尿路感染。如何管理有无长期导尿的疗养院患者。

Urinary tract infections. How to manage nursing home patients with or without chronic catheterization.

作者信息

O'Donnell Judith A, Hofmann Mary T

机构信息

Department of Medicine, Division of Infectious Diseases, MCP Hahnemann School of Medicine and University, Medical College of Pennsylvania Hospital, Philadelphia, Pennsylvania, USA.

出版信息

Geriatrics. 2002 May;57(5):45, 49-52, 55-6 passim.

PMID:12040593

Abstract

Urinary tract infections (UTIs)--including cystitis, pyelonephritis, and catheter-associated infections--are among the most common nursing home-acquired infections. Asymptomatic bacteriuria can be identified in 20 to 50% of nursing home residents who do not have bladder catheters and in 100% of those who do. Diagnostic tests for nursing home patients with suspected UTI include urinalysis, urine culture, and sensitivity testing. Treatment of cystitis can usually be managed in the nursing home with oral antibiotics. Initial therapy with a parenteral agent is often recommended in nursing home-acquired pyelonephritis.

摘要

尿路感染（UTIs）——包括膀胱炎、肾盂肾炎和导管相关感染——是最常见的养老院获得性感染之一。在没有膀胱导管的养老院居民中，20%至50%可检测出无症状菌尿，而在有导管的居民中，这一比例为100%。对疑似尿路感染的养老院患者进行的诊断测试包括尿液分析、尿培养和药敏试验。膀胱炎通常可在养老院用口服抗生素治疗。对于养老院获得性肾盂肾炎，通常建议初始使用胃肠外用药治疗。