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

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

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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_第1页
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_第2页
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_第3页
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_第4页
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_第5页
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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

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