Conrad S, Busch R, Huland H
Department of Urology, University of Hamburg, Germany.
Eur Urol. 1991;19 Suppl 1:16-22. doi: 10.1159/000473671.
Complicated urinary tract infections (UTIs) are defined as those infections causing severe complications, such as urosepsis, renal scarring, and end-stage renal disease. Major complicating factors are infection stones, infected atrophic kidney, renal papillary necrosis, indwelling catheters, and other causes of bacterial persistence, as well as vesicoureteral reflux and urinary tract obstruction in recurrent UTI. Operative therapy is mandatory in all types of persistent UTI besides chronic bacterial prostatitis, as well as in UTI associated with urinary tract obstruction. Recurrent UTI complicated by vesicoureteral reflux, on the other hand, should be managed conservatively.
复杂性尿路感染（UTIs）被定义为那些会导致严重并发症的感染，如尿脓毒症、肾瘢痕形成和终末期肾病。主要的复杂因素包括感染性结石、感染性萎缩肾、肾乳头坏死、留置导管以及其他导致细菌持续存在的原因，还有复发性尿路感染中的膀胱输尿管反流和尿路梗阻。除慢性细菌性前列腺炎外，所有类型的持续性尿路感染以及与尿路梗阻相关的尿路感染都必须进行手术治疗。另一方面，由膀胱输尿管反流并发的复发性尿路感染应采取保守治疗。
