{"id":6076,"date":"2020-05-13T12:24:59","date_gmt":"2020-05-13T11:24:59","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/pedijatrija-atopijski-dermatitis-copy\/"},"modified":"2020-10-07T10:49:25","modified_gmt":"2020-10-07T09:49:25","slug":"pedijatrija-dijagnosticke-procedure-akutnih-urinarnih-infekcija-kod-dece","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/pedijatrija\/pedijatrija-dijagnosticke-procedure-akutnih-urinarnih-infekcija-kod-dece\/","title":{"rendered":"Pedijatrija – Dijagnosti\u010dke procedure akutnih urinarnih infekcija kod dece"},"content":{"rendered":"

Anamneza:<\/strong><\/p>\n

    \n
  1. a) Novoro\u0111en\u010de \u2013 \u017duto prebojena ko\u017ea, povra\u0107anje, odbijanje obroka, slabo napredovanje u te\u017eini.<\/span><\/li>\n
  2. b) Dojen\u010de \u2013 Povi\u0161ena temperature, povra\u0107anje, odbijanje obroka, neprijatan miris urina, trag krvi u peleni.\u00a0<\/span><\/li>\n
  3. c) Deca pred\u0161kolskog i \u0161kolskog uzrasta \u2013 Povi\u0161ena temperature, bol u stomaku, u\u010destalo i bolno mokrenje.<\/span><\/li>\n<\/ol>\n

    Klini\u010dki pregled:<\/strong><\/p>\n

      \n
    1. Procena op\u0161teg stanja pacijenta<\/span><\/li>\n
    2. Dijagnosti\u010dke procedure<\/span><\/li>\n
    3. Laboratorijske analize \u2013 CRP, KKS, urin, urea, kreatinin seruma itd<\/span><\/li>\n
    4. UK sa antibiogramom 1 i 2<\/span><\/li>\n<\/ol>\n

      Veoma je va\u017ean postupak uzimanja uzorka urina i UK. Obavezna toaleta genitalija sapunom i toplom vodom neposredno pre uzimanja srednjeg mlaza urina.<\/span><\/p>\n

      Terapija:<\/strong><\/p>\n

        \n
      1. a) Novoro\u0111en\u010de uputiti na bolni\u010dko le\u010denje<\/span><\/li>\n
      2. b) Dojen\u010de uputiti na bolni\u010dko le\u010denje samo u slu\u010daju te\u017ee klini\u010dke slike, ina\u010de zapo\u010deti le\u010denje ambulantno.<\/span><\/li>\n
      3. c) Pred\u0161kolski i \u0161kolski uzrast ako je op\u0161te stanje pacijenta zadovoljavaju\u0107e ambulantno le\u010denje<\/span><\/li>\n
      4. Antipiretici \u2013 Paracetamol ili Brufen pri povi\u0161enoj temperature. Dovoljan unos te\u010dnosti per os i mirovanje. Antibiotici iz grupe Cefalosporini 2. ili 3. generacije do dobijanja UK tj. antibiograma i tada po potrebi korigovati terapiju. Ukupna du\u017eina le\u010denja 7-10 dana.<\/span><\/li>\n
      5. Obavezna kontrola urina i UK 48 \u2013 72 sata od zapo\u010dete terapije, kao i po zavr\u0161etku (CRP, KKS, urin, UK)<\/span><\/li>\n
      6. Po izle\u010denju 10 \u2013 14 dana uraditi UZ urotrakta<\/span><\/li>\n
      7. Ako postoji sumnja na prisustvo anomalija ili patolo\u0161kih promena uputiti dete nefrologu ili urologu<\/span><\/li>\n<\/ol>\n

         <\/p>\n","protected":false},"excerpt":{"rendered":"

        Anamneza: a) Novoro\u0111en\u010de \u2013 \u017duto prebojena ko\u017ea, povra\u0107anje, odbijanje obroka, slabo napredovanje u te\u017eini. b)…<\/p>\n","protected":false},"author":1,"featured_media":6078,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[488],"tags":[324,263],"class_list":["post-6076","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pedijatrija","tag-pedijatrija","tag-urinarne-infekcije"],"yoast_head":"\nPedijatrija - Dijagnosti\u010dke procedure akutnih urinarnih infekcija kod dece<\/title>\n<meta name=\"description\" content=\"Klini\u010dki pregled: Veoma je va\u017ean postupak uzimanja uzorka urina i UK. 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