Hug B L, Flückiger U, Widmer A F
Medizinische Klinik, Universitätsspital Basel, Basel, Schweiz.
Internist (Berl). 2006 Nov;47(11):1151-62. doi: 10.1007/s00108-006-1706-8.
Urinary tract infection (UTI) is the most common infection in hospitalized adults. Nosocomial UTIs are mainly associated with the use of urinary catheters. Thus, the decision for catheterization should be made carefully and catheters removed in time. In order to prevent unnecessary antibiotic use in patients with urinary catheters correct diagnosis is crucial. Chinolones, broad-spectrum penicillins and third-generation cephalosporins are the mainstay of therapy. Comorbidities should be considered and potential obstructions of urinary flow removed. Economically important are the normally higher prices of i.v. antibiotics compared to oral use.
尿路感染（UTI）是住院成人中最常见的感染。医院获得性尿路感染主要与导尿管的使用有关。因此，应谨慎做出导尿决定，并及时拔除导尿管。为防止导尿管患者不必要地使用抗生素，正确诊断至关重要。喹诺酮类、广谱青霉素和第三代头孢菌素是主要治疗药物。应考虑合并症并消除潜在的尿路梗阻。静脉用抗生素通常比口服抗生素价格更高，这在经济上很重要。
