不明原因发热中泌尿系感染48例临床分析

Urinary tract infection in patients with fever of unknown origin: A clinical analysis of 48 cases

摘要: 目的分析不明原因发热(fever of unknown origin,FUO)中泌尿系感染(urinary tract infection,UTI)的临床特点,提高临床诊断水平。方法回顾性分析本院发热疾病科2011年2月-2012年12月符合FUO诊断标准的UTI患者的临床资料。结果 FUO中UTI多表现为规律间歇热。女性多见尿常规异常(P=0.027 1),女性和≥60岁患者尿培养阳性常见(P=0.031 6,P=0.028 2)。结论 FUO中UTI热型多为规律间歇热,反复尿常规和尿培养有助于明确诊断。

Abstract: Objective To improve the clinical diagnosis of urinary tract infection(UTI) by analyzing its clinical features in patients with fever of unknown origin(FUO). Methods Clinical data about UTI patients with FUO admitted to Department of Fever-Related Diseases in our hospital from February 2011 to December 2012 were retrospectively reviewed. Results UTI was usually manifested as intermittent fever in FUO patients. Abnormal urine routine test was more common in females than in males(P=0.027 1)and positive urine culture was more frequent in females and those with their age ≥ 60 years than in males and those their age ≤ 60 years. Conclusion UTI is usually manifested as intermittent fever in FUO patients. Repeated routine urine test and urine culture contribute to its diagnosis.