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复发性尿路感染不应掉以轻心。首先要核实诊断!

[Recurrent urinary tract infections should not be treated cavalierly. First verify the diagnosis!].

作者信息

Wagenlehner F M E, Naber K G

机构信息

Urologische Klinik, Klinikum St. Elisabeth, Straubing.

出版信息

MMW Fortschr Med. 2003 Oct 23;145(43):37-9.

Abstract

Acute uncomplicated cystitis (AUC) and acute uncomplicated pyelonephritis (AUP) are two common urinary tract infections (UTI) in otherwise healthy young women. Both weaknesses of the mucosal barrier and specific factors of uropathogenic bacteria must be present before the bacteria can adhere to the urothelium and give rise to an infection. These circumstances are also of relevance in recurrent UTI. Antibiotic treatment of AUC and AUP is based on the guidelines of the Infectious Diseases Society of America (IDSA). For the prevention of recurrent UTI, antibiotics, functional foods, injections, probiotic agents and other measures are recommended with varying potential for success.

摘要

急性单纯性膀胱炎(AUC)和急性单纯性肾盂肾炎(AUP)是健康年轻女性中两种常见的尿路感染(UTI)。在细菌能够黏附于尿路上皮并引发感染之前,黏膜屏障的薄弱环节和尿路致病细菌的特定因素都必须存在。这些情况在复发性尿路感染中也具有相关性。AUC和AUP的抗生素治疗基于美国传染病学会(IDSA)的指南。对于复发性尿路感染的预防,推荐使用抗生素、功能性食品、注射剂、益生菌制剂及其他措施,但其成功的可能性各不相同。

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