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复发性尿路感染

Recurrent urinary tract infection.

作者信息

Epp Annette, Larochelle Annick

机构信息

Saskatoon SK.

St. Lambert QC.

出版信息

J Obstet Gynaecol Can. 2010 Nov;32(11):1082-1090. doi: 10.1016/S1701-2163(16)34717-X.

DOI:10.1016/S1701-2163(16)34717-X
PMID:21176321
Abstract

OBJECTIVE

to provide an update of the definition, epidemiology, clinical presentation, investigation, treatment, and prevention of recurrent urinary tract infections in women.

OPTIONS

continuous antibiotic prophylaxis, post-coital antibiotic prophylaxis, and acute self-treatment are all efficient alternatives to prevent recurrent urinary tract infection. Vaginal estrogen and cranberry juice can also be effective prophylaxis alternatives.

EVIDENCE

a search of PubMed and The Cochrane Library for articles published in English identified the most relevant literature. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. There were no date restrictions.

VALUES

this update is the consensus of the Sub-Committee on Urogynaecology of the Society of Obstetricians and Gynaecologists of Canada. Recommendations were made according to the guidelines developed by the Canadian Task Force on Preventive Health Care (Table 1).

OPTIONS

recurrent urinary tract infections need careful investigation and can be efficiently treated and prevented. Different prophylaxis options can be selected according to each patient's characteristics.

摘要

目的

提供关于女性复发性尿路感染的定义、流行病学、临床表现、检查、治疗及预防的最新信息。

选项

持续抗生素预防、性交后抗生素预防及急性自我治疗都是预防复发性尿路感染的有效替代方法。阴道雌激素和蔓越莓汁也可作为有效的预防替代方法。

证据

检索PubMed和考克兰图书馆中以英文发表的文章,找出最相关的文献。结果仅限于系统评价、随机对照试验/对照临床试验及观察性研究。无日期限制。

观点

本更新内容是加拿大妇产科医师协会泌尿妇科小组委员会的共识。建议是根据加拿大预防性医疗保健特别工作组制定的指南提出的(表1)。

选项

复发性尿路感染需要仔细检查,并且可以得到有效治疗和预防。可根据每位患者的特征选择不同的预防方法。

相似文献

1
Recurrent urinary tract infection.复发性尿路感染
J Obstet Gynaecol Can. 2010 Nov;32(11):1082-1090. doi: 10.1016/S1701-2163(16)34717-X.
2
No. 250-Recurrent Urinary Tract Infection.第250号——复发性尿路感染
J Obstet Gynaecol Can. 2017 Oct;39(10):e422-e431. doi: 10.1016/j.jogc.2017.08.017.
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Recurrent urinary tract infections.复发性尿路感染
Best Pract Res Clin Obstet Gynaecol. 2005 Dec;19(6):861-73. doi: 10.1016/j.bpobgyn.2005.08.003. Epub 2005 Nov 17.
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Prophylaxis for recurrent urinary tract infections: nitrofurantoin, not trimethoprim-sulfamethoxazole or cranberry juice.复发性尿路感染的预防:使用呋喃妥因,而非甲氧苄啶-磺胺甲恶唑或蔓越莓汁。
Arch Intern Med. 2012 Jan 9;172(1):82; author reply 82-3. doi: 10.1001/archinternmed.2011.613.
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Treatment and Prevention of Recurrent Lower Urinary Tract Infections in Women: A Rapid Review with Practice Recommendations.女性复发性下尿路感染的治疗和预防:快速综述及实践推荐。
J Urol. 2018 Dec;200(6):1174-1191. doi: 10.1016/j.juro.2018.04.088. Epub 2018 Jun 22.
6
Cranberries vs antibiotics to prevent urinary tract infections: a randomized double-blind noninferiority trial in premenopausal women.蔓越莓与抗生素预防尿路感染:一项针对绝经前女性的随机双盲非劣效性试验。
Arch Intern Med. 2011 Jul 25;171(14):1270-8. doi: 10.1001/archinternmed.2011.306.
7
Preventing urinary tract infections after menopause without antibiotics.绝经后不使用抗生素预防尿路感染
Maturitas. 2017 May;99:43-46. doi: 10.1016/j.maturitas.2017.02.004. Epub 2017 Feb 7.
8
Recurrent urinary tract infection and urinary Escherichia coli in women ingesting cranberry juice daily: a randomized controlled trial.每日饮用蔓越莓汁对女性复发性尿路感染及大肠埃希菌的影响:一项随机对照试验。
Mayo Clin Proc. 2012 Feb;87(2):143-50. doi: 10.1016/j.mayocp.2011.10.006.
9
Cost-effectiveness of cranberries vs antibiotics to prevent urinary tract infections in premenopausal women: a randomized clinical trial.蔓越莓与抗生素预防绝经前女性尿路感染的成本效益:一项随机临床试验。
PLoS One. 2014 Apr 4;9(4):e91939. doi: 10.1371/journal.pone.0091939. eCollection 2014.
10
[Recurrent urinary tract infections].复发性尿路感染
Enferm Infecc Microbiol Clin. 2005 Dec;23 Suppl 4:28-39. doi: 10.1157/13091446.

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