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《Practice Parameter The Diagnosis, Treatment, and Evaluation of theInitial Urinary Tract Infection in Febrile Infants and Young Children发热患儿婴幼儿初尿路感染的诊断、治疗及评价》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、AMERICANACADEMYOFPEDIATRICSCommitteeonQualityImprovementSubcommitteeonUrinaryTractInfectionPracticeParameter:TheDiagnosis,Treatment,andEvaluationoftheInitialUrinaryTractInfectioninFebrileInfantsandYoungChildrenABSTRACT.Objective.Toformulaterecommenda-makingthediagnosisofUT
2、I,3)short-termtreatmentoftionsforhealthcareprofessionalsaboutthediagnosis,UTI,and4)evaluationofthechildwithUTIforpossibletreatment,andevaluationofaninitialurinarytractin-urinarytractabnormality.fection(UTI)infebrileinfantsandyoungchildren(agesPhase1representstherecognition
3、ofthechildatrisk2monthsto2years).forUTI.Ageandotherclinicalfeaturesdefineapreva-Design.ComprehensivesearchandanalysisofthelenceorapriorprobabilityofUTI,determiningwhethermedicalliterature,supplementedwithconsensusopin-thediagnosisshouldbepursued.ionofSubcommitteemembers.Ph
4、ase2depictsthediagnosisofUTI.Alternativediag-Participants.TheAmericanAcademyofPediatricsnosticstrategiesmaybecharacterizedbytheircost,sen-(AAP)CommitteeonQualityImprovementselectedasitivity,andspecificity.Theresultoftestingisthedivi-Subcommitteecomposedofpediatricianswithe
5、xpertisesionofpatientsintogroupsaccordingtoarelativelyinthefieldsofepidemiologyandinformatics,infectioushigherorlowerprobabilityofhavingaUTI.Theproba-diseases,nephrology,pediatricpractice,radiology,andbilityofUTIineachofthesegroupsdependsnotonlyonurologytodrafttheparameter
6、.TheSubcommittee,thethesensitivityandspecificityofthetest,butalsoontheAAPCommitteeonQualityImprovement,areviewpriorprobabilityoftheUTIamongthechildrenbeingpanelofoffice-basedpractitioners,andothergroupstested.Inthisway,theusefulnessofadiagnostictestwithinandoutsidetheAAPre
7、viewedandrevisedthedependsonthepriorprobabilityofUTIestablishedinparameter.Phase1.Methods.TheSubcommitteeidentifiedthepopula-Phase3representstheshort-termtreatmentofUTI.tionathighestriskofincurringrenaldamagefromUTIÐAlternativesfortreatmentofUTImaybecompared,infantsandyoun
8、gchildrenwithUTIandfever.Acom-basedontheirlikelihoodofclearingtheinitialUTI.prehensivebib