Mazzulli Tony
Department of Microbiology, Mount Sinai Hospital and University Health Network, Toronto, Ontario, Canada.
Can J Urol. 2012 Oct;19 Suppl 1:42-8.
Urinary tract infections (UTIs) remain a common clinical problem in both the community and healthcare-associated settings. Each patient should be carefully assessed to ensure that a correct diagnosis is made and that antimicrobial therapy is appropriately prescribed--defined as using a clinically indicated agent in the correct dose and route of administration, for the correct duration--for symptomatic patients, and avoided for most asymptomatic patients. This should help stem the growing tide of antimicrobial resistance and allow for the continued use of simpler, less expensive agents. Continued surveillance and monitoring of antimicrobial resistance rates will be critical to help formulate and update future treatment recommendations for all categories of patients with UTIs.
尿路感染(UTIs)在社区和医疗相关环境中仍然是一个常见的临床问题。应对每位患者进行仔细评估,以确保做出正确诊断,并为有症状的患者合理开具抗菌治疗药物——即使用临床指明的药物,采用正确的剂量、给药途径和疗程——而对于大多数无症状患者则避免使用抗菌药物。这应有助于遏制日益增长的抗菌药物耐药性,并使更简单、成本更低的药物能够继续使用。持续监测抗菌药物耐药率对于制定和更新未来针对各类尿路感染患者的治疗建议至关重要。