Nicolle L E
Health Sciences Centre, Department of Medicine, Winnipeg, Manitoba, Canada.
Infect Control Hosp Epidemiol. 2001 Mar;22(3):167-75. doi: 10.1086/501886.
Urinary tract infection (UTI) is the most common bacterial infection occurring in residents of long-term-care facilities. It is a frequent reason for antimicrobial administration, but antimicrobial use for treating UTIs is often inappropriate. Achieving optimal management of UTI in this population is problematic because of the very high prevalence of bacteriuria, evidence that the treatment of asymptomatic bacteriuria is not beneficial, and the clinical and microbiological imprecision in diagnosing symptomatic UTI. This position paper has been developed, using available evidence, to assist facilities and healthcare professionals in managing this common problem.
尿路感染（UTI）是长期护理机构居民中最常见的细菌感染。它是抗菌药物使用的常见原因，但用于治疗UTI的抗菌药物使用往往不当。由于菌尿症的高患病率、无症状菌尿症治疗无益处的证据以及有症状UTI诊断中临床和微生物学的不精确性，在这一人群中实现UTI的最佳管理存在问题。本立场文件利用现有证据制定，以协助机构和医疗保健专业人员管理这一常见问题。
