[尿路感染的诊断与治疗]
[Diagnosis and therapy of urinary tract infections].
作者信息
Tauchnitz C
机构信息
Innere Abteilung, Ev.-Luth. Diakonissenhauses, Leipzig.
出版信息
Z Gesamte Inn Med. 1992 Sep;47(9):404-8.
Urinary tract infections (UTI) are one of the most frequent indications for antibacterial chemotherapy. We must be differentiate between complicated and uncomplicated as well as between upper and lower UTI. Regarding the definition of significant bacteriuria (> or = 10(5) CFU/ml), some relativations are necessary. Dip-slide techniques proved to be very useful for bacteriological diagnosis. The calculated therapy depends upon age and sex and is different for community-acquired and nosocomial infections. Further items are the selection of antibacterial agents, the duration of chemotherapy, the role of asymptomatic bacteriuria and reinfection prophylaxis.
尿路感染（UTI）是抗菌化疗最常见的指征之一。我们必须区分复杂性和非复杂性尿路感染，以及上尿路感染和下尿路感染。关于显著菌尿（≥10⁵CFU/ml）的定义，有一些相关因素需要考虑。浸片技术被证明对细菌学诊断非常有用。计算得出的治疗方案取决于年龄和性别，社区获得性感染和医院感染的治疗方案也有所不同。其他需要考虑的因素包括抗菌药物的选择、化疗持续时间、无症状菌尿的作用以及再感染的预防。
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