Ulleryd Peter
Hospital Infection Control, Sahlgrenska University Hospital, 413 46, Goteborg, Sweden.
Int J Antimicrob Agents. 2003 Oct;22 Suppl 2:89-93. doi: 10.1016/s0924-8579(03)00228-0.
Febrile urinary tract infection (UTI) in adult men has received little attention in the literature, partly due to the low incidence compared with women. In a multidisciplinary project, infectious disease specialists, urologists and microbiologists studied the host-parasite interaction in men from Gothenburg with community-acquired febrile UTI. The results are discussed in the light of other similar studies and related to findings in women. Contrary to the traditional view, men and women with febrile UTI have very similar infecting bacterial species, host predispositions and treatment results. However, virulence expression differs in the infecting Escherichia coli in both sexes, besides the overt anatomical distinction including having a prostate.
成年男性的发热性尿路感染(UTI)在文献中很少受到关注,部分原因是与女性相比发病率较低。在一个多学科项目中,传染病专家、泌尿科医生和微生物学家研究了哥德堡社区获得性发热性UTI男性的宿主-寄生虫相互作用。根据其他类似研究对结果进行了讨论,并与女性的研究结果相关联。与传统观点相反,发热性UTI的男性和女性具有非常相似的感染细菌种类、宿主易感性和治疗结果。然而,除了包括前列腺在内的明显解剖学差异外,两性感染的大肠杆菌的毒力表达也有所不同。