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Risikoorientierte Klassifikation von Harnwegsinfektionen bei Kindern

  • H. Olbing
Conference paper

Zusammenfassung

Die Harnwegsinfektion ist keine Krankheitsentität. Es handelt sich um eine Sammeldiagnose, welche Patienten mit großen Unterschieden in Ätiologie, klinischer Symptomatik und Prognose vereinigt. Gemeinsam ist allen Patienten lediglich die Bakterienbesiedlung und -Vermehrung in Nieren oder Harntrakt, welche durch den Laborbefund der pathologischen Bakteriurie nachgewiesen wird. Eine Zystitis bei einem Patienten mit funktionell und morphologisch normalen Nieren und normalem Harntrakt ohne spätere Rezidive ist eine harmlose Episode, während eine akute Pyelonephritis bei einem Kind mit beidseitiger Harnstauung und rezidivierendem Verlauf Teil eines tragischen, zum terminalen chronischen Nierenversagen führenden Leidens sein kann. Die Risiken, an welche bei einem Kind mit Harnwegsinfektion in jedem Einzelfall zu denken ist, sind in Tabelle 1 zusammengestellt. Eine risikoorientierte, individuelle Klassifizierung ist erforderlich, um die Prognose im Einzelfall realistisch abzuschätzen, vor allem aber auch, um eine maßgeschneiderte Therapie durchführen zu können.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1980

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  • H. Olbing

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