CAJ | 학술논문

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=0.0271)，女性和≥60岁患者尿培养阳性常见(P=0.0316， P=0.0282)。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。
목적：분석불명원인발열(fever of unknown origin，FUO)중비뇨계감염(urinary tract infection，UTI)적림상특점，제고림상진단수평。방법회고성분석본원발열질병과2011년2월-2012년12월부합FUO진단표준적UTI환자적림상자료。결과 FUO중UTI다표현위규률간헐열。녀성다견뇨상규이상(P=0.0271)，녀성화≥60세환자뇨배양양성상견(P=0.0316， P=0.0282)。결론 FUO중UTI열형다위규률간헐열，반복뇨상규화뇨배양유조우명학진단。
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 urineculture contribute to its diagnosis.