Department of Urology - P6, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium,
Curr Infect Dis Rep. 2011 Dec;13(6):544-51. doi: 10.1007/s11908-011-0208-6.
Spinal cord injuries (SCI) result in different lower urinary tract dysfunctions. Because of both the disease and the bladder drainage method, urinary tract infections (UTIs) are one of the most frequent conditions seen in SCI patients. Diagnosis is not always easy due to lack of symptoms. Asymptomatic bacteriuria needs no treatment. If symptoms occur, antibiotherapy is indicated. Duration depends mainly on severity of illness and upper urinary tract or prostatic involvement. Choice of antibiotherapy should be based on local resistance profiles, but fluoroquinolones seems to be an adequate empirical treatment. Prevention of UTI is important, as lots of complications can be foreseen. Catheter care, permanent low bladder pressure and clean intermittent catheterization (CIC) with hydrophilic catheters are interventions that can prevent UTI. Probiotics might be useful, but data are limited.
脊髓损伤 (SCI) 会导致不同的下尿路功能障碍。由于疾病和膀胱引流方式，尿路感染 (UTI) 是 SCI 患者最常见的病症之一。由于缺乏症状，诊断并不总是容易。无症状菌尿无需治疗。如果出现症状，则需要进行抗生素治疗。治疗时间主要取决于疾病的严重程度以及上尿路或前列腺的受累情况。抗生素治疗的选择应基于当地的耐药谱，但氟喹诺酮类似乎是一种足够的经验性治疗药物。预防 UTI 很重要，因为可以预见很多并发症。导管护理、持续低膀胱压力和使用亲水性导管的清洁间歇性导尿 (CIC) 是预防 UTI 的干预措施。益生菌可能有用，但数据有限。
