫生
