妇儿健康导刊2024，Vol.3Issue(22)：21-25,5.
小于90天婴儿不明原因发热的诊治进展
Advances in diagnosis and treatment of fever of unknown origin in infants younger than 90 days of age
张则玮 1赵桂增 1高荧2
作者信息
- 1. 山东省郯城县第一人民医院儿科,山东郯城 276199
- 2. 山东省郯城县第一人民医院药学部,山东郯城 276199
- 折叠
摘要
Abstract
Fever of unknown origin in infants younger than 90 days old is a common clinical problem in pediatrics and it is important to identify a self-limiting viral infection or a serious bacterial infection as soon as possible to avoid serious consequences.In the guidelines on the management of fever of unknown origin in healthy-looking eight to 60-day-old and<90-day-old infants published in recent years by the American Academy of Pediatrics and the Canadian Pediatric Society,risk stratification based on age,urine analysis,and inflammatory markers(IMs)test results is proposed.Urinalysis,urine culture,blood culture,and IMs such as absolute peripheral blood neutrophil count,C-reactive protein,and procalcitonin are required for infants in all day-age groups.Infants younger than 22 or 29 days old and high-risk infants with abnormal IMs were treated with lumbar puncture for cerebrospinal fluid(CSF)examination,hospitalization,and parenteral antibiotics,while low-risk infants with normal IMs do not need CSF examination and some may even be treated at home without antibiotics.Infants with simple urinary tract infections can be treated with oral antibiotics.关键词
婴儿/不明原因发热/严重细菌感染/侵袭性细菌感染/风险分层Key words
Infant/Fever of unknown origin/Serious bacterial infection/Invasive bacterial infection/Risk stratification分类
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张则玮,赵桂增,高荧..小于90天婴儿不明原因发热的诊治进展[J].妇儿健康导刊,2024,3(22):21-25,5.
