尿路感染的初始治疗决策。
Initial treatment decisions in urinary tract infection.
出版信息
Can Fam Physician. 1981 Dec;27:1909-12.
Abstract
Family physicians commonly deal with urinary symptoms in their female patients, but there is no valid method of achieving a firm diagnosis at the initial visit. Records of 654 episodes reported as UTI during a three year period were reviewed; the accuracy of the therapeutic decision at the initial visit was found to be 45.8%. In reaching this decision, it is possible that physicians overestimated the probability of UTI. The desire to relieve symptoms may also affect therapeutic decisions.
摘要
家庭医生在日常诊疗中经常会遇到女性患者的尿路症状，但在初次就诊时，没有有效的方法能够明确诊断。对三年内共 654 例报告为尿路感染（UTI）的病例进行了回顾性研究；结果发现，在初次就诊时的治疗决策的准确性为 45.8%。在做出这一决策时，医生可能高估了 UTI 的概率。缓解症状的愿望也可能影响治疗决策。
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