儿童泌尿系感染并发脓毒症的危险因素分析  

Analysis of risk factors for sepsis in children with urinary tract infection

作　　者：陈芳 王曼知 吴蕾 Chen Fang;Wang Manzhi;Wu Lei(Department of Pediatrics,Changsha Central Hospital Affiliated to Hengyang Medical College,University of South China,Changsha 410004,China)

机构地区：[1]南华大学衡阳医学院附属长沙中心医院儿科,长沙410004

出　　处：《国际泌尿系统杂志》2023年第3期496-499,共4页International Journal of Urology and Nephrology

摘　　要：目的分析儿童泌尿系感染(UTI)发生脓毒症的危险因素。方法回顾性分析2018年1月至2020年7月本院收治的120例泌尿系感染患儿的临床资料,根据患者是否发生脓毒症分为非脓毒症组(99例)和脓毒症组(21例)。采用logistic回归分析泌尿系感染患儿发生脓毒症的危险因素。结果单因素logistic回归分析结果显示,发热、腹泻、泌尿系超声异常、年龄、发热持续时间、C反应蛋白(CRP)、降钙素原(PCT)、红细胞沉降率(ESR)是UTI患儿发生脓毒症的影响因素(均P<0.05)。多因素logistic回归分析结果显示,泌尿系超声异常、年龄、发热持续时间、PCT是UTI患儿发生脓毒症的独立危险因素(均P<0.05)。结论泌尿系超声异常、发热持续时间长、小月龄患儿以及PCT升高是儿童UTI发生脓毒症的危险因素。Objective To analyze the risk factors of sepsis in children with urinary tract infection(UTI).Methods The clinical data of 120 children with urinary tract infection admitted to our hospital from January 2018 to July 2020 were retrospectively analyzed.According to whether the patients had sepsis,they were divided into non-sepsis group(99 cases)and sepsis group(21 cases).Logistic regression was used to analyze the risk factors of sepsis in children with urinary tract infection.Results Univariate logistic regression analysis showed that fever,diarrhea,abnormal urinary ultrasound,age,duration of fever,CRP,PCT,and ESR were influential factors for the development of sepsis in children with UTI(all P<0.05).Multi-factor logistic regression analysis showed that abnormal urinary ultrasound,age,fever duration,and PCT were independent risk factors for the development of sepsis in children with UTI(all P<0.05).Conclusions Abnormal ultrasound of urinary tract,prolonged fever,infants,and increased PCT are risk factors for sepsis in children with urinary tract infection.

关 键 词：泌尿道感染 儿童 脓毒症 

分 类 号：R726.9[医药卫生—儿科]