Division of Infectious Diseases, Childrens Hospital Los Angeles, Los Angeles, CA 90027, USA.
J Infect Public Health. 2009;2(3):101-11. doi: 10.1016/j.jiph.2009.08.003. Epub 2009 Sep 19.
Urinary tract infections (UTIs) are a serious health problem affecting millions of people each year. Infections of the urinary tract are the second most common type of infection in the body. Catheterization of the urinary tract is the most common factor, which predisposes the host to these infections. Catheter-associated UTI (CAUTI) is responsible for 40% of nosocomial infections, making it the most common cause of nosocomial infection. CAUTI accounts for more than 1 million cases in hospitals and nursing homes annually and often involve uropathogens other than Escherichia coli. While the epidemiology and pathogenic mechanisms of uropathogenic Escherichia coli have been extensively studied, little is known about the pathogenesis of UTIs caused by other organisms like Pseudomonas aeruginosa. Scanty available information regarding pathogenesis of UTIs caused by P. aeruginosa is an important bottleneck in developing effective preventive approaches. The aim of this review is to summarize some of the advances made in the field of P. aeruginosa induced UTIs and draws attention of the workers that more basic research at the level of pathogenesis is needed so that novel strategies can be designed.
尿路感染(UTIs)是一个严重的健康问题,每年影响数百万人。尿路感染是人体中第二常见的感染类型。尿路置管是最常见的诱发这些感染的因素。与导管相关的尿路感染(CAUTI)占医院感染的 40%,是医院感染最常见的原因。CAUTI 每年在医院和疗养院造成超过 100 万例病例,并且经常涉及除大肠杆菌以外的尿路病原体。虽然已经对尿路致病性大肠杆菌的流行病学和发病机制进行了广泛研究,但对其他生物体如铜绿假单胞菌引起的尿路感染的发病机制知之甚少。有关铜绿假单胞菌引起的 UTIs 发病机制的信息很少,这是开发有效预防方法的重要瓶颈。本综述的目的是总结铜绿假单胞菌诱导的 UTIs 领域的一些进展,并提请工作人员注意,需要在发病机制水平上进行更多的基础研究,以便能够设计新的策略。